ArticleInternational journal of clinical pediatric dentistry2026
Comparative Evaluation of Pain Assessment Using Star Pen and Conventional Injection Technique during Inferior Alveolar Nerve Block Injection in Children Aged between 6 and 10 Years: A Randomized Controlled Trial.
Article in International journal of clinical pediatric dentistry, 2026. 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
Background: Managing pain and anxiety during dental procedures is a major concern in pediatric dentistry. The method of local anesthetic delivery significantly influences a child's dental experience. Inferior alveolar nerve block (IANB) is commonly associated with discomfort and anxiety in pediatric patients. Aim: To compare the efficacy, patient perception, and physiological response of a computer-controlled local anesthetic delivery (CCLAD) system (Woodpecker Star Pen) with a conventional syringe during IANB administration in children aged 6-10 years. Materials and methods: A randomized, split-mouth crossover trial was conducted on 50 cooperative children requiring bilateral IANB. Each participant received both injection techniques (Star Pen and conventional syringe) in two separate appointments. Pain perception, behavior [sound-eye-motor (SEM) scale], heart rate changes, and injection duration were recorded and analyzed. Results: The Star Pen significantly reduced pain scores (1.44 ± 1.82) compared to the conventional syringe (3.24 ± 1.94) ( Conclusion: The Woodpecker Star Pen CCLAD system provides a more comfortable and less distressing experience for children compared to the conventional syringe, making it a favorable alternative for delivering IANB in pediatric dental settings. How to cite this article: Kelkar SM, Shah PP, Chaudhary SM,
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