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Home Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis...

Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies

Authors:

  • A. Libonati
    Department of Surgical Sciences, Dental School, Catholic University of Our Lady of Good Counsel of Tirane, Tirane, Albania
  • R. Nardi
    Department of Clinical and Translational Medicine, Dental School, University of Rome “Tor Vergata”, Rome, Italy
  • G. Gallusi
    Department of Clinical and Translational Medicine, Dental School, University of Rome “Tor Vergata”, Rome, Italy
  • V. Angotti
    Department of Clinical and Translational Medicine, Dental School, University of Rome “Tor Vergata”, Rome, Italy
  • S. Caruso
    Department of Life, Health and Environmental Sciences, Dental School, University of L’Aquila, L’Aquila, Italy
  • F. Coniglione
    Department of Surgical Sciences, Dental School, Catholic University of Our Lady of Good Counsel of Tirane, Tirane, Albania
  • G. Marzo
    Department of Life, Health and Environmental Sciences, Dental School, University of L’Aquila, L’Aquila, Italy
  • A. Mattei
    Department of Life, Health and Environmental Sciences, Dental School, University of L’Aquila, L’Aquila, Italy
  • S. Tecco
    Dental School “Vita-Salute San Raffaele” University, Milan, Italy
  • L. Paglia
    Department of Paediatric Dentistry, Istituto Stomatologico Italiano (ISI), Milan, Italy

DOI:

https://doi.org/10.23804/ejpd.2018.19.04.14

ABSTRACT


Aim

This review focuses on Computer-Controlled Local Anaesthesia Delivery systems (CCLAD), in comparison with conventional carpule anaesthesia in means of pain and anxiety.

Methods

Medline, Embase, Web of Science and Cochrane Database for Systematic Reviews were searched up to August 2018. Only cross-over split-mouth design studies aimed to clinically compare CCLAD with a conventional carpule anaesthesia are included. Data about pain and anxiety associated with anaesthesia were sought. The authors performed meta-analysis where appropriate.

Results

A total of 20 studies are included in the systematic review (n = 973 subjects). Quantitative synthesis (conducted on VAS scores from 8 studies) shows that pain intensity is over 9 points lower in CCLAD than in conventional anaesthesia on a scale from 0 to 100 (95% confidence interval, ?12.90 to ?5,53; P<.001). The systematic review showed no differences between the two techniques according to the physiological parameters of pain (heart rate or blood pressure), and the data about anxiety are inconsistent.

Conclusion

CCLAD results in significantly slightly less pain perception with respect to conventional injection and is a promising device to help patients. The literature needs to be expanded, mostly regarding anxiety.

PLUMX METRICS

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Publication date:

December /2018

Issue:

Vol.19 – n.4/2018

Page:

324 – 332

Publisher:

Ariesdue

Cite:


Harvard: A. Libonati, R. Nardi, G. Gallusi, V. Angotti, S. Caruso, F. Coniglione, G. Marzo, A. Mattei, S. Tecco, L. Paglia (2018) "Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies", European Journal of Paediatric Dentistry, 19(4), pp324-332. doi: 10.23804/ejpd.2018.19.04.14
Vancouver: A. Libonati, R. Nardi, G. Gallusi, V. Angotti, S. Caruso, F. Coniglione, G. Marzo, A. Mattei, S. Tecco, L. Paglia. Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies. European Journal of Paediatric Dentistry [Internet]. 2018Dec.1 [cited 2023Mar.27];19(4):324-332. Available from: https://www.ejpd.eu/abstract-pubmed/pain-and-anxiety-associated-with-computer-controlled-local-anaesthesia-systematic-review-and-meta-analysis-of-cross-over-studies/
MLA: A. Libonati, R. Nardi, G. Gallusi, V. Angotti, S. Caruso, F. Coniglione, G. Marzo, A. Mattei, S. Tecco, L. Paglia Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies. European Journal of Paediatric Dentistry. 2018;19(4):324-332

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    Editor in chief: dott. Luigi Paglia
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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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