ArticleJournal of conservative dentistry and endodontics2025
Chill before drill: Impact of injection site cooling and cold anesthetic on infiltration anesthesia in symptomatic irreversible pulpitis.
Article in Journal of conservative dentistry and endodontics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aims: This study aimed to evaluate the effect of precooling the injection site and administering cold lignocaine on onset, injection pain, and anesthetic efficacy in patients with SIP. Context: Achieving profound pulpal anesthesia without any pain, in patients with symptomatic irreversible pulpitis (SIP), being a major challenge, has prompted the investigation of various alternate methods to achieve adequate anesthesia. Settings and Design: Sixty patients with SIP in maxillary premolars and preoperative Heft-Parker Visual Analog Scale pain score ≥54 mm were randomly divided into Group I ( Subjects and Methods: Group I received standard buccal infiltration following topical anesthetic application. Group II received topical cooling with an ice stick for 10 s, followed by cold anesthetic administration. Time of onset of anesthesia, pain on injection, and intraoperative pain were assessed. Statistical Analysis Used: The descriptive statistics included mean, standard deviation, and frequency. The inferential statistical tests included the Independent Results: The experimental group demonstrated a significantly faster onset of anesthesia ( Conclusions: Topical cooling combined with precooled lignocaine significantly improves onset, efficacy, and patient comfort during dental anesthesia, representing an effective adjunct to conventional techniques.
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