The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 23 , ISSUE 7 ( July, 2022 ) > List of Articles


Evaluation of the Injection Pain with the Use of Vibraject during Local Anesthesia Injection for Children: A Randomized Clinical Trial

Muhammad Amer Albouni, Chaza Kouchaji, Marwan Al-Akkad, Iva Voborna, Radek Mounajjed

Keywords : Local anesthesia, Oral injection, Pediatric dentistry

Citation Information : Albouni MA, Kouchaji C, Al-Akkad M, Voborna I, Mounajjed R. Evaluation of the Injection Pain with the Use of Vibraject during Local Anesthesia Injection for Children: A Randomized Clinical Trial. J Contemp Dent Pract 2022; 23 (7):749-754.

DOI: 10.5005/jp-journals-10024-3383

License: CC BY-NC 4.0

Published Online: 10-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To compare the outcomes of the conventional syringe and the outcomes of the vibraject-assisted injection (VAI) in terms of the pain of the needle insertion during various intraoral injections of local anesthesia in children aged 6–9 years. Materials and methods: A total number of 75 children aged 6–9 years were selected from patients visiting the pediatric dental clinic at Damascus University. The children were assigned into three equal groups (25 children each) according to the type of intraoral injection needed for the treatment: Groups [Group I: received upper buccal infiltrations (UBI), Group II: received posterior palatal infiltrations (PPI), and Group III: received inferior alveolar nerve block (IANB)]. This study was conducted considering the split-mouth design. Each child was subjected to both anesthetic injections: the conventional and the vibration-assisted in two separate dental visits 2 weeks apart. At each clinic visit, subjective and objective pain levels were assessed using the visual analog scale (VAS) and Face, Leg, Activity, Cry, Consolability (FLACC) scale. Results: Children who received local anesthesia using the Vibraject method had lower VAS and FLACC scores than those who received local anesthesia using the conventional method. Conclusion: Vibraject was more effective in reducing the pain with local anesthetic injection compared to the conventional injection technique in clinical dental procedures for children. Clinical significance: In a pediatric dental clinic, pain management is considered a pillar that influences actions. Using the VAI may achieve the ease, cooperation, and compliance during the dental care session.

PDF Share
  1. Merdad L, El-Housseiny AA. Do children's previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL)? BMC Oral Health 2017;17(1):47. DOI: 10.1186/s12903-017-0338-9.
  2. Ghanei M, Arnrup K, Robertson A. Procedural pain in routine dental care for children: a part of the Swedish BITA study. Eur Arch Paediatr Dent 2018;19(5):365–372. DOI: 10.1007/s40368-018-0368-2.
  3. Berge KG, Agdal ML, Vika M, et al. High fear of intra-oral injections: prevalence and relationship to dental fear and dental avoidance among 10- to 16-yr-old children. Eur J Oral Sci 2016;124(6):572–579. DOI: 10.1111/eos.12305.
  4. Campbell F. McDonald and Avery's Dentistry for the child and adolescent, 9th edition. Br Dent J 2011;210(4):191. DOI: 10.1038/sj.bdj. 2011.135.
  5. Garg A, Garg N, Kaur D, et al. Evaluation of efficacy of 2% lidocaine gel and 20% benzocaine gel for topical anesthesia. Endodontology 2016;28(1):38–41. DOI: 10.4103/0970-7212.184338.
  6. Meincken M, Norman C, Arevalo O, et al. Anesthesia onset time and injection pain between buffered and unbuffered lidocaine used as local anesthetic for dental care in children. Pediatr Dent 2019;41(5):354–357. PMID: 31648665.
  7. Tirupathi SP, Rajasekhar S. Effect of precooling on pain during local anesthesia administration in children: a systematic review. J Dent Anesth Pain Med 2020;20(3):119–127. DOI: 10.17245/jdapm.2020. 20.3.119
  8. Shilpapriya M, Jayanthi M, Reddy VM, et al. Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children. J Indian Soc Pedod Prev Dent 2015;33(3):173–176. DOI: 10.4103/0970-4388.160343.
  9. Nasehi A, Bhardwaj S, Kamath At, et al. Clinical pain evaluation with intraoral vibration device during local anesthetic injections. J Clin Exp Dent 2015;e23–7. DOI: 10.4317/jced.51643.
  10. Sharma P, Czyz CN, Wulc AE. Investigating the efficacy of vibration anesthesia to reduce pain from cosmetic botulinum toxin injections. Aesthet Surg J 2011;31(8):966–971. DOI: 10.1177/1090820X11422809.
  11. Ungor C, Tosun E, Dayisoylu EH, et al. The effects of vibration on pain and anxiety during local anesthesia administration. JSM Dent 2014;2(1):1022.
  12. Ganapathi A, DP. An update on local anesthesia for pediatric dental patients. Res J Pharm Technol 2019;12(7):3169–3174. DOI: 10.4103/0259-1162.113977.
  13. Hegde KM, Neeraja R, Srinivasan I, et al. Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: A crossover split-mouth study. J Dent Anesth Pain Med 2019;19(3):143–149. DOI: 10.17245/jdapm. 2019.19.3.143.
  14. Chaudhry K, Shishodia M, Singh C, et al. Comparative evaluation of pain perception by vibrating needle (Vibraject TM) and conventional syringe anesthesia during various dental procedures in pediatric patients: A short study. Medicine 2015;1:1–5. DOI:10.15713/INS.IDMJAR.5.
  15. Flanagan T, Wahl MJ, Schmitt MM, et al. Size doesn't matter: needle gauge and injection pain. Gen Dent 2007;55(3):216–217. PMID: 17511363.
  16. Chiarotto A, Maxwell LJ, Ostelo RW, et al. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review. J Pain 2019;20(3):245–263. DOI: 10.1016/j.jpain. 2018.07.009
  17. Chandrasekaran J, Prabu D, Silviya, et al. Efficacy of painless injection technique - vibraject - clinical trial in Chennai, India. Int J Med Dent Sci 2014;250–256. DOI: 10.19056/ijmdsjssmes/2014/v3i1/80637.
  18. Ching D, Finkelman M, Loo CY. Effect of the DentalVibe injection system on pain during local anesthesia injections in adolescent patients. Pediatr Dent 2014;36(1):51–55. PMID: 24717710.
  19. Tandon S, Kalia G, Rathore K, et al. comparative evaluation of mucosal vibrator with topical anesthetic gel to reduce pain during administration of local anesthesia in pediatric patients: An in vivo study. Int J Clin Pediatr Dent 2018;11(4):261–265. DOI: 10.5005/jp- journals-10005-1523.
  20. Saijo M, Ito E, Ichinohe T, Ichinohe T, et al. Lack of pain reduction by a vibrating local anesthetic attachment: A pilot study. Anesth Prog 2005;52(2):62–64. DOI: 10.2344/0003-3006(2005) 52[62:LOPRBA]2.0.CO;2.
  21. Roeber B, Wallace DP, Rothe V, et al. Evaluation of the effects of the VibraJect attachment on pain in children receiving local anesthesia. Pediatr Dent 2011;33(1):46–50. PMID: 21406147.
  22. Midha V, Midha V, Dua R, et al. Auxiliary aids to alleviate pain and anxiety during local anesthesia administration: A comparative study. Int J Clin Pediatr Dent 2021;14(1):104–108. DOI: 10.5005/jp- journals-10005-1935.
  23. Badcock M, McCullough M. Palatal anaesthesia for the removal of maxillary third molars as practised by oral and maxillofacial surgeons in Australia and New Zealand. Aust Dent J 2007;52(4):329–332. DOI: 10.1111/j.1834-7819.2007.tb00510.x.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.