journal of research in dental sciences
مجله تحقیق در علوم دندانپزشکی
J Res Dent Sci
Medical Sciences
http://jrds.ir
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admin
2008-4676
2228-7353
8
10.61186/jrds
14
13
fa
jalali
1399
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1
gregorian
2020
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online
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fulltext
fa
بررسی تاثیر گرمکردن کارپولهای بی حسی موضعی بر درد حین تزریق دندانپزشکی
Effect of Heated Local Anesthetic on Pain Perception upon Oral injection
جراحی-
oral surgery
مطالعه اصیل
original article
<h3 dir="RTL" style="text-align:right !msorm;text-align:justify;text-justify:kashida;text-kashida:0%;direction:rtl;unicode-bidi:embed;"><span style="font-weight:normal !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">سابقه و هدف</ins></span></span></span></span><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">:</ins></span></span></span></span> <span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">درد ح</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif 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style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ق</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> ب</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> حس</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> موضع</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> از مشکلات</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> است که موجب ا</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">جاد</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> ترس و اضطراب در بس</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ار</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> از ب</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ماران</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> و اجتناب آنها از درمانها</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold 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style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> ب</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> حس</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B 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style="font-size:12.0pt;">راکت</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> گزارش شده است. هدف از انجام ا</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ن</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> تحق</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ق</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> بررس</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> اثر تزر</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ق</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> با دما</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span> <span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">37</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> درجه سانت</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> گراد در کاهش درد ن</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اش</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> از تزر</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ق</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> ا</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نف</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">لتره</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> ماگز</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">لا</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> و مقا</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سه</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> آن با تزر</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ق</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> در دما</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> 21 درجه (دما</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> اتاق) در همان فرد در ب</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ماران</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> مراجعه کننده به </span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دانشکده دندانپزشک</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> دانشگاه علوم پزشک</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ی</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> آزاد تهران در سال 139</span></span></span></span></span><span style="font-weight:bold !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">7 بود.</span></span></span></span></span><span style="font-weight:normal !msorm;"><span style="font-family:Times New Roman,serif !msorm;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"></span></span></span></span></h3>
<h3 dir="RTL" style="text-align:justify;text-justify:kashida;text-kashida:0%;direction:rtl;unicode-bidi:embed;"><span style="font-size:8.0pt !msorm;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">مواد</ins></span></span></span><span style="font-size:8.0pt !msorm;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30"> و روش ها:</ins></span></span></span> <span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تحقیق به روش کارآزمایی بالینی از نوع </span></span></span><span dir="LTR" style="font-weight:normal;"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">split mouth</span></span></span> <span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> انجام شد. کلیه افرادی که دو سمت ماگزیلا آنها اندیکاسیون تزریق بی حسی را داشت و موافقت خود را اعلام کردند، به عنوان نمونه در نظر گرفته شدند. کارپول لیدوکائین (داروپخش-ایران) انتخاب شد و در گروه تجربی به وسیله گرم کن (</span></span></span><span dir="LTR" style="font-weight:normal;"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">Tommee</span></span></span> <span dir="LTR" style="font-weight:normal;"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">Teppee</span></span></span><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">-انگلستان) به دمای 37</span></span></span> <span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">درجه سانتی گراد رسید و سپس یک سمت از ماگزیلا به عنوان گروه مورد به صورت تصادفی تزریق گرم و سمت دیگر به عنوان گروه کنترل تزریق با دمای اتاق و با همان دوز انجام شد. بلافاصله پس از تزریق تاثیر آن بر میزان شدت درد بر اساس </span></span></span><span dir="LTR" style="font-weight:normal;"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">VAS</span></span></span><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> صدگانه تعیین و با آزمون</span></span></span><br>
<span dir="LTR" style="font-weight:normal;"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">MANN</span></span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">-U-</span></span></span><span dir="LTR" style="font-weight:normal;"><span style="font-family:Times New Roman,serif;"><span style="font-size:11.0pt;">WHITNEY</span></span></span><span style="font-weight:normal;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> مورد قضاوت آماری قرار گرفت.</span></span></span></h3>
<span style="font-weight:normal !msorm;"><span style="font-family:Arial,sans-serif !msorm;"><span style="font-size:10.0pt !msorm;"><strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">یا</ins></span></span></strong></span></span></span><span style="font-weight:normal !msorm;"><span style="font-family:Arial,sans-serif !msorm;"><span style="font-size:10.0pt !msorm;"><strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">فته</ins></span></span></strong></span></span></span><span style="font-weight:normal !msorm;"><span style="font-family:Arial,sans-serif !msorm;"><span style="font-size:10.0pt !msorm;"><strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30"> ها</ins></span></span></strong></span></span></span><span style="font-size:10.0pt !msorm;"><span style="font-family:Arial,sans-serif;"><span style="font-size:12.0pt;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">:</ins></span></span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روی 16 نفر و با توجه به نوع مطالعه 32 نمونه کار شد. از این نمونه ها 7 نفر مرد و 13 نفر زن بودند و سن آنها</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> 12/98</span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">±</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">36/36 بود. میزان درد گروه شاهد (تزریق دمای اتاق) 28/5</span></span><span style="font-family:Cambria,serif;"><span style="font-size:12.0pt;">±</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">38/5 و در گروه مورد (تزریق گرم) برابر با 20/9</span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">±</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">27/5 بود. میزان درد در گروه شاهد 75 درصد و در گروه تجربی 25 درصد بود. (0/01</span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">></span></span><span dir="LTR"><span style="font-size:12.0pt;">P</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">)</span></span> <strong><span style="font-family:Arial,sans-serif;"><span style="font-size:12.0pt;"></span></span></strong><strong><span style="font-family:Arial,sans-serif;"><span style="font-size:12.0pt;"></span></span></strong><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> <ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-09T13:30">نتیجه گیری: </ins></span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به نظر می رسد گرم کردن کارپول های بی حسی در کاهش درد هنگام تزریق موثر است.</span></span><span dir="LTR"><span style="font-size:12.0pt;"></span></span>
<strong>Background and aim:</strong> Pain during injection of local anesthesia causes fear and anxiety in many patients that could be a reason why patients avoid regular dental treatment. Previous studies have reported the effect of warming anesthetic solutions in various areas such as skin, plastic surgery, and cataract surgery. The purpose of this study was to evaluate the effect of warming anesthetic solution on the control of pain perception during maxillary infiltration in same patient erffering to faculty of Dentistry, Tehran Medical Sciences of Islamic Azad University at 2018.<br>
<strong>Material and Method:</strong> This research was based on clinical trial,split mouth type. The patients with indication of anesthesia injection for both sides of maxilla which were agreed to participation of this study, considered as study samples. 2 percent Lidocaine (Daroopakhsh-Iran) was heated by (Tommee-Teppee-England) boiler to 40°C and the injection was performed at 37°C in the experimental group, whereas the opposite side, as the control, served 21°C (room temperature) injection. Either side of maxilla was conducted randomly as experimental group (warm injection) and control group (room temperature injection). The intensity of pain perceived during the injection was assessed by 100 mm Visual Analog Scale and statistically analyzed by the MANN-U-WHITNEY test.<br>
<strong>Results</strong>: Evaluation was made on 16 patients and regarding to type of study, 32 sides. Of samples, 7 male and 13 females were present and age average of them was 36.1±12.98 years old. VAS scores in the control group (room temperature injection) was 38.5±28.5 and in the experimental group (warm injection) was 27.5±20.9. Pain perception was 75% in the control group and 25% in the experimental group (P <0.01).<br>
<strong>Conclusion</strong>: Warming local anesthetic solution prior to injection can efficiently reduce the pain compared to its use at room temperature.<br>
درد, ,داروی بی حسی موضعی, تزریق , لیدوکائین , visual analog scale, ASA1
Pain, Visual analog scale, injection, local anesthesia, Lidocaine, ASA1
84
91
http://jrds.ir/browse.php?a_code=A-10-1459-1&slc_lang=fa&sid=1
Rayhaneh
Pahlevan
ریحانه
پهلوان
Drrhpn@gmail.com
100319475328460016078
100319475328460016078
No
Azad University
دانشگاه آزاد
Ali
Hassani
علی
حسنی
Drhassani.omfs@gmail.com
100319475328460016079
100319475328460016079
Yes
Azad University
دانشگاه آزاد اسلامی واحد دندانپزشکی تهران، تهران، ایران
Alireza
Modarresi
علیرضا
مدرسی
A_r_modeh@yahoo.com
100319475328460016080
100319475328460016080
No
Azad University
دانشگاه آزاد