Journal of South Asian Association of Pediatric Dentistry

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VOLUME 4 , ISSUE 3 ( October-December, 2021 ) > List of Articles


A Comparative Study to Evaluate Pain Perception in Children Using Comfort Control Injection System and Insulin Syringe: An in Vivo Study

Rupanjali Verma, Ritu Khanduja

Keywords : Dental anxiety, Modified child dental anxiety scale, Pain perception

Citation Information : Verma R, Khanduja R. A Comparative Study to Evaluate Pain Perception in Children Using Comfort Control Injection System and Insulin Syringe: An in Vivo Study. J South Asian Assoc Pediatr Dent 2021; 4 (3):165-168.

DOI: 10.5005/jp-journals-10077-3092

License: CC BY-NC 4.0

Published Online: 07-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Pain during dental procedure has a profound effect on the behavior of children. The comfort controll injection system is a compact, portable design that injects the LA solution with constant speed and pressure control. Insulin syringe needles are short and very thin that are made to lesser discomfort during LA administration. Aim: To evaluate the pain perception while administering bilateral mandibular local infiltration, in children undergoing dental procedures, by using comfort controll injection and insulin syringe. Material and methods: Children between 5 and 9 years of age requiring local anesthesia on both sides of arch for various dental procedures were divided into 2 Groups: Group A, comfort controll injection system and Group B, insulin syringe. The mandibular local infiltration was administered using comfort control device on the left side and the insulin syringe on the opposite side at the first appointment and subsequent appointment respectively. Prior, during and after the procedure, the heart rate and saturated oxygen rate were measured using pulse oximeter and FLACC (Face, Legs, Activity, Cry and Consolability) and MCDAS (modified child dental anxiety) were recorded. Result: The statistical analysis showed non-significant difference in the mean of heart rate before and after local infiltration, whether significant difference seen during local infiltration. Highly non-significant difference of mean values of SpO2 and highly significant difference of mean value of FLACC scale was observed before, during and after local infiltration. The mean of MCDAS scale, during and after local infiltration showed significant difference whether non-significant difference seen before local infiltration. Conclusion: Comfort control device is introduced several years back and best alternative to other syringe system still it did not get popularity. It is important for clinicians to be familiar with these devices for dental procedures to best explore them.

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