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The efectiveness of topical anesthesia on pain during oral injections - A randomized clinical trial

Righes DZ;
Blaya MBG;
Weber A;
Cielo VF;
Palma VM;
Freitas GC;
Gomes RB

Danielle Zorzo Righes

Micéli Beck Guimarães Blaya

Alexandre Weber

Vinicius Flores Cielo

Victor de Mello Palma

Guilherme Camponogara de Freitas

Renan Bertolo Gomes


Keywords

Anesteshics
Placebos
Benzocaine

Abstract

The aim of this study was to evaluate the efficacy of a topical anesthetic in pain and anxiety control during oral injections. The experimental design was a randomized, double-blind, split mouth model. Anesthesia was performed in the infraorbital and posterior superior alveolar nerves in 10 healthy and normotensive patients. Before anesthesia randomization was performed on one side to apply the topical anesthetic (benzocaine 20%) and the other placebo. The pulse and blood pressure were assessed before, during and after anesthesia injection, and the pain in puncture was measured using a visual analog scale (VAS). The results showed statistically significant difference (p = 0.04) in pain of the needle puncture between the groups at the infraorbital nerve. In the posterior superior alveolar nerve no statistically significant difference was found between groups (p = 0.39). In the evaluation of systolic and diastolic blood pressure no significant diferences showed between groups in any of the times evaluated. In assessing the pulse was no statistically significant difference (p = 0:02) between the topical anesthetic and placebo only for the infraorbital nerve at the time of puncture. In conclusion, the topical anesthetic decreased the pain in anesthesia of the infraorbital nerve when compared to placebo.

 

DOI:https://doi.org/10.56238/sevened2023.005-021


Creative Commons License

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

Copyright (c) 2023 Danielle Zorzo Righes, Micéli Beck Guimarães Blaya, Alexandre Weber, Vinicius Flores Cielo, Victor de Mello Palma, Guilherme Camponogara de Freitas , Renan Bertolo Gomes

Author(s)

  • Danielle Zorzo Righes
  • Micéli Beck Guimarães Blaya
  • Alexandre Weber
  • Vinicius Flores Cielo
  • Victor de Mello Palma
  • Guilherme Camponogara de Freitas
  • Renan Bertolo Gomes