A clinical evaluation of Cetacaine ® applications in dental practice
MetadataShow full item record
Purpose: The purpose of this study is to determine the efficacy of a topical dental anesthetic "CETACAINE ® " in different dental procedures in pediatric patients. Methods: After IRB approval and informed consent / assent was obtained. Seventy-one patients were recruited for a cohort non-blinded study. Forty patients in the study group received topical Cetacaine ® . Twenty patients had a clamp placed on a six year molar and (the perceived) pain was evaluated using the Wong-Baker faces of pain (0-10) and the FLACC pain scale (0-10). The second study group (20 patients) had a soft tissue retained primary tooth extracted and pain was evaluated in a similar manner. Thirty-one (one patient withdrew from the study and wasn't included in the results and statistical analysis) patients in the control group received 2% Lidocaine with epinephrine. In the first control group, twenty patients had a clamp placed on a six year molar and (the perceived) pain was evaluated using Wong-Baker faces of pain (0-10) and the FLACC pain scale (0-10). In the second control group, ten patients had a soft tissue retained primary tooth extracted and pain was evaluated in a similar manner. Results: A significant increase in the level of pain was observed when using an injectable anesthetic (FLACC, Wong-Baker) when compared to use of a topical anesthetic, but there was no significant difference in perceived and observed pain levels when clamp placement or extraction was performed.