A Comparative Study Between Manual vs. Electric Dental Anesthesia
Keywords:
Electric Dental Anesthesia, Visual Analogue Scale, Lickert scaleAbstract
Electric Dental Anesthesia (EDA) defined as a technique that achieving a local anesthesia by applying of “Transcutaneous Electrical Nerve Stimulation” (TENS). TENS first discovered in 1970s and introduced as “alleviate chronic pain” (intractable cancer pain, Phantom pain, back pain, …) and the acute pain in addition to find the utilities in areas of the sports medicine. The study aims to compare the effectiveness, onset time, and patient comfort levels between manual and electric dental anesthesia. It is hypothesized that electric anesthesia provides faster onset, lower pain perception, and higher patient satisfaction compared to manual methods. Despite the benefits, electronic anesthesia may have limitations including cost, equipment availability, and operator training requirements. However, its potential to improve patient experience and reduce failure-related complications justifies further investment and adoption in clinical practice.
References
N, Prakash; Melath, Anil; K, Subair; M R, Arjun. Electronic dental anesthesia: A magic wand in dentistry. International Journal of Oral Care and Research 11(2):p 35-40, April-June 2023. | DOI: 10.4103/INJO.INJO_6_23.
Andrew R, Derry S, Taylor RS, Straube S, Phillips CJ. The costs and consequences of adequately managed chronic non‐cancer pain and chronic neuropathic pain. Pain Practice. 2014;14(1):79-94
Alameeri AA, AlShamsi HA, Murad A, Alhammadi MM, Alketbi MH, AlHamwi A, Rawi NHA, Kawas SA, Mohammed MM, Shetty SR. The feasibility of needleless jet injection versus conventional needle local anesthesia during dental procedures: a systematic review. J Korean Assoc Oral Maxillofac Surg. 2022 Dec 31;48(6):331-341. doi: 10.5125/jkaoms.2022.48.6.331. PMID: 36579904; PMCID: PMC9807371.
Hawkins JM, Moore PA. Local anesthesia: advances in agents and techniques. Dent Clin North Am. 2002 Oct;46(4):719-32, ix. doi: 10.1016/s0011-8532(02)00020-4. PMID: 12436827
Hussain NUS, Younus S, Akhtar UB, Sajjad MAH, Chishty MS, Iqbal S. Comparison of pain perceived by patients undergoing intra oral local anesthesia using different needle gauges. Pak Armed Forces Med J. 2020;70:1702–6. doi: 10.51253/pafmj.v70i6.4286. https://doi.org/10.51253/pafmj.v70i6.4286.
Hochman M, Chiarello D, Hochman CB, Lopatkin R, Pergola S (1997) Computerized local anesthetic delivery vs. traditional syringe technique. Subjective pain response. N Y State Dent J 63: 24–29.
Chi SI. What is the gold standard of the dental anxiety scale?. J Dent Anesth Pain Med. 2023 Aug;23(4):193-212. https://doi.org/10.17245/jdapm.2023.23.4.193
Lund I, Lundeberg T, Sandberg L, Bund CN, Kowalski J, Svensson E. Lack of interchangeability between visual analogue and verbal rating pain scale: A cross sectional description of pain etiology groups BMC Med Res Method. 2005;5:31
Dhindsa, Abhishek; Pandit, I. K.1; Srivastava, Nikhil1; Gugnani, Neeraj1. Comparative evaluation of the effectiveness of electronic dental anesthesia with 2% lignocaine in various minor pediatric dental procedures: A clinical study. Contemporary Clinical Dentistry 2(1):p 27-30, Jan–Mar 2011. | DOI: 10.4103/0976-237X.79305
Alkhouli M, Al-Nerabieah Z, Dashash M. A Novel Scale to Assess Parental Satisfaction of Dental Local Anesthetic Techniques in Children: A Cross-Sectional Study. Pain Res Manag. 2023 May 19;2023:9973749. doi: 10.1155/2023/9973749. PMID: 37251688; PMCID: PMC10219770.
Black R.. Use of transcutaneous electrical nerve stimulation in dentistry. J Am Dent Assoc 1986;113:649-52.
Lodaya R, Bhat C, Gugwad SC, Shah P, Shirol D.. Clinical evaluation of transcutaneous electrical nerve stimulation (TENS) for various treatment procedures in pediatric dentistry. Int J Clin Dent Sci 2010;1:20-5
Sezavar, S. , Jafari, M. , Fakhari, F. , Abedin, S. , Nazari, S. , Soleimani Houni, M. and Naseri, M. (2021). Evaluation of Electronic Dental Anesthesia as a Non-Invasive Method in Children: A Review Study. Journal of Pediatric Perspectives, 9(5), 13489-13494. doi: 10.22038/ijp.2021.57145.4482.
Harvey M, Elliott M. Transcutaneous electrical nerve stimulation (TENS) for pain management during cavity preparations in pediatric patients. ASDC journal of dentistry for children. 1995;62(1):49-51.
Schanzer R, Black R. Efficacy of electronic dental anesthesia during routine dental operative procedures. General dentistry 1994;42(2):172-8
Sluka, K. A., & Walsh, D. M. (2021). Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness. The Journal of Pain, 22(3), 273–289.
Johnson, M. I. (2022). Transcutaneous electrical nerve stimulation (TENS): Research to support clinical practice. Oxford University Press.
DeSantana, J. M., Walsh, D. M., Vance, C., Rakel, B. A., & Sluka, K. A. (2020). Effectiveness of TENS for pain control: Clinical implications. Journal of Pain Research, 13, 3037–3048.
Versloot J, Veerkamp JS, Hoogstraten J (2008) Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. Br Dent J 205:E2; discussion 30-1. https://doi.org/10.1038/sj.bdj.2008.414.
Dworkin, R. H., O'Connor, A. B., Backonja, M., Farrar, J. T., Finnerup, N. B., Jensen, T. S., ... & Wallace, M. S. (2021). Pharmacologic and interventional treatment of neuropathic pain. Pain, 162(Suppl 1), S1–S35.