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- Title
Efficacy of eutectic topical anesthesia in stainless steel crown procedures for primary molars: A randomized controlled trial.
- Authors
Soni, Arwa; Winnier, J. Jasmin; Haradwala, Zaineb; Kodical, Sanjana; Joshi, Amil; Shetty, Ashveeta
- Abstract
Background: Prior literature highlights the importance of local anesthesia (LA) for stainless steel crown (SSC) preparation and placement. Nevertheless, the effectiveness of a eutectic mixture of local anesthesia (EMLA), a topical anesthesia, for this purpose remains unexplored. Aim: The study evaluated the effectiveness of two EMLA application methods during SSC preparation and placement. Design: Eighty‐four children between 4 and 8 years of age were randomly allocated to three intervention groups. Group A received EMLA applied supragingivally, Group B received a gingival retraction cord impregnated with EMLA (GRC_EMLA), and Group C (control) received LA. Pain was recorded using Wong–Baker Faces Pain Scale (WBFPS) and Children Hospital Eastern Ontario Pain Scale (CHEOPS) at three time intervals. Results: Control had highest mean pain scores at the first time interval in both maxillary and mandibular arches, followed by Group B and Group A, with statistically significant p‐values (p =.00, p <.05). After preparation and placement, all three groups had low mean pain scores, with no statistically significant differences. Group A had minimal pain scores at all three time intervals, although not statistically significant. Conclusion: EMLA is a potent topical anesthetic and can be used as an alternative to LA for conventional SSC preparation and placement in primary molars.
- Subjects
EMLA (Anesthetics); MOLARS; DENTAL implants; STATISTICAL sampling; DENTAL crowns; TREATMENT effectiveness; RANDOMIZED controlled trials; DENTAL pathology; DENTISTRY; STAINLESS steel; EVALUATION
- Publication
International Journal of Paediatric Dentistry, 2024, Vol 34, Issue 4, p402
- ISSN
0960-7439
- Publication type
Article
- DOI
10.1111/ipd.13138