COMPARATIVE EVALUATION OF PAIN PERCEPTION AND COMFORT OF THE CHILDREN FOLLOWING EXTRACTION OF GRADE III MOBILE TEETH USING LIGNOCAINE PATCH AND LIGNOCAINE GEL AS A TOPICAL ANAESTHETIC AGENT IN CHILDREN AGED 8-12 YEARS -A RANDOMIZED CONTROLLED TRIAL

*Dr. Megha Gaded, Dr. Deepak B. M., Dr. Basappa N. and Dr. Chandrashekar Yavagal

ABSTRACT

Background: Pain management is critical aspect in pediatric dental care. In pediatric dentistry it is important to acknowledge that pain sensation is not necessarily dependent on tissue damage, it is generated by conditions like sound of drill, touch of needle during local anaesthetic injection. Exploring alternative, atraumatic methods will help us to improve the quality of dental care. Development of bioadhesive patch has major advancement in intraoral delivery of local anaesthesia which reduces injury caused by local anaesthetic injection and improves patient compliance. Objectives: To evaluate and compare pain perception and comfort of children following extraction of grade III mobile teeth using lignocaine patch and lignocaine gel. Methodology: 70 children aged between 8-12 years requiring grade III mobile teeth extraction were divided equally into Group I and group II. In group I: lignocaine patch was applied buccally and lingually or palatally on either side of oral mucosa, left for 5 minutes. In group II: lignocaine gel was applied in same manner using cotton swab, left for 5 minutes. After 5 minutes, Once symptoms of anaesthesia were achieved teeth was extracted using appropriate forceps. Each child completed FPS and SEM scale before and after procedure. Results: Lignocaine patch showed lower mean pain and comfort scores under both FPS and SEM Scale compared with lignocaine gel, results were statistically significant. Conclusion: Lignocaine patch had positive effect on reducing pain during extraction. It is more efficient and reliable technique to achieve topical anaesthesia.

Keywords: Pain perception, Lignocaine patch, Lignocaine gel, Comfort, Extraction.