Non-Cochrane · intervention · PM41658653

Comparative Evaluation of Pain Perception Between Needleless Jet Infiltration Anaesthesia and Conventional Needle Anaesthesia for Maxillary Primary Molars in Children: A Systematic Review and Meta-Analysis.

Kadam Utkarsha, Kalaskar Ritesh, Kalaskar Ashita R, et al. · Cureus · 2026 · PubMed · doi:10.7759/cureus.100909

Findings

Population Children aged 3-12 years undergoing dental procedures on maxillary primary molars

2 findings

Needleless jet infiltration anaesthesia (INJEX)Conventional needle infiltration anaesthesiaPain during injection
During injection
SMD 0.12 [-0.37, 0.60]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 244 participants
Needleless jet infiltration anaesthesia (INJEX)Conventional needle infiltration anaesthesiaPain during/after treatment
During and after treatment
SMD 0.11 [-0.14, 0.36]
Low
Downgraded: risk of bias, imprecision
2 studies · 244 participants

Included primary studies 6

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Altan 2021
Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial.
PMID:34852779
2021this review onlynot statednot extracted yet
Belevcikli 2023
Effect of the new needle-free injection system on pain perception and dental anxiety during anesthesia: randomized controlled split-mouth…
PMID:36819599
2023this review onlyPain during injection; Pain during/after treatmentnot extracted yet
El-Dien Mohamed 2023
matched by author and year (probable)
NRthis review onlyPain during injection; Pain during/after treatmentnot extracted yet
Elbadry 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ellatif 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Oliveira 2018
Assessment of anesthetic properties and pain during needleless jet injection anesthesia: a randomized clinical trial.
PMID:30673030
2019this review onlynot statednot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationChildren aged 3-12 years undergoing dental procedures involving maxillary primary molarsChildren undergoing treatment of maxillary primary molars (n=6 studies; one study in adults)
InterventionNeedleless jet infiltration anaesthesia using the INJEX systemNeedleless jet injection (INJEX or Comfort-In) (n=6)
ComparisonConventional needle infiltration anaesthesiaConventional needle infiltration (n=6)
OutcomesPain perception assessed by validated measures (VAS, Wong-Baker Faces, FLACC, FPS-R)Pain during injection (n=2); pain during/after treatment (n=2)
Study designsRCTs, parallel or split-mouth, English languageRCTs (n=6)
TimingNot specifiedDuring injection; during/after treatment