Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of applied oral science (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100402 |
Resumo: | Abstract Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy. Objective: This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy. Methodology: Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels: a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor. Results: Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy. Conclusion: Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles. |
id |
USP-17_07b0b46b38e3fd7bf93f11d719ed2446 |
---|---|
oai_identifier_str |
oai:scielo:S1678-77572020000100402 |
network_acronym_str |
USP-17 |
network_name_str |
Journal of applied oral science (Online) |
repository_id_str |
|
spelling |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCTAnestheticsPeriodontal debridementPain managementDental scalingClinical trialAbstract Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy. Objective: This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy. Methodology: Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels: a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor. Results: Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy. Conclusion: Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles.Faculdade De Odontologia De Bauru - USP2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100402Journal of Applied Oral Science v.28 2020reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1678-7757-2019-0025info:eu-repo/semantics/openAccessMoraes,Gustavo SimaoSantos,Isadora Benato dosPinto,Shelon Cristina SouzaPochapski,Marcia ThaisFarago,Paulo VitorPilatti,Gibson LuizSantos,Fabio Andreeng2019-11-22T00:00:00Zoai:scielo:S1678-77572020000100402Revistahttp://www.scielo.br/jaosPUBhttps://old.scielo.br/oai/scielo-oai.php||jaos@usp.br1678-77651678-7757opendoar:2019-11-22T00:00Journal of applied oral science (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
title |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
spellingShingle |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT Moraes,Gustavo Simao Anesthetics Periodontal debridement Pain management Dental scaling Clinical trial |
title_short |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
title_full |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
title_fullStr |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
title_full_unstemmed |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
title_sort |
Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT |
author |
Moraes,Gustavo Simao |
author_facet |
Moraes,Gustavo Simao Santos,Isadora Benato dos Pinto,Shelon Cristina Souza Pochapski,Marcia Thais Farago,Paulo Vitor Pilatti,Gibson Luiz Santos,Fabio Andre |
author_role |
author |
author2 |
Santos,Isadora Benato dos Pinto,Shelon Cristina Souza Pochapski,Marcia Thais Farago,Paulo Vitor Pilatti,Gibson Luiz Santos,Fabio Andre |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Moraes,Gustavo Simao Santos,Isadora Benato dos Pinto,Shelon Cristina Souza Pochapski,Marcia Thais Farago,Paulo Vitor Pilatti,Gibson Luiz Santos,Fabio Andre |
dc.subject.por.fl_str_mv |
Anesthetics Periodontal debridement Pain management Dental scaling Clinical trial |
topic |
Anesthetics Periodontal debridement Pain management Dental scaling Clinical trial |
description |
Abstract Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy. Objective: This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy. Methodology: Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels: a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor. Results: Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy. Conclusion: Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100402 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100402 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1678-7757-2019-0025 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade De Odontologia De Bauru - USP |
publisher.none.fl_str_mv |
Faculdade De Odontologia De Bauru - USP |
dc.source.none.fl_str_mv |
Journal of Applied Oral Science v.28 2020 reponame:Journal of applied oral science (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Journal of applied oral science (Online) |
collection |
Journal of applied oral science (Online) |
repository.name.fl_str_mv |
Journal of applied oral science (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||jaos@usp.br |
_version_ |
1748936440447762432 |