Indiana University-Purdue University Indianapolis (IUPUI) / The pain-controlling effects of a recently introduced electronic dental anesthesia
device (CEDETA) were compared with those of local anesthesia in this study. Procedures
performed involved full-coverage stainless steel crowns on maxillary primary molars, some
of which required indirect pulp therapy and pulpotomies.
A total of 55 children, aged 6 years to 10 1/2 years, were randomly selected to have
treatment done with CEDETA or local anesthetic. Eight of these patients were treated
with both CEDETA and local anesthetic at different appointments. At various times
during each procedure, the patient and operator rated the patient's level of discomfort
using a 6-point Visual Analog Scale.
For each of the five evaluation steps, no significant differences existed in
discomfort ratings between the CEDETA and local anesthetic methods for the group of
eight patients or for the entire group. Operator ratings of patient discomfort did not vary
significantly between the two methods of anesthesia for each of the evaluation steps,
except at the step of maximum output or after injection, when the CEDETA group as a
whole had significantly lower operator-rated pain. In general, patients tended to rate their
perceptions of pain higher than those of the operator.
Although the operator and patients in this study found CEDETA to be as effective
as local anesthetic for controlling dental operative pain, a number of factors must be
considered when deciding to use this type of electronic dental anesthesia. A substantial
monetary investment is required to purchase the CEDETA device and the disposable
electrodes and batteries to power the unit. There is an increased operating expense for
each procedure done when using CEDETA, because of the additional time needed for the
operator, staff, and patients to become familiar with the use of the device. Additional setup
and break-down time is also needed when using CEDETA as opposed to local
anesthetic.
| Identifer | oai:union.ndltd.org:IUPUI/oai:scholarworks.iupui.edu:1805/4144 |
| Date | January 1999 |
| Creators | Toppi, Gary R. (Gary Robert), 1966- |
| Contributors | Avery, David R., Sanders, Brian J., Weddell, James A. (James Arthur), 1949-, Tomlin, Angela, Barton, Douglas Harvey, 1943- |
| Source Sets | Indiana University-Purdue University Indianapolis |
| Language | en_US |
| Detected Language | English |
| Type | Thesis |
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