J Dent Oral Biol | Volume 6, Issue 2 | Research Article | Open Access

Is Topical Anesthesia Effective to Reduce the Intensity of Pain in Children for Placement the Clamp Before Rubber Dam Isolation for Sealant Application? A Systematic Review and Meta-Analysis

Letícia Maira Wambier^1,2, Juliana Larocca de Geus^1,3, Ana Cláudia Rodrigues Chibinski², Alessandro Loguercio² and Alessandra Reis^2*

¹Department of Dentistry, Positivo University, Brazil ²Department of Dentistry, State University of Ponta Grossa, Brazil ³Department of Dentistry, Paulo Picanço School of Dentistry, Brazil

^*Correspondance to: Alessandra Reis 

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Abstract

Aim: A systematic review/meta-analysis was performed to evaluate the use of topical anesthesia for reducing the intensity of pain for the placement the clamp used in rubber dam compared to a placebo or benzocaine in patients undergoing preventive treatment? Methods: A search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library and Grey literature. IADR abstracts, unpublished trials registries, dissertations and theses were also searched for randomized clinical trials comparing the clinical effectiveness of intra-pocket anesthesia and placebo. Risk/intensity of pain was the primary outcome. The risk of bias tool from the Cochrane Collaboration was used for quality assessment. Meta-analysis was performed on studies considered at low risk of bias. Quality of the evidence for each outcome was assessed using the GRADE tool. Results: The 2,114 articles were identified. Six remained in the qualitative synthesis, 2 studies were considered at “low” risk of bias and 4 studies were considered at “unclear” risk of bias. Standardized mean difference for intensity of pain using Faces Scale compared a topic x placebo was - 0.69 (95% CI = -1.23 to -0.15; p=0.01) and for Faces Scale compared a topic x benzocaine was 0.00 (95% CI = -0.32 to 0.32; p=1.00). For VRS pain scale compared topic x placebo it was - 0.50 (95% CI = -0.84 to -0.16; p=0.004). Conclusion: The anesthetic gel compared to placebo decreases the intensity of pain during the placement the clamp used in rubber dam for preventive treatment, but when compared to another topic there are no differences.

Keywords:

Meta-analysis; Anesthetics; Pit and fissure sealants; Dental anxiety

Citation:

Wambier LM, de Geus JL, Chibinski ACR, Loguercio A, Reis A. Is Topical Anesthesia Effective to Reduce the Intensity of Pain in Children for Placement the Clamp Before Rubber Dam Isolation for Sealant Application? A Systematic Review and Meta-Analysis. J Dent Oral Biol. 2021;6(2):1184..