COMPARISON OF PAIN ASSOCIATED WITH MINICSREW INSERTION IN ORTHODONTIC PATIENTS BY USING TOPICAL VERSUS INFILTRATION ANESTHESIA

Authors

  • Ghulam Rasool Department of Orthodontics Khyber College of Dentistry Peshawar.
  • Ahsan Mehmood Shah Department of Orthodontics Khyber College of Dentistry Peshawar.
  • Asma Ahmad Department of Orthodontics Khyber College of Dentistry Peshawar.
  • Faizan Ul Hassan Department of Orthodontics Khyber College of Dentistry Peshawar.
  • Ijaz Khan Department of Orthodontics Khyber College of Dentistry Peshawar.
  • Alveena Shahab Department of Orthodontics Khyber College of Dentistry Peshawar.

DOI:

https://doi.org/10.33279/jkcd.v9i01.335

Keywords:

Miniscrews, Topical anesthesia, Infiltration anesthesia, Orthodontic pain

Abstract

Objective:

The objective of this study was to compare pain associated with miniscrew insertion in orthodontic patientsby using topical versus infiltration anesthesia.

Materials & Methods:

In 30 patients, the topical anesthetic was applied on one side, while the infiltrative anesthetic was used on the other side. Infiltrative anesthesia containing lidocaine hydrochloride and epinephrine (1:100,000. Topical anesthetic gel having 20% lidocaine was applied for 7 minutes on the area of the mucosa that received the mini-implant. Self-drilling miniscrew of 1.4 X 8mm made of titanium was used. Ten points visual analog scale (VAS) was used to record pain during miniscrew insertion for both types of anesthesia. Statistical analysis was performed using SPSS version 20.0. The comparison of the VAS results for topical and infiltrative anesthetics was performed using the independent sample t-test.

Results:

Out of a total of 30 patients, 15 patients (50%) receiving topical anesthesia felt discomfort and infiltration was given. The mean pain VAS score was very high in topical anesthesia(7.07) as compared to infiltration anesthesia(1.83). The difference in pain score in topical anesthesia was statistically significantly different from in infiltration anesthesia (P=0.006). Pain score was a little higher in males than females, but it was not statistically significant (P=0.38).

Conclusion:

Topical anesthesia is not an effective mean for controlling pain and discomfort during miniscrew placement

Downloads

Published

2019-03-31

How to Cite

Ghulam Rasool, Ahsan Mehmood Shah, Asma Ahmad, Faizan Ul Hassan, Ijaz Khan, & Alveena Shahab. (2019). COMPARISON OF PAIN ASSOCIATED WITH MINICSREW INSERTION IN ORTHODONTIC PATIENTS BY USING TOPICAL VERSUS INFILTRATION ANESTHESIA. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 9(01), 35–39. https://doi.org/10.33279/jkcd.v9i01.335

Issue

Vol. 9 No. 01 (2019): JOURNAL OF KHYBER COLLEGE OF DENTISTRY

Section

Original Article

License

Copyright (c) 2019 Ghulam Rasool, Ahsan Mehmood Shah, Asma Ahmad, Faizan Ul Hassan, Ijaz Khan, Alveena Shahab

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

You are free to:

  1. Share — copy and redistribute the material in any medium or format
  2. Adapt — remix, transform, and build upon the material
  3. The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  1. Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  2. NonCommercial — You may not use the material for commercial purposes .
  3. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

1 2 3 > >>