We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
International Poster Journal of Dentistry and Oral Medicine



Forgotten password?


Int Poster J Dent Oral Med 18 (2016), No. 2     15. June 2016
Int Poster J Dent Oral Med 18 (2016), No. 2  (15.06.2016)

Poster 995, Language: English

Psychological Aspects Influencing Patients' Choice for Local Anaesthesia in Non-Surgical Periodontal Treatment
Derman (former Termaat), Sonja H. M. / Lowden, Claudia E. / Noack, Michael J.
Objective: To determine psychological aspects influencing patients' choice between Oraqix® anesthesia gel (AG) and injected Ultracain® D-S forte (LA) during non-surgical periodontal therapy (SRP). Primary endpoints were dental anxiety (DA) and injection fear (IF). Secondary endpoint was the assessment of pain during periodontal probing and SRP.
Methods: Thirty-eight patients with periodontitis were included in a randomised, single-blind, split-mouth, and cross-over clinical trial. Periodontal probing pain was recorded at baseline by a visual analogue scale (VAS) and verbal-rating-scale (VRS). Additionally, DA and IF were recorded at baseline. SRP was performed in two appointments; once with the use of AG and once with LA. Patients completed questionnaires as to the current and future preferences for local anesthesia.
Results: Twenty-two patients (58%) preferred gel, and 14 patients (36%) preferred injection. One patient was indecisive, and 1 patient missed the recall appointment. DA and IF (P = 0.096, P = 0.254, Mann-Whitney) had no influence on anesthesia choice. Pain perception in AG treatment correlated with choice for injection (VAS P = 0.000, VRS P = 0.000, Mann-Whitney).
Conclusion: No psychological aspect showed an influence on anesthesia choice. Assessed pain during treatment was found as the only predictor for patients' preference for future local anesthesia use.

Keywords: local anesthesia, non-surgical periodontal therapy, SRP, dental anxiety, injection fear, lidocain, prilocain, anesthesia gel

Europerio 6
04.-06. June 2009