1. Effect of warming anesthetic on pain perception during dental injection: a split-mouth randomized clinical trial
- Author
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Aravena PC, Barrientos C, Troncoso C, Coronado C, and Sotelo-Hitschfeld P
- Subjects
Pain ,Dental anesthesia ,Maxillary ,Lidocaine ,Trigeminal Nerve ,Clinical trial ,TRP channel ,Anesthesiology ,RD78.3-87.3 - Abstract
Pedro Christian Aravena,1,2 Camila Barrientos,1 Catalina Troncoso,1 Cesar Coronado,3 Pamela Sotelo-Hitschfeld4 1Department of Dentistry, Universidad Austral de Chile, Valdivia, Chile; 2Department of Dental Implant Surgery, São Leopoldo Mandic School and Dental Institute, Campinas, SP, Brazil; 3Faculty of Health Science, School of Medicine, Universidad Autónoma de Chile, Santiago, Chile; 4Department of Center for Interdisciplinary Studies on Nervous System (CISNe), Universidad Austral de Chile, Valdivia, Chile Background: The purpose of this study is to determine the effectiveness of warming anesthesia on the control of the pain produced during the administration of dental anesthesia injection and to analyze the role of Transient Receptor Potential Vanilloid-1 nociceptor channels in this effect.Patients and methods: A double-blind, split-mouth randomized clinical trial was designed. Seventy-two volunteer students (22.1±2.45 years old; 51 men) from the School of Dentistry at the Universidad Austral de Chile (Valdivia, Chile) participated. They were each administered 0.9 mL of lidocaine HCl 2% with epinephrine 1:100,000 (Alphacaine®) using two injections in the buccal vestibule at the level of the upper lateral incisor teeth. Anesthesia was administered in a hemiarch at 42°C (107.6°F) and after 1 week, anesthesia was administered by randomized sequence on the contralateral side at room temperature (21°C–69.8°F) at a standardized speed. The intensity of pain perceived during the injection was compared using a 100 mm visual analog scale (VAS; Wilcoxon test p
- Published
- 2018