Topic in Oral Health
Pain control and patient management
Local anesthesia, analgesia, sedation, and behavior management in dental care.
11 systematic reviews in Pain control and patient management ask 342 questions. 46.2% have no studies to answer them, 25.4% rest on very low certainty evidence and 4.1% reach moderate or high certainty.
Reviews
11
Questions
342
current versions
No studies
46.2%
Moderate or high
4.1%
No studies 158 · 46.2%Ungraded 53 · 15.5%Very low 87 · 25.4%Low 30 · 8.8%Moderate 10 · 2.9%High 4 · 1.2%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Thinnest evidence
All no studies and very low questions| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Counter-stimulation and distraction (combined) vs Conventional treatment Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Acceptance of LA: included studies did not report on this outcome | NR | No studies |
The wand (computer-controlled LA delivery system) vs Traditional local anaesthetic Self- or observational assessment of intraoperative distress/pain/acceptance of treatment during provision of LA: pain-related behaviour (any disruptive behaviour/sudden reaction/movement) · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA (injection is the intervention) Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | pain-related behaviour (any disruptive behaviour/sudden reaction/movement); 4 studies reported a benefit in using the wand while the remaining studies results suggested no difference between the 2 methods of delivering… | 6 studies · 704 participants | Very low |
Video modelling acclimatisation for LA vs Oral hygiene video Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · In advance of LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Acceptance of LA: included studies did not report on this outcome | NR | No studies |
Counter-stimulation and distraction (combined) vs Conventional treatment Self- or observational assessment of intraoperative distress/pain/acceptance of treatment during provision of LA (SEM scale, distress) · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | No numeric data reported. Study authors reported lower distress values (SEM scale) for all categories in the combined counter-stimulation and distraction group; this difference was significant when compared to the… | 1 study · 78 participants | Very low |
The wand (computer-controlled LA delivery system) vs Sleeper One (electronic LA delivery system) Adverse effects · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA (injection is the intervention) Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Adverse effects: included studies did not report on this outcome | NR | No studies |
The wand (computer-controlled LA delivery system) vs Sleeper One (electronic LA delivery system) Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA (injection is the intervention) Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Acceptance of LA: included studies did not report on this outcome | NR | No studies |
Electrical counter-stimulation device (DentalVibe) vs Conventional treatment (no stimulation) Adverse effects · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Adverse effects: included studies did not report on this outcome | NR | No studies |
Electrical counter-stimulation device (DentalVibe) vs Conventional treatment (no stimulation) Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Acceptance of LA: included studies did not report on this outcome | NR | No studies |
Video modelling acclimatisation for LA vs Oral hygiene video Completion of dental treatment · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · In advance of LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Completion of dental treatment: included studies did not report on this outcome | NR | No studies |
Audiovisual distraction vs Conventional treatment Successful LA/painless treatment · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · During LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Successful LA/painless treatment: included studies did not report on this outcome | NR | No studies |
Counter-stimulation or distraction vs Conventional treatment Completion of dental treatment · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · Immediately before or during LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Completion of dental treatment: included studies did not report on this outcome | NR | No studies |
Hypnosis vs Conventional treatment Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia · Immediately before or during LA Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental… (2020) · Cochrane | Acceptance of LA: included studies did not report on this outcome | NR | No studies |
Reviews 11
Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment
Cochranefull textintervention
73 questions
Management of gag reflex for patients undergoing dental treatment
Cochranefull textintervention
38 questions
Sedation of children undergoing dental treatment
Cochranefull textintervention
19 questions
Injectable local anaesthetic agents for dental anaesthesia
Cochranefull textintervention
112 questions
Pharmacological interventions for pain relief during orthodontic treatment
Cochranefull textintervention
34 questions
Preoperative analgesics for additional pain relief in children and adolescents having dental treatment
Cochranefull textintervention
10 questions
Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years
Cochranefull textintervention
1 questions
Intraoperative local anaesthesia for reduction of postoperative pain following general anaesthesia for dental treatment in children and adolescents
Cochranefull textintervention
28 questions
Ibuprofen and/or paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth
Cochranefull textintervention
9 questions
Hypnosis for children undergoing dental treatment
Cochranefull textintervention
13 questions
Paracetamol for pain relief after surgical removal of lower wisdom teeth
Cochranefull textintervention
5 questions