The Journal
*Dr. Gagan Makkar
**Dr. Vinay Verma
Dental PHOBIA Management : Innovative Painless
Approach
In dentistry pain is like double edge sword to the dentist. Methods used to control dental operative
pain may themselves produce distress. Injections play a vital role in medical and dental care. This
needle phobia is associated with anxiety which later leads to syncope. Various new approaches have
been introduced to lessen the pain which thus helps in management of dental phobia and anxiety.
Introduction 1. Dental Vibe
Dental fear is prevalent problem that impacts
dental treatment seeking behavior and thus
oral,systemic and psycgologic health.. After studying the Gate Control Theory of pain,
three-in-one injection comfort system was
introduced to enable the delivery of anesthetic
injections without discomfort.
It was estimated that 75% of adults experience
some degree of dental fear. Fear of pain is
critical component of dental fear. Studies
reviewed dental phobia and concluded that
about 9% of children and adolescent suffers
from dental phobia particularly needle phobia.
Pain is one of the most common reasons for
physician consultation. In dentistry pain is like
double edge sword to the dentist . Effective local
anaesthesia is the single most important pillar
upon which modern dentistry stands. Injections
of local anaesthesia are one of the effective
methods to reduce pain. But injection of local
anaesthetic itself is a great source of patient
fear. This needle phobia is associated with
anxiety which later leads to syncope. High-
pitched whine of dentist’s drill fills patients with
fear.
Below are enlisted few innovative approaches
which help to reduce dental anxiety and fear.
The DentalVibe works with proprietary
VibraPulse technology, delivering pulsed
vibration while at the same time retracting the lip
and check and illuminating the injection site.
The result is a comfortable, stress-free
injection.
DentalVibe is a handheld cordless injection
system, which consists of a U-shaped vibrating
tip attached to a microprocessor-controlled
Vibra-Pulse motor.
The device delivers a pulsed, percussive
vibration with enhanced amplitude, which
gently taps the mucosa in a synchronized but
changing pattern which keeps the α-β nerve
fibers activated thus diverting the pain
sensation, in other words.
The device's forked tip stimulates A-beta nerve
fibers that travel much faster than C-nerve
fibers, which carry pain sensations As a result,
the brain registers the vibrations instead of the
pain. The activated Ushaped vibrating tip is first
applied to the injection site, and the dental
needle may be inserted anywhere in the
vibration zone.
*MDS, Prosthodontist and Implantologist
**FAD, New York University
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Vol. 13
12 No. 1
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3
May-August
Sept-Dec 2017
Jan-April
2016
2016