Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies

Authors

  • A Libonati Department of Surgical Sciences, Dental School, Catholic University of Our Lady of Good Counsel of Tirane, Tirane
  • R Nardi Department of Clinical and Translational Medicine, Dental School, University of Rome "Tor Vergata", Rome
  • G Gallusi Department of Clinical and Translational Medicine, Dental School, University of Rome "Tor Vergata", Rome
  • V Angotti Department of Clinical and Translational Medicine, Dental School, University of Rome "Tor Vergata", Rome
  • S Caruso Department of Life, Health and Environmental Sciences, Dental School, University of L'Aquila, L'Aquila
  • F Coniglione Department of Surgical Sciences, Dental School, Catholic University of Our Lady of Good Counsel of Tirane, Tirane
  • G Marzo Department of Life, Health and Environmental Sciences, Dental School, University of L'Aquila, L'Aquila
  • A Mattei Department of Life, Health and Environmental Sciences, Dental School, University of L'Aquila, L'Aquila
  • S Tecco Dental School "Vita-Salute San Raffaele" University, Milan
  • L Paglia Department of Paediatric Dentistry, Istituto Stomatologico Italiano (ISI), Milan
  • V. Campanella Department of Clinical and Translational Medicine, Dental School, University of Rome “Tor Vergata”, Rome

DOI:

https://doi.org/10.23804/ejpd.2018.19.04.14

Keywords:

Anxiety, CCLAD Dental anaesthesia, Pain

Abstract

AIM: This review focuses on Computer-Controlled Local Anaesthesia Delivery systems (CCLAD), in comparison with conventional carpule anaesthesia in means of pain and anxiety. METHODS: Medline, Embase, Web of Science and Cochrane Database for Systematic Reviews were searched up to August 2018. Only cross-over split-mouth design studies aimed to clinically compare CCLAD with a conventional carpule anaesthesia are included. Data about pain and anxiety associated with anaesthesia were sought. The authors performed meta-analysis where appropriate. CONCLUSION: CCLAD results in significantly slightly less pain perception with respect to conventional injection and is a promising device to help patients. The literature needs to be expanded, mostly regarding anxiety.