Local anesthetic quality in pedodontic department, College of Dentistry University of Baghdad

Abstract EN

Background : Discomfort and pain usually is associated with dental work especially for young patients.

Pain control can be achieved by using local anesthesia.

This study is designed to estimate the frequency of ineffective pain control during treatment provided for children in endodontic department in college of dentistry, university of Baghdad.

Subjects and methods : 166 children, 82 males and 84 females 4.5-12 years old participated in this study.

The level of child anxiety was measured before giving the injection, quadrant treated and type of treatment also recorded.

The effectiveness of pain control had been rated by SEM (sound, eye, motor) scale during providing the dental treatment.

Results : The local anesthesia was ineffective in 26.5 % of the studied sample, while the others 73.5 % undergone treatment with no signs of pain.

Anxious children showed more signs of pain experience during treatment than the non anxious.

Treatment in the mandible jaw was associated with anesthetic failure more than that of the maxillary jaw.

Conclusions : Ineffective pain control is relatively frequent in endodontic department in College of Dentistry, University of Baghdad and there is a need for using more methods for reducing anxiety like nitrous oxide sedation (NO2) and computer controlled local anesthesia because of the close relation between anxiety and pain control.