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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Use of Cryo‐Anesthesia vs Topical Anesthetic Spray to Evaluate Pain Perception by Pediatric Patients During Greater Palatine Nerve Block: A Pilot Study

Amritjit Gawali, Shantanu Choudhari, Swati Mittal, Haresh Vanza and Devina Desai
Page: 1-5 | Received 15 Jun 2025, Published online: 05 Aug 2025

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https://doi.org/makrjms.2025.5.1.5

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Abstract

Effective pain management is crucial in pediatric dentistry, especially during greater palatine nerve blocks (GPNB), which are often painful for children. This study compared the effectiveness of topical anesthetic spray and cryo‐anesthesia in reducing pain during GPNB in children using a behavioral pain assessment scale. In this randomized, split‐mouth clinical trial, children aged 7‐12 years requiring bilateral maxillary posterior procedures received topical anesthetic spray at the first appointment and cryo‐anesthesia at the contralateral site during the second appointment. Intervention sequence was assigned via computer‐generated randomization. Standardized GPNBs were administered after pre‐injection interventions, and pain was assessed using the Sound, Eye, and Motor (SEM) scale by a blinded examiner. Comparisons were made using Wilcoxon signed‐rank tests. Cryo‐anesthesia resulted in significantly lower SEM scores compared to topical anesthetic spray (median total SEM: 7.0 vs. 10.0, p < 0.001), with reductions observed in all scale components Cryo‐anesthesia is more effective than topical anesthetic spray in minimizing pain perception during GPNB in children and can be recommended as a safe, easy‐to‐use adjunct in pediatric dental practice.

How to cite this article:

Amritjit Gawali, Shantanu Choudhari, Swati Mittal, Haresh Vanza and Devina Desai. Use of Cryo‐Anesthesia vs Topical Anesthetic Spray to Evaluate Pain Perception by Pediatric Patients During Greater Palatine Nerve Block: A Pilot Study.
DOI: https://doi.org/10.36478/makrjms.2025.5.1.5
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.5.1.5