Effectiveness of a novel topical anesthetic gel in patients undergoing non surgical periodontal therapy.
Öz
Objectives: To evaluate the efficacy of a topical anesthetic gel containing potassium nitrate, benzocaine and tetracaine in patients undergoing non surgical periodontal therapy.
Materials and Methods: The present study was a randomised, double blind, placebo controlled, split mouth design trial carried out in 300 patients. Two quadrants in each patient were selected for non surgical periodontal therapy. The drug gel and placebo were liberally applied over the teeth and gingiva on the selected quadrants and the treatment was started after two minutes. Patients were asked to evaluate their pain experience at the end of treatment of their respective quadrants using verbal rating scale.
Results: The mean pain score on using the drug gel was 0.433+0.737 as compared to the mean pain score of 2.35+0.761 on using the placebo gel, and the results were statistically significant. The drug gel out performed the placebo gel. None of the patients reported of any local or systemic side effects.
Conclusions: The topical anesthetic gel provided excellent pain control for the patients undergoing non surgical periodontal therapy. It can also be considered as a good option during periodontal examination and maintenance visits to increase the patients comfort.
Anahtar Kelimeler
Kaynakça
- 1. Canakçi CF, Canakçi V. Pain experienced by patients under-going different periodontal therapies. J Am Dent Assoc 2007;138:1563-1573.
- 2. Heins PJ, Karpinia KA, Maruniak JW, Moorhead JE, Gibbs CH. Pain threshold values during periodontal probing: as-sessment of maxillary incisor and molar sites. J Periodontol 1998;69:812-818.
- 3. Grant DA, Lie T, Clark SM, Adams DF. Pain and discomfort levels in patients during root surface débridement with sonic metal or plastic inserts. J Periodontol 1993;64:645-650.
- 4. Matthews DC, McCulloch CA. Evaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of surgical and non-surgical therapy. J Periodontol 1993;64:990-997.
- 5. Heft MW, Perelmuter SH, Cooper BY, Magnusson I, Clark WB. Relationship between gingival inflammation and pain-fulness of periodontal probing. J Clin Periodontol 1991;18:213-215.
- 6. Milgrom P, Coldwell S, Getz T, Weinstein P, Ramsey D. Four dimensions of fear of dental injections. J Am Dent Assoc 1997;128:756-762.
- 7. Van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Maré-chal M, Huizar K, et al. Patients’ Experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol 2004;75:1465-1470
- 8. Svensson P, Petersen K.J, Svensson H. Efficacy of topical anesthetic on
- 9. pain and unpleasantness during scaling of gingival pockets. Anesth Prog 1994;41:35-39.
- 10. Garmyn P, Geers L, Marechal M et al. Patients experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Clin Periodontol 2000;27:52(abst 135).
- 11. Scott J & Huskinsson E.C. Graphic representation of pain Pain 1976;2:175-184.
- 12. Luria R.E. The validity and reliability of the visual analog mood scale. Journal of psychiatric research 1975;12:51-57.
- 13. Vickers ER, Punnia Moorthy A. A clinical evaluation of three topoical anesthetic agents. Aust dent J 1992;37:266-270.
- 14. Cavino BG. Pharmacology of local anesthetic agents. Br J Anaest 1986;58:701.
- 15. Nayak R, Sudha P. Evaluation of three topical anaesthetic agents against pain : A clinical study. Indian J Dent Res 2006;17:155-160
- 16. Milton H, Steven H, Alex J. Kno3/Benzocaine/Tetracaine gel use for maintenance visit pain control. Gen Dent 2007;55:312-315.
- 17. Estafan DJ. Invasive and non invasive dental anlgesia techniques. Gen Dent 1998;46:600-603.
Öz
Kaynakça
- 1. Canakçi CF, Canakçi V. Pain experienced by patients under-going different periodontal therapies. J Am Dent Assoc 2007;138:1563-1573.
- 2. Heins PJ, Karpinia KA, Maruniak JW, Moorhead JE, Gibbs CH. Pain threshold values during periodontal probing: as-sessment of maxillary incisor and molar sites. J Periodontol 1998;69:812-818.
- 3. Grant DA, Lie T, Clark SM, Adams DF. Pain and discomfort levels in patients during root surface débridement with sonic metal or plastic inserts. J Periodontol 1993;64:645-650.
- 4. Matthews DC, McCulloch CA. Evaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of surgical and non-surgical therapy. J Periodontol 1993;64:990-997.
- 5. Heft MW, Perelmuter SH, Cooper BY, Magnusson I, Clark WB. Relationship between gingival inflammation and pain-fulness of periodontal probing. J Clin Periodontol 1991;18:213-215.
- 6. Milgrom P, Coldwell S, Getz T, Weinstein P, Ramsey D. Four dimensions of fear of dental injections. J Am Dent Assoc 1997;128:756-762.
- 7. Van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Maré-chal M, Huizar K, et al. Patients’ Experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol 2004;75:1465-1470
- 8. Svensson P, Petersen K.J, Svensson H. Efficacy of topical anesthetic on
- 9. pain and unpleasantness during scaling of gingival pockets. Anesth Prog 1994;41:35-39.
- 10. Garmyn P, Geers L, Marechal M et al. Patients experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Clin Periodontol 2000;27:52(abst 135).
- 11. Scott J & Huskinsson E.C. Graphic representation of pain Pain 1976;2:175-184.
- 12. Luria R.E. The validity and reliability of the visual analog mood scale. Journal of psychiatric research 1975;12:51-57.
- 13. Vickers ER, Punnia Moorthy A. A clinical evaluation of three topoical anesthetic agents. Aust dent J 1992;37:266-270.
- 14. Cavino BG. Pharmacology of local anesthetic agents. Br J Anaest 1986;58:701.
- 15. Nayak R, Sudha P. Evaluation of three topical anaesthetic agents against pain : A clinical study. Indian J Dent Res 2006;17:155-160
- 16. Milton H, Steven H, Alex J. Kno3/Benzocaine/Tetracaine gel use for maintenance visit pain control. Gen Dent 2007;55:312-315.
- 17. Estafan DJ. Invasive and non invasive dental anlgesia techniques. Gen Dent 1998;46:600-603.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mayıs 2013 |
| Gönderilme Tarihi | 3 Ekim 2012 |
| Yayımlandığı Sayı | Yıl 2013Cilt: 16 Sayı: 2 |
Cited By
Comparison of Analgesic Efficacy of Topical Anaesthetics (Gel, Spray) With Infiltration Anaesthesia During Subgingival Periodontal Procedures
Journal of Scientific Dentistry
Biju Thomas
https://doi.org/10.5005/jsd-5-1-3
Intra-pocket anaesthesia and pain during probing, scaling and root planing: a systematic review and meta-analysis
Journal of Clinical Periodontology
Letícia M. Wambier
https://doi.org/10.1111/jcpe.12565
Intrapocket topical anesthetic versus injected anesthetic for pain control during scaling and root planing in adult patients
The Journal of the American Dental Association
Letícia M. Wambier
https://doi.org/10.1016/j.adaj.2017.06.019
Non-interventional study to collect data for the application of lidocaine gel 2% during scaling and root planing and professional mechanical plaque removal
Clinical Oral Investigations
Gregor J. Petersilka
https://doi.org/10.1007/s00784-018-2468-0
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.
Frequency: Four times a year (March, June, September, and December)
IMPORTANT NOTICE
All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.
Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.