scholarly journals Do Consecutive Phacoemulsification Surgeries Under Topical Anesthesia Differ in Terms of Pain Perception and Cooperation?

Cureus ◽  
2021 ◽  
Author(s):  
Refika Hande Karakahya
Keyword(s):  
Pain Perception ◽  
Topical Anesthesia

Effect of pre-cooling agent on intensity of pricking pain at intraoral injection site in adults: An experimental study.

2021 ◽  
pp. 1-12
Author(s):  
Munazza Aziz ◽  
Shahbaz Ahmed ◽  
Fazal-ur-Rehman Qazi ◽  
Farah Naz ◽  
Marina Shah ◽  
...  
Keyword(s):  
Injection Site ◽  
Pain Perception ◽  
Topical Anesthesia ◽  
Adult Patients ◽  
P Value ◽  
Age Group ◽  
Restorative Treatment ◽  
Cooling Agent ◽  
Infiltration Anesthesia

Abstract Objective: To determine the effect of pre-cooling agent on the intensity of pricking pain at the intraoral injection site in adult patients. Method: An in-vivo interventional study, using split-mouth technique was conducted in the Department of Operative Dentistry, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, DUHS, Karachi, between September 2018 to August 2019. Total 152 adult patients meeting the inclusion criteria were selected, and consent form was signed to investigate the pricking pain perception during needle administration. Topical anesthesia (benzocaine gel) was applied on left side (control) for 1 min whereas on the experimental (right) side the refrigerated cartridge was placed for 2 minutes. Infiltration anesthesia was then administered on both sides respectively. Patient’s pain perception ratings were measured through Visual analog scale (VAS). After profound anesthesia was achieved, restorative treatment was performed under rubber dam isolation. Statistical analysis was done using SPSS Version 24. Results: The effect of pre-cooling agent i.e. refrigerated cartridge, was statistically significant (P-value <0.05) on the intensity of pricking pain at the intraoral injection site among the age group of 41 to 50 years and female participants of 21to 30 years whereas the effect of pre-cooling agent was found statistically insignificant among the male participants of the age group of 21 to 30 years and irrespective of gender within 31 to 40 years of age. Conclusion: Pre-cooling agent was found effective in decreasing pricking pain sensed by the patients. Precooling agent can be used without topical anesthesia before administering infiltration because cryoanesthesia Continuous...

scholarly journals The Effect of Sonophoresis on Topical Anesthesia: A Pilot Project

2013 ◽  
Vol 60 (2) ◽  
pp. 37-41 ◽  
Author(s):  
Joseph L. Packer ◽  
Barry Krall ◽  
Ali Makki ◽  
Mahmoud Torabinejad
Keyword(s):  
Stratum Corneum ◽  
Pain Perception ◽  
Pilot Project ◽  
Control Device ◽  
Topical Anesthesia ◽  
Needle Puncture ◽  
Topical Anesthetic ◽  
Novel Device ◽  
Needle Penetration ◽  
Significant Difference

Abstract The dental anesthesia sonophoresis device (DASD) is a novel device that is intended to reduce the discomfort associated with intraoral mucosa needle puncture. The DASD produces ultrasonic energy that provides a sonophoretic effect on the oral mucosa, generating microchannels through the lipids between the keratinized cells that make up the stratum corneum. Once the topical anesthetic has permeated the stratum corneum, it quickly diffuses through the soft tissue, desensitizing the nerve endings and reducing the perception of pain caused by needle penetration. The aim of this study is to evaluate whether topical anesthesia applied using the DASD will reduce the discomfort of the needle puncture when compared to the control device. A split-mouth model, using 50 healthy subjects with puncture site at the maxillary canine vestibule, was used for this study. Subjects received a needle puncture on both sides of the mouth. Prior to the needle puncture, there was randomized application of 5% lidocaine with the DASD and a control device. Subjects rated their discomfort after needle punctures utilizing the visual analog scale pain scoring system. There was no statistically significant difference in the pain perception using the DASD versus the control device.

scholarly journals Comparison of Three Different Techniques to Allay Anxiety before Local Anesthesia Injection in Pediatric Population

2019 ◽  
pp. 74-76
Author(s):  
Vivek Padmanabhan ◽  
Ayesha Hameed ◽  
Huda Amjid Sheikh
Keyword(s):  
Pain Score ◽  
Local Anesthesia ◽  
Pain Perception ◽  
Pediatric Patients ◽  
Rating Scale ◽  
Pediatric Population ◽  
Cost Effective ◽  
Topical Anesthesia ◽  
Cost Effective Technique ◽  
Powered Toothbrush

Introduction: The fear of dentists is one of the major concerns why pediatric patients avoid dentists and thereby compromising their oral hygiene status. Injection of local anesthesia is considered to be the most dreaded procedures and dentists all over the world have adopted different techniques to allay the fear, pain and anxiety of the patients. Material and Methods: 54 children aged between 6-13 years were included in the study. A simple randomization was done and the children were divided into three groups. Application of topical anesthesia gel at the site of administration of local anesthesia, pre-cooling the anesthetic site with ice prior to the administration of local anesthesia, vibratory stimulus adjacent to the site of administration of local anesthesia using a powered toothbrush were the groups from 1-3 respectively. The pain perception during the administration of infiltration anesthesia was assessed using Wong-Baker Faces Pain Rating Scale. The statistical analysis was performed using SPSS software. Results: The greatest pain reduction was observed in the vibrations group with mean pain score 1.33 followed by pre cooling group with mean pain score 2.44 then topical anesthesia gel with mean score of 4.67. Mann-Whitney test showed that vibrations was statistical significant when compared with topical anesthesia and pre cooling before local anesthesia (P<0.003). Conclusions: Use of vibrations using powered tooth brush adjacent to the site of injection during Local Anesthesia (LA) is an easy, reliable and cost effective technique and was found to reduce discomfort and facilitate the management of pediatric patients.

scholarly journals The Effect of Pre-cooling the Injection Site on Pediatric Pain Perception during the Administration of Local Anesthesia

2009 ◽  
Vol 10 (3) ◽  
pp. 43-50 ◽  
Author(s):  
Naser Asl Aminabadi ◽  
Ramin Mostofi Zadeh Farahani
Keyword(s):  
Injection Site ◽  
Local Anesthesia ◽  
Local Anesthetic ◽  
Pain Perception ◽  
Pediatric Patients ◽  
Soft Tissues ◽  
Inferior Alveolar Nerve ◽  
Topical Anesthesia ◽  
Pediatric Pain ◽  
Dental Procedures

Abstract Aim The aim of the study was to evaluate the effect of cooling the soft tissue of injection sites on the pain perceptions of pediatric patients during the administration of local anesthesia for routine dental procedures. Methods and Materials A total of 160 children aged 5-6 years were included in the present study. On a random basis, the subjects were allocated to the without ice pretreatment (WIP) group (topical anesthesia + counterstimulation + distraction) or the ice pretreatment (IP) group (cooling + topical anesthesia + counterstimulation + distraction). During the administration of an inferior alveolar nerve block, the children's behavior was assessed using the sound, eye, and motor (SEM) scale. The statistical analysis of data was performed based on the analysis of variance (ANOVA). Results There were no significant differences within the groups between the values of the sound, eye, and motor components for either the WIP or the IP groups (P>0.05). All three components of the SEM in the IP group were consistently lower than the WIP group (P<0.05). Moreover, the SEM value for the WIP group surpassed the IP group (P<0.05). Conclusions Cooling the site of infiltration block prior to the injection of local anesthesia significantly reduced the pain perceived during injection of local anesthetic agent in pediatric patients. Clinical Significance Pre-cooling of the soft tissues of an injection site prior to the administration of a local anesthetic can minimize the discomfort and anxiety associated with the injection procedure and facilitates the management of pediatric patients during this phase of a dental procedure. Citation Aminabadi NA, Farahani RMZ. The Effect of Pre-cooling the Injection Site on Pediatric Pain Perception during the Administration of Local Anesthesia. J Contemp Dent Pract 2009 May; (10)3:043-050.

scholarly journals Pain Perception in Phacoemulsification with Topical Anesthesia and Evaluation of Factors Related with Pain

2016 ◽  
Vol 46 (4) ◽  
pp. 151-155 ◽  
Author(s):  
Zeynep Dadacı ◽  
Mehmet Borazan ◽  
Nurşen Öncel Acır
Keyword(s):  
Pain Perception ◽  
Topical Anesthesia

Chronic Pain: Fundamental Scientific Considerations, Specifically for Legal Claims

2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth
Keyword(s):  
Health Outcomes ◽  
Pain Perception ◽  
Driving Forces ◽  
Psychological Treatment ◽  
Dominant Role ◽  
Meta Analysis ◽  
General Medicine ◽  
Pain Syndrome ◽  
Problematic Relationship

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.

Reduction in Pain Sensitivity from Pharmacological Elevation of Blood Pressure in Persons with Chronically Low Blood Pressure

2009 ◽  
Vol 23 (3) ◽  
pp. 104-112 ◽  
Author(s):  
Stefan Duschek ◽  
Heike Heiss ◽  
Boriana Buechner ◽  
Rainer Schandry
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Pain Sensitivity ◽  
Pain Threshold ◽  
Pain Perception ◽  
Drug Effects ◽  
Pressure Effects ◽  
Double Blind ◽  
Low Blood Pressure ◽  
Present Trial

Recent studies have revealed evidence for increased pain sensitivity in individuals with chronically low blood pressure. The present trial explored whether pain sensitivity can be reduced by pharmacological elevation of blood pressure. Effects of the sympathomimetic midodrine on threshold and tolerance to heat pain were examined in 52 hypotensive persons (mean blood pressure 96/61 mmHg) based on a randomized, placebo-controlled, double-blind design. Heat stimuli were applied to the forearm via a contact thermode. Confounding of drug effects on pain perception with changes in skin temperature, temperature sensitivity, and mood were statistically controlled for. Compared to placebo, higher pain threshold and tolerance, increased blood pressure, as well as reduced heart rate were observed under the sympathomimetic condition. Increases in systolic blood pressure between points of measurement correlated positively with increases in pain threshold and tolerance, and decreases in heart rate were associated with increases in pain threshold. The findings underline the causal role of hypotension in the augmented pain sensitivity related to this condition. Pain reduction as a function of heart rate decrease suggests involvement of a baroreceptor-related mechanism in the pain attrition. The increased proneness of persons with chronic hypotension toward clinical pain is discussed.

Interactive Effects of Acute Suicidal Affective Disturbance and Pain Persistence on Suicide Attempt Frequency and Lethality

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 413-421 ◽  
Author(s):  
Megan L. Rogers ◽  
Thomas E. Joiner
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behavior ◽  
Pain Perception ◽  
Suicide Attempts ◽  
Pain Tolerance ◽  
Self Report ◽  
Interactive Effects ◽  
Physical Pain ◽  
Affective Disturbance ◽  
The Relationship

Abstract. Background: Acute suicidal affective disturbance (ASAD) has been proposed as a suicide-specific entity that confers risk for imminent suicidal behavior. Preliminary evidence suggests that ASAD is associated with suicidal behavior beyond a number of factors; however, no study to date has examined potential moderating variables.  Aims: The present study tested the hypotheses that physical pain persistence would moderate the relationship between ASAD and (1) lifetime suicide attempts and (2) attempt lethality. Method: Students ( N = 167) with a history of suicidality completed self-report measures assessing the lifetime worst-point ASAD episode and the presence of a lifetime suicide attempt, a clinical interview about attempt lethality, and a physical pain tolerance task. Results: Physical pain persistence was a significant moderator of the association between ASAD and lifetime suicide attempts ( B = 0.00001, SE = 0.000004, p = .032), such that the relationship between ASAD and suicide attempts strengthened at increasing levels of pain persistence. The interaction between ASAD and pain persistence in relation to attempt lethality was nonsignificant ( B = 0.000004, SE = 0.00001, p = .765). Limitations: This study included a cross-sectional/retrospective analysis of worst-point ASAD symptoms, current physical pain perception, and lifetime suicide attempts. Conclusion: ASAD may confer risk for suicidal behavior most strongly at higher levels of pain persistence, whereas ASAD and pain perception do not influence attempt lethality.

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