Effect of upper lip compression on pain reduction during local anesthesia. A split-mouth randomized clinical trial

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Main Author: Pedro Christian Aravena
Format: Artículo científico
Language:en
Published: Sociedad de Periodoncia de Chile 2023
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author Pedro Christian Aravena
author_facet Pedro Christian Aravena
contents Effect of upper lip compression on pain reduction during local anesthesia. A split-mouth randomized clinical trial Pedro Christian Aravena Sergio Lagos-Mediavilla Javier Loaysa-Tobar César Coronado-Gallardo Mario Felipe Gutiérrez Rodolfo Miralles Medicina Pain Compression Clinical trial Trigeminal nerve Local anesthesia Objectives: To evaluate the effect of pressure on the skin of upper lip in decreasing pain perception during a local maxillary anesthetic injection. Material and Methods: A split-mouth crossover randomized clinical trial was designed. Seventy-one volunteer students (23.6±1.9 years old, 53.5% women) were selected. A group chosen at random had their left or right side of upper lip compressed by a wooden clothes peg as the compression instrument and 0.6 ml of lidocaine 2% with epinephrine 1:100,000 was administered at the buccal apex level of the lateral incisors tooth. Two weeks later anesthesia was administered on the opposite side of the lip according to the randomization recorded. The intensity of perceived pain level between the two injections using a 100 mm visual analog scale (VAS) and co-variable effect were compared (Wilcoxon test p < 0.05, RStudio). Results: The average of the perceived pain with and without upper lip compression was 27.6±14.5 mm (range 0-80 mm) and 36.33±17.9 mm (range 10-90 mm) respectively (p= 0.002). No significant differences were recorded according the covariance analysis with the sex (p = 0.55) and age (p = 0.89). Conclusion: The upper lip compression significantly reduces the perception of pain during a local maxillary anesthetic technique. 2023 artículo científico 2452-5588 https://www.redalyc.org/articulo.oa?id=610076916002 https://www.redalyc.org/journal/6100/610076916002/ https://www.redalyc.org/journal/6100/610076916002/html/ https://www.redalyc.org/journal/6100/610076916002/610076916002.epub https://www.redalyc.org/journal/6100/610076916002/movil https://doi.org/10.4067/S2452-55882023000300183 en http://www.redalyc.org/revista.oa?id=6100 International Journal of Interdisciplinary Dentistry application/pdf Sociedad de Periodoncia de Chile International Journal of Interdisciplinary Dentistry (Chile) Num.3 Vol.16
format Artículo científico
id redalyc_610076916002
institution Redalyc
language en
publishDate 2023
publisher Sociedad de Periodoncia de Chile
spellingShingle Effect of upper lip compression on pain reduction during local anesthesia. A split-mouth randomized clinical trial
Pedro Christian Aravena
Medicina
Pain
Compression
Clinical trial
Trigeminal nerve
Local anesthesia
Effect of upper lip compression on pain reduction during local anesthesia. A split-mouth randomized clinical trial Pedro Christian Aravena Sergio Lagos-Mediavilla Javier Loaysa-Tobar César Coronado-Gallardo Mario Felipe Gutiérrez Rodolfo Miralles Medicina Pain Compression Clinical trial Trigeminal nerve Local anesthesia Objectives: To evaluate the effect of pressure on the skin of upper lip in decreasing pain perception during a local maxillary anesthetic injection. Material and Methods: A split-mouth crossover randomized clinical trial was designed. Seventy-one volunteer students (23.6±1.9 years old, 53.5% women) were selected. A group chosen at random had their left or right side of upper lip compressed by a wooden clothes peg as the compression instrument and 0.6 ml of lidocaine 2% with epinephrine 1:100,000 was administered at the buccal apex level of the lateral incisors tooth. Two weeks later anesthesia was administered on the opposite side of the lip according to the randomization recorded. The intensity of perceived pain level between the two injections using a 100 mm visual analog scale (VAS) and co-variable effect were compared (Wilcoxon test p < 0.05, RStudio). Results: The average of the perceived pain with and without upper lip compression was 27.6±14.5 mm (range 0-80 mm) and 36.33±17.9 mm (range 10-90 mm) respectively (p= 0.002). No significant differences were recorded according the covariance analysis with the sex (p = 0.55) and age (p = 0.89). Conclusion: The upper lip compression significantly reduces the perception of pain during a local maxillary anesthetic technique. 2023 artículo científico 2452-5588 https://www.redalyc.org/articulo.oa?id=610076916002 https://www.redalyc.org/journal/6100/610076916002/ https://www.redalyc.org/journal/6100/610076916002/html/ https://www.redalyc.org/journal/6100/610076916002/610076916002.epub https://www.redalyc.org/journal/6100/610076916002/movil https://doi.org/10.4067/S2452-55882023000300183 en http://www.redalyc.org/revista.oa?id=6100 International Journal of Interdisciplinary Dentistry application/pdf Sociedad de Periodoncia de Chile International Journal of Interdisciplinary Dentistry (Chile) Num.3 Vol.16
title Effect of upper lip compression on pain reduction during local anesthesia. A split-mouth randomized clinical trial
topic Medicina
Pain
Compression
Clinical trial
Trigeminal nerve
Local anesthesia
url https://www.redalyc.org/articulo.oa?id=610076916002
https://www.redalyc.org/journal/6100/610076916002/
https://www.redalyc.org/journal/6100/610076916002/html/
https://www.redalyc.org/journal/6100/610076916002/610076916002.epub
https://www.redalyc.org/journal/6100/610076916002/movil
https://doi.org/10.4067/S2452-55882023000300183