Comparison of computer-controlled intraosseous anaesthesia and conventional anaesthesia in paediatric dentistry: a split-mouth randomised clinical trial.
A Dermata, S N Papageorgiou, A Arhakis et al.
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In 30 seconds
This randomized clinical trial compared the efficacy and patient acceptance of Computer-Controlled Intraosseous Anaesthesia (CCIA) and Conventional Local Anaesthesia (CLA) in 64 healthy children aged 5-9 years. The study found no significant difference in clinical efficacy (P = 0.59), but CCIA resulted in significantly less discomfort and fear, with 78% of children preferring it over CLA (P < 0.001).
Key findings
- CCIA was associated with significantly less discomfort at needle insertion (OR = 0.32; 95% CI 0.16, 0.62).
- During injection, CCIA resulted in less discomfort (OR = 0.17; 95% CI 0.08, 0.31).
- CCIA produced lower fear levels compared to CLA (OR = 0.43; 95% CI 0.22, 0.84).
- 78% of children preferred CCIA over CLA (P < 0.001).
Why it matters
Understanding the differences in patient-reported outcomes between anaesthesia techniques can guide clinicians in selecting methods that enhance comfort and acceptance in pediatric patients, potentially improving overall treatment experiences.