Search Results

You are looking at 1-10 of 380

Figure 2.; Pain assessment at needle insertion and anesthetic injection with a visual analog scale. No statistically significant differences occurred between the control and Vibraject groups in either of the 2 conditions.

Minori Saijo,

Emiko Ito,

Tatsuya Ichinohe, and

Yuzuru Kaneko

Figure 2.

Pain assessment at needle insertion and anesthetic injection with a visual analog scale. No statistically significant differences occurred between the control and Vibraject groups in either of the 2 conditions.

Figure 3.; Pain assessment at needle insertion and anesthetic injection with the pain rating score. No statistically significant differences occurred between the control and Vibraject groups in either of the 2 conditions.

Minori Saijo,

Emiko Ito,

Tatsuya Ichinohe, and

Yuzuru Kaneko

Figure 3.

Pain assessment at needle insertion and anesthetic injection with the pain rating score. No statistically significant differences occurred between the control and Vibraject groups in either of the 2 conditions.

Figure 3. ; Pain ratings by VAS category. The first 4 columns represent needle insertion and solution deposition for the PDL and mock PDL injections. The last 4 columns represent needle insertion and solution deposition for the PDL-aPI injections and the mPDL-cPI injections. VAS indicates visual analog scale; PDL, periodontal ligament; PDL-aPI, PDL injection and alternative palatal infiltration; mPDL-cPI, mock PDL injection and conventional palatal infiltration.

Brian Crump,

Al Reader,

John Nusstein,

Melissa Drum,

Sara Fowler, and

John Draper

Figure 3.

Pain ratings by VAS category. The first 4 columns represent needle insertion and solution deposition for the PDL and mock PDL injections. The last 4 columns represent needle insertion and solution deposition for the PDL-aPI injections and the mPDL-cPI injections. VAS indicates visual analog scale; PDL, periodontal ligament; PDL-aPI, PDL injection and alternative palatal infiltration; mPDL-cPI, mock PDL injection and conventional palatal infiltration.

Lack of Pain Reduction by a Vibrating Local Anesthetic Attachment: A Pilot Study

Minori Saijo DDS,

Emiko Ito DDS,

Tatsuya Ichinohe DDS, PhD, and

Yuzuru Kaneko DDS, PhD

Article Category: Research Article

Volume/Issue: Volume 52: Issue 2

Online Publication Date: Jun 01, 2005

DOI: 10.2344/0003-3006(2005)52[62:LOPRBA]2.0.CO;2

Page Range: 62 – 64

A vibrating dental local anesthesia attachment (Vibraject, LLC, Calif) has been introduced in recent years. 1 This device was developed on the basis of the gate-control theory, 2 3 which states that pain transmission through A-delta and C nociceptive fibers is depressed at the secondary neuronal cell bodies in the dorsal horn if nerve impulses evoked by tactile sensation are simultaneously transmitted through A-beta tactile fibers. It is therefore supposed that vibrating a needle with Vibraject can result in a reduction in injection pain. The instructions

Download PDF

Figure 2. ; PDL injection. Placement of the 27-gauge ultra-short needle in the gingival sulcus and initial blanching of the gingival collar at the start of the PDL injection. PDL indicates periodontal ligament.

Brian Crump,

Al Reader,

John Nusstein,

Melissa Drum,

Sara Fowler, and

John Draper

Figure 2.

PDL injection. Placement of the 27-gauge ultra-short needle in the gingival sulcus and initial blanching of the gingival collar at the start of the PDL injection. PDL indicates periodontal ligament.

Figure 4. ; Models of the Extent of Palatal Anesthesia. The top image is the PDL-aPI technique, and the bottom image is the mPDL-cPI technique. The small “dot” on each image is the location of the approximate palatal injection site. The mPDL-cPI technique produced a larger area of soft tissue anesthesia. PDL-aPI indicates PDL injection and alternative palatal infiltration; mPDL-cPI, mock PDL injection and conventional palatal infiltration.

Brian Crump,

Al Reader,

John Nusstein,

Melissa Drum,

Sara Fowler, and

John Draper

Figure 4.

Models of the Extent of Palatal Anesthesia. The top image is the PDL-aPI technique, and the bottom image is the mPDL-cPI technique. The small “dot” on each image is the location of the approximate palatal injection site. The mPDL-cPI technique produced a larger area of soft tissue anesthesia. PDL-aPI indicates PDL injection and alternative palatal infiltration; mPDL-cPI, mock PDL injection and conventional palatal infiltration.

Prospective Study on PDL Anesthesia as an Aide to Decrease Palatal Infiltration Pain

Brian Crump DMD, MS,

Al Reader DDS, MS,

John Nusstein DDS, MS,

Melissa Drum DDS, MS,

Sara Fowler DMD, MS, and

John Draper PhD

Article Category: Research Article

Volume/Issue: Volume 69: Issue 1

Online Publication Date: Apr 04, 2022

DOI: 10.2344/anpr-68-03-03

Page Range: 10 – 17

Palatal injections can be painful, 1 , 2 primarily due to the palatal tissues being relatively noncompliant and tightly bound to the periosteum. 3 Local anesthetic injections create increased pressure and displacement of the palatal tissue relative to loosely bound submucosal tissue leading to more pain. 3 Previous studies have attempted to reduce palatal infiltration pain by topical/pressure anesthesia, 4 – 9 slow computer-controlled delivery, 1 , 2 and cold application. 9 – 12 Although topical/pressure anesthesia may reduce needle

Download PDF

The Effects of a 2-Stage Injection Technique on Inferior Alveolar Nerve Block Injection Pain

John Nusstein DDS, MS,

Geoffrey Steinkruger DMD, MS,

Al Reader DDS, MS,

Mike Beck DDS, MA, and

Joel Weaver DDS, PhD

Article Category: Research Article

Volume/Issue: Volume 53: Issue 4

Online Publication Date: Jan 01, 2006

DOI: 10.2344/0003-3006(2006)53[126:TEOASI]2.0.CO;2

Page Range: 126 – 130

The injection of anesthetic solution for the inferior alveolar nerve (IAN) block has 3 phases: initial needle insertion through the alveolar mucosa, needle placement to the target site, and deposition of the anesthetic solution at the target site. The inferior alveolar nerve block has been associated with pain and discomfort. For the needle insertion phase, Nusstein and Beck, 1 in a retrospective study of 1635 IAN blocks, reported an incidence of moderate to severe pain ranging from 14 to 22%. For the deposition of the anesthetic

Download PDF

Evaluation of 2-Stage Injection Technique in Children

Valasingam Sandeep MDS,

Manikya Kumar MDS,

P. Jyostna MDS, and

Vijay Duggi MDS

Article Category: Research Article

Volume/Issue: Volume 63: Issue 1

Online Publication Date: Jan 01, 2016

DOI: 10.2344/0003-3006-63.1.3

Page Range: 3 – 7

Local anesthetic injection is the most anxiety-provoking factor for children in dentistry, 1 as it is allied with pain and extreme discomfort. 2 Pain is highly complex and multidimensional, the control of which is crucial to instill a positive dental attitude in children. 3 Various techniques of reducing injection pain in children can be broadly categorized as psychological and physical. The psychological approach includes behavior management techniques such as distraction 4 and hypnosis. 5 Physical means include various strategies such

Download PDF

Utility of Vibratory Stimulation for Reducing Intraoral Injection Pain

Ozgur Erdogan DDS, PhD,

Anatachai Sinsawat DDS,

Sudeep Pawa,

Duangtawan Rintanalert, and

Suchada Vuddhakanok DDS, MS

Article Category: Research Article

Volume/Issue: Volume 65: Issue 2

Online Publication Date: Jan 01, 2018

DOI: 10.2344/anpr-65-02-01

Page Range: 95 – 99

A significant number of patients still perceive administration of local anesthesia as a painful and anxiety-causing dental procedure. Several methods have been described to reduce pain and anxiety caused by local anesthesia administration. These include buffering the local anesthetic, warming the local anesthetic, applying topical anesthesia before injection, reducing injection speed, and using fine needles with electric delivery devices. 1 Vibration stimulus is one of the nonpharmacologic methods used to reduce unwanted sensations of local

Download PDF

About Issues Author Information Subscriptions

Permissions Advertising Privacy Policy Facebook

Twitter FAQ Help

eISSN: 1878-7177

ISSN: 0003-3006