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Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study
<!DOCTYPE html> <!--[if IE 8]> <html class="ie ie8"> <![endif]--> <!--[if IE 9]> <html class="ie ie9"> <![endif]--> <!--[if gt IE 9]><!--> <html> <!--<![endif]--> <head> <meta charset="utf-8" /> <title>Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study</title> <!-- favicon --> <link rel="shortcut icon" type="image/ico" href="./data/asdj/coversheet/favicon.ico" /> <!-- mobile settings --> <meta name="viewport" content="width=device-width, maximum-scale=1, initial-scale=1, user-scalable=0" /> <!--[if IE]><meta http-equiv='X-UA-Compatible' content='IE=edge,chrome=1'><![endif]--> <!-- user defined metatags --> <meta name="keywords" content="general anesthesia,local anesthesia,pain perception,public health,vital signs" /> <meta name="description" content="Aim: This study aims to assess the impact of 2% Lignocaine as a local anesthetic on children鈥檚 pain perception and sedation during dental treatments performed under general anesthesia. 聽Materials and methods: The study is a double-blind, randomized clinical trial with a parallel design, involving 54 children (25 girls and 29 boys) aged 3 to 6 years, who underwent full-mouth rehabilitation under general anesthesia. Pain was measured immediately post-surgery and two hours later using the FLACC and Wong-Baker pain scales. Heart rate, blood pressure, and end-tidal CO2 levels were recorded five minutes before and after each procedure. Independent t-tests and Mann鈥揥hitney U tests were used for statistical analysis. Results: Significant differences in end-tidal CO2 levels were found after restoration (p=0.044). Heart rate, diastolic blood pressure, and end-tidal CO2 levels showed significant changes post-pulp therapy with p-values of 0.007, 0.023, and 0.001, respectively. No significant changes were observed in anesthesia depth based on PRST scores. FLACC scores remained similar across groups immediately and two hours post-procedure. However, subjective pain scores from the Wong-Baker scale indicated significant differences (p=0.003) two hours after the procedure. Conclusion: Administering 2% Lignocaine as a local anesthetic helps stabilize intraoperative vital signs but does not significantly reduce postoperative pain." /> <meta name="title" content="Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study" /> <meta name="googlebot" content="NOODP" /> <meta name="citation_title" content="Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study" /> <meta name="citation_author" content="Hisham, Abdul Rauf Badrul " /> <meta name="citation_author_institution" content="Centre of Paediatric Dentistry and Orthodontics Studies, Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Selangor, Malaysia." /> <meta name="citation_author" content="Pavithra, S " /> <meta name="citation_author_institution" content="Post graduate student, Department of Pedodontics and Preventive Dentistry, Saveetha Dental College, Chennai, India." /> <meta name="citation_author" content="Mahesh, R " /> <meta name="citation_author_institution" content="Professor, Department of Pedodontics and Preventive Dentistry, Saveetha Dental College, Chennai, India." /> <meta name="citation_author" content="Deepa, G " /> <meta name="citation_author_institution" content="Professor, Department of Pedodontics and Preventive Dentistry, Saveetha Dental College, Chennai, India." /> <meta name="citation_abstract" content="Aim: This study aims to assess the impact of 2% Lignocaine as a local anesthetic on children鈥檚 pain perception and sedation during dental treatments performed under general anesthesia. 聽Materials and methods: The study is a double-blind, randomized clinical trial with a parallel design, involving 54 children (25 girls and 29 boys) aged 3 to 6 years, who underwent full-mouth rehabilitation under general anesthesia. Pain was measured immediately post-surgery and two hours later using the FLACC and Wong-Baker pain scales. Heart rate, blood pressure, and end-tidal CO2 levels were recorded five minutes before and after each procedure. Independent t-tests and Mann鈥揥hitney U tests were used for statistical analysis. Results: Significant differences in end-tidal CO2 levels were found after restoration (p=0.044). Heart rate, diastolic blood pressure, and end-tidal CO2 levels showed significant changes post-pulp therapy with p-values of 0.007, 0.023, and 0.001, respectively. No significant changes were observed in anesthesia depth based on PRST scores. FLACC scores remained similar across groups immediately and two hours post-procedure. However, subjective pain scores from the Wong-Baker scale indicated significant differences (p=0.003) two hours after the procedure. Conclusion: Administering 2% Lignocaine as a local anesthetic helps stabilize intraoperative vital signs but does not significantly reduce postoperative pain." /> <meta name="citation_id" content="383943" /> <meta name="citation_publication_date" content="2024/09/01" /> <meta name="citation_date" content="2024-09-01" /> <meta name="citation_journal_title" content="Ain Shams Dental Journal" /> <meta name="citation_issn" content="1110-7642" /> <meta name="citation_volume" content="35" /> <meta name="citation_issue" content="3" /> <meta name="citation_firstpage" content="305" /> <meta name="citation_lastpage" content="313" /> <meta name="citation_publisher" content="Ain Shams University, Faculty of Dentistry" /> <meta name="citation_doi" content="10.21608/asdj.2024.295745.1310" /> <meta name="DC.Identifier" content="10.21608/asdj.2024.295745.1310" /> <meta name="citation_abstract_html_url" content="https://asdj.journals.ekb.eg/article_383943.html" /> <meta name="citation_pdf_url" content="https://asdj.journals.ekb.eg/article_383943_460f1571dd717934034e008dddf7016a.pdf" /> <meta name="DC.Title" content="Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study" /> <meta name="DC.Source" content="Ain Shams Dental Journal" /> <meta name="DC.Date" content="01/09/2024" /> <meta name="DC.Date.issued" content="2024-09-01" /> <meta name="DC.Format" content="application/pdf" /> <meta name="DC.Contributor" content="Hisham, Abdul Rauf Badrul" /> <meta name="DC.Contributor" content="Pavithra, S" /> <meta name="DC.Contributor" content="Mahesh, R" /> <meta name="DC.Contributor" content="Deepa, G" /> <meta name="og:title" content="Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study" /> <meta name="og:description" content="Aim: This study aims to assess the impact of 2% Lignocaine as a local anesthetic on children鈥檚 pain perception and sedation during dental treatments performed under general anesthesia. 聽Materials and methods: The study is a double-blind, randomized clinical trial with a parallel design, involving 54 children (25 girls and 29 boys) aged 3 to 6 years, who underwent full-mouth rehabilitation under general anesthesia. Pain was measured immediately post-surgery and two hours later using the FLACC and Wong-Baker pain scales. Heart rate, blood pressure, and end-tidal CO2 levels were recorded five minutes before and after each procedure. Independent t-tests and Mann鈥揥hitney U tests were used for statistical analysis. Results: Significant differences in end-tidal CO2 levels were found after restoration (p=0.044). Heart rate, diastolic blood pressure, and end-tidal CO2 levels showed significant changes post-pulp therapy with p-values of 0.007, 0.023, and 0.001, respectively. No significant changes were observed in anesthesia depth based on PRST scores. FLACC scores remained similar across groups immediately and two hours post-procedure. However, subjective pain scores from the Wong-Baker scale indicated significant differences (p=0.003) two hours after the procedure. Conclusion: Administering 2% Lignocaine as a local anesthetic helps stabilize intraoperative vital signs but does not significantly reduce postoperative pain." /> <meta name="og:url" content="https://asdj.journals.ekb.eg/article_383943.html" /> <!-- WEB FONTS : use %7C instead of | (pipe) --> <link href="./themes/base/front/assets/css/social-icon-font.css" rel="stylesheet" type="text/css" /> <!-- CORE CSS --> <link href="./themes/base/front/assets/plugins/bootstrap/css/bootstrap.min.css?v=0.02" rel="stylesheet" type="text/css" /> <link href="./themes/old/front/assets/css/header.css?v=0.05" rel="stylesheet" type="text/css" /> <link href="./themes/old/front/assets/css/footer.css" rel="stylesheet" type="text/css" /> <link href="./inc/css/essentials.css?v=0.2" rel="stylesheet" type="text/css" /> <link href="./inc/css/cookieconsent.min.css" rel="stylesheet" type="text/css" /> <link href="./inc/css/print.css" rel="stylesheet" type="text/css" media="print"/> <!-- RTL CSS --> <link 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Submit Manuscript</a></li> <li><a href="./journal/contact.us"> Contact Us</a></li> </ul> <ul class="nav navbar-nav navbar-right nomargin"> <li><a href="./contacts">Login</a></li> <li><a href="./contacts?_action=signup">Register</a></li> </ul> </div> <!-- /.navbar-collapse --> </div> <!-- /.container-fluid --> </nav> </div> </div> </div> <!-- MAIN SECTION --> <div class="container" > <div id="dv_main_cnt"> <section class="no-cover-box"> <div class="row"> <!-- CENTER --> <div class="col-lg-9 col-md-9 col-sm-8" id="dv_artcl"> <!-- Current Issue --> <div> <h1 class="margin-bottom-20 size-18 ltr"><span class="article_title bold"> Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study</span></h1> <div> <div class="margin-bottom-3"> </div> <p class="margin-bottom-3">Document Type : Consort randomized clinical trials (RCT)</p> <p class="padding-0" style="margin:12px -2px 0 -2px"><strong>Authors</strong></p> <ul class="list-inline list-inline-seprator margin-bottom-6 ltr"> <li class="padding-3"> <a href="./?_action=article&au=862547&_au=Abdul+Rauf+Badrul++Hisham">Abdul Rauf Badrul Hisham</a> <sup><a href="mailto:abdulrauf44@uitm.edu.my" data-toggle="tooltip" data-placement="bottom" title="Email to Corresponding Author"><i class="fa fa-envelope-o" ></i></a></sup> <sup class="ltr"><a class=" text-green" href="https://orcid.org/0000-0001-7688-6272" data-toggle="tooltip" data-placement="bottom" data-html="true" title="ORCID: 0000-0001-7688-6272" target="_blank"><i class="ai ai-orcid size-13" ></i></a></sup> <sup><a href="#aff1" >1</a></sup> </li> <li class="padding-3"> <a href="./?_action=article&au=862549&_au=S++Pavithra">S Pavithra</a> <sup><a href="#aff2" >2</a></sup> </li> <li class="padding-3"> <a href="./?_action=article&au=862551&_au=R++Mahesh">R Mahesh</a> <sup><a href="#aff3" >3</a></sup> </li> <li class="padding-3"> <a href="./?_action=article&au=862553&_au=G++Deepa">G Deepa</a> <sup><a href="#aff3" >3</a></sup> </li> </ul> <p class="margin-bottom-3 ltr" id="aff1"> <sup>1</sup> Centre of Paediatric Dentistry and Orthodontics Studies, Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Selangor, Malaysia. </p> <p class="margin-bottom-3 ltr" id="aff2"> <sup>2</sup> Post graduate student, Department of Pedodontics and Preventive Dentistry, Saveetha Dental College, Chennai, India. </p> <p class="margin-bottom-3 ltr" id="aff3"> <sup>3</sup> Professor, Department of Pedodontics and Preventive Dentistry, Saveetha Dental College, Chennai, India. </p> <div class="margin-bottom-3 ltr" id="ar_doi" title="DOI"><i class="ai ai-doi size-25 text-orange"></i> <span dir="ltr"><a href="https://doi.org/10.21608/asdj.2024.295745.1310">10.21608/asdj.2024.295745.1310</a></span></div> <p style="margin:12px -2px 0 -2px"><strong>Abstract</strong></p> <div class="padding_abstract justify ltr"><strong>Aim:</strong> This study aims to assess the impact of 2% Lignocaine as a local anesthetic on children’s pain perception and sedation during dental treatments performed under general anesthesia.<br /> <strong>Materials and methods:</strong> The study is a double-blind, randomized clinical trial with a parallel design, involving 54 children (25 girls and 29 boys) aged 3 to 6 years, who underwent full-mouth rehabilitation under general anesthesia. Pain was measured immediately post-surgery and two hours later using the FLACC and Wong-Baker pain scales. Heart rate, blood pressure, and end-tidal CO2 levels were recorded five minutes before and after each procedure. Independent t-tests and Mann–Whitney U tests were used for statistical analysis.<br /> <strong>Results:</strong> Significant differences in end-tidal CO2 levels were found after restoration (p=0.044). Heart rate, diastolic blood pressure, and end-tidal CO2 levels showed significant changes post-pulp therapy with p-values of 0.007, 0.023, and 0.001, respectively. No significant changes were observed in anesthesia depth based on PRST scores. FLACC scores remained similar across groups immediately and two hours post-procedure. However, subjective pain scores from the Wong-Baker scale indicated significant differences (p=0.003) two hours after the procedure.<br /> <strong>Conclusion:</strong> Administering 2% Lignocaine as a local anesthetic helps stabilize intraoperative vital signs but does not significantly reduce postoperative pain.</div> <p class="padding-0" style="margin:12px -2px 0 -2px"><strong>Keywords</strong></p> <ul class="block list-inline list-inline-seprator margin-bottom-6 ltr"> <li class="padding-3"> <a class="tag_a" href="./?_action=article&kw=11465&_kw=General+anesthesia" >General anesthesia</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&kw=26597&_kw=local+anesthesia" >local anesthesia</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&kw=122021&_kw=pain+perception" >pain perception</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&kw=26421&_kw=public+health" >public health</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&kw=30726&_kw=vital+signs" >vital signs</a> </li> </ul> <p class="padding-0" style="margin:12px -2px 0 -2px"><strong>Main Subjects</strong></p> <ul class="block list-inline list-inline-seprator margin-bottom-6"> <li class="padding-3"> <a href="./?_action=article&sb=3634&_sb=Orthodontics+and+Pedodontics" >Orthodontics and Pedodontics</a> </li> </ul> </div> <hr> </div> </div> <!-- /CENTER --> <!-- LEFT --> <div class="col-lg-3 col-md-3 col-sm-4"> <div class="panel panel-default my_panel-default margin-bottom-10"> <div class="panel-body ar_info_pnl" id="ar_info_pnl_cover"> <div id="pnl_cover"> <div class="row" > <div class="col-xs-6 col-md-6 nomargin-bottom"> <a href="javascript:loadModal('Ain Shams Dental Journal', './data/asdj/coversheet/691727460247.jpg')"> <img src="data/asdj/coversheet/691727460247.jpg" alt="Ain Shams Dental Journal" style="width: 100%;"> </a> </div> <div class="col-xs-6 col-md-6 nomargin-bottom"> <h6><a href="./issue_50594_50595.html">Volume 35, Issue 3</a><br/>September 2024<div id="sp_ar_pages">Pages <span dir="ltr">305-313</span></div></h6> </div> <script src="https://crossmark-cdn.crossref.org/widget/v2.0/widget.js" async></script> <div class="col-md-6"><a data-target="crossmark"><img src="https://crossmark-cdn.crossref.org/widget/v2.0/logos/CROSSMARK_Color_square_no_text.svg" height="42"/></a></div> <div class="col-md-12" id="dv_scinito" title="View on SCiNiTO"><a href="https://app.scinito.ai/resolver?doi=10.21608/asdj.2024.295745.1310" target="_blank"><img alt="View on SCiNiTO" src="./images/scinito_logo.png" align="top" height="20"/> View on SCiNiTO</a></div> </div> </div> </div> </div> <!-- Download Files --> <div class="panel panel-default my_panel-default margin-bottom-10 panel-lists"> <div class="panel-heading"> <h3 class="panel-title"><a data-toggle="collapse" data-parent="#accordion" href="#ar_info_pnl_fl"><i class="fa fa-files-o"></i> Files</a></h3> </div> <div 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<div class="modal-body"> <p>Hisham, A. R. B., Pavithra, S., Mahesh, R., & Deepa, G. (2024). Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study. <em>Ain Shams Dental Journal</em>, <em>35</em>(3), 305-313. doi: 10.21608/asdj.2024.295745.1310</p> </div> </div> </div> </div> <div id="cite-mla" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel">MLA</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Abdul Rauf Badrul Hisham; S Pavithra; R Mahesh; G Deepa. "Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study", <em>Ain Shams Dental Journal</em>, 35, 3, 2024, 305-313. doi: 10.21608/asdj.2024.295745.1310</p> </div> </div> </div> </div> <div id="cite-harvard" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel">HARVARD</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Hisham, A. R. B., Pavithra, S., Mahesh, R., Deepa, G. (2024). 'Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study', <em>Ain Shams Dental Journal</em>, 35(3), pp. 305-313. doi: 10.21608/asdj.2024.295745.1310</p> </div> </div> </div> </div> <div id="cite-vancouver" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel">VANCOUVER</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Hisham, A. R. B., Pavithra, S., Mahesh, R., Deepa, G. Effectiveness of Local Anesthesia in Children's Pain Perception and Sedation During Dental Procedures Under General Anesthesia鈥擜 Randomized Clinical Study. <em>Ain Shams Dental Journal</em>, 2024; 35(3): 305-313. doi: 10.21608/asdj.2024.295745.1310</p> </div> </div> </div> </div> </div> </div> <!-- /MAIN CONTENT --> <!-- Subscribe --> <section class="alternate padding-xxs"> </section> <!-- /Subscribe --> <!-- FOOTER --> <div class="container"> <footer id="footer"> <div class="scrollup" id="scroll" href="#"><span></span></div> <div class="row"> <div class="col-md-2"> <!-- Links --> <h4 class="">Explore Journal</h4> <ul class="footer-links list-unstyled"> <li id="fli_home"><a href="./">Home</a></li> <li id="fli_about"><a href="./journal/about">About Journal</a></li> <li id="fli_Edb"><a href="./journal/editorial.board">Editorial Board</a></li> <li id="fli_submit"><a href="./author">Submit Manuscript</a></li> <li id="fli_contactus"><a href="./journal/contact.us">Contact Us</a></li> <li id="fli_glossary"><a href="./journal/glossary">Glossary</a></li> <li id="fli_order_hrdj"><a href="./journal/subscription.form">Hard Copy Subscription</a></li> <li id="fli_sitemap"><a href="./sitemap.xml?usr">Sitemap</a></li> </ul> <!-- /Links --> </div> <div class="col-md-3"> <!-- Latest News --> <h4 class="">Latest News</h4> <ul class="footer-posts list-unstyled"> </ul> <!-- /Latest News --> </div> <div class="col-md-3"> <!-- Footer Note --> <div></div> <!-- /Footer Note --> </div> <div class="col-md-4"> <!-- Newsletter Form --> <h4 class="">Newsletter Subscription</h4> <p>Subscribe to the journal newsletter and receive the latest news and updates</p> <form class="validate" action="" method="post" data-success="Subscription saved successfully." data-toastr-position="bottom-right"> <input type="hidden" name="_token" value="08bf93468d1323cdfd0f82a58b1ff483befb1ac8c98c604c"/> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-envelope"></i></span> <input type="email" id="email" name="email" required="required" class="form-control required sbs_email" placeholder="Enter your Email" oninvalid="this.setCustomValidity('Enter a valid email address.')" oninput="this.setCustomValidity('')"> <span class="input-group-btn"> <button class="btn btn-primary mybtn" type="submit">Subscribe</button> </span> </div> </form> <!-- /Newsletter Form --> <!-- Social Icons --> <div class="margin-top-20"> <a class="noborder" href="" target="_blank" class="social-icon social-icon-border social-facebook pull-left block" data-toggle="tooltip" data-placement="top" title="Facebook"> <i class="fa fa-facebook-square" aria-hidden="true"></i> </a> <a class="noborder" href="" target="_blank" class="social-icon social-icon-border social-facebook pull-left block" data-toggle="tooltip" data-placement="top" title="Twitter"> <i class="fa fa-twitter-square" aria-hidden="true"></i> </a> <a class="noborder" href="" target="_blank" class="social-icon social-icon-border social-facebook pull-left block" data-toggle="tooltip" data-placement="top" title="Linkedin"> <i class="fa fa-linkedin-square" aria-hidden="true"></i> </a> <a class="noborder" href="./ju.rss" class="social-icon social-icon-border social-rss pull-left block" data-toggle="tooltip" data-placement="top" title="Rss"><i class="fa fa-rss-square" aria-hidden="true"></i></a> </div> </div> </div> <div class="copyright" style="position: relative"> <ul class="nomargin list-inline mobile-block"> <li>© Journal Management System. <span id='sp_crt'>Powered by <a target='_blank' href='http://www.notionwave.com/'>NotionWave</a></span></li> </ul> </div> </footer> </div> <!-- /FOOTER --> </div> <!-- /wrapper --> <!-- SCROLL TO TOP --> <a href="#" id="toTop_old"></a> <!-- PRELOADER --> <div id="preloader"> <div class="inner"> <span class="loader"></span> </div> </div><!-- /PRELOADER --> <!-- JAVASCRIPT FILES --> <script type="text/javascript">var plugin_path = './themes/base/front/assets/plugins/';</script> <script type="text/javascript" src="./themes/base/front/assets/js/scripts.js?v=0.02"></script> <!-- user defined scripts--> <script type="text/javascript"> _atrk_opts = { atrk_acct:"8dxdn1aMp410/9", domain:"ekb.eg",dynamic: true}; 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