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Year : 2022  |  Volume : 14  |  Issue : 3  |  Page : 298-305

Assessment of pain and intraoperative anxiety by computerized and traditional local anesthetic methods in periodontal therapies: A comparative study

Department of Periodontology, JSS Dental College & Hospital, JSS Academy of Higher Education & Research, Mysore, Karnataka, India

Correspondence Address:
Dr. Deepika Pawar Chandrashekara Rao
Department of Periodontology, JSS Dental College & Hospital, SS Nagar, Mysore 570015, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jioh.jioh_259_21

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Aim: To evaluate and compare the pain perception and intraoperative anxiety of patients who underwent the computer-controlled local anesthetic technique (CCLAD), as well as the conventional technique. Materials and Methods: This study included 100 individuals who required local anesthetic on both sides of the dental arch for various periodontal operations. We randomized the patients into three groups in our study (root planing, curettage, and surgery). The clinical trial was designed as a “randomized, single-center, single-blinded, parallel-arm, comparative study” with a cross-over design. Randomization was done by the computer-allotted method. Patients who received WAND during first visit in selected quadrants subsequently received “traditional anesthetic technique” during the second visit in contralateral quadrants and vice versa. The patient’s pain perception to each of the two injection procedures was assessed 5 min later using the Wong Baker’s Facial Pain Scale (WBFPS). The anxiety was compared intraoperatively by Wong Baker’s Facial Anxiety Scale (WBFAS) while the procedure was going on. Results: Results from Mann–Whitney U test using SPSS software program, version 17.0 revealed a very aim highly significant difference between WAND and traditional injection regarding pain in all the three groups with WAND showing fewer pain scores (P < 0.05). No statistically significant difference was observed when anxiety was compared in the same groups. Conclusion: In comparison to traditional local anesthetic techniques, WAND produced less pain perception.

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