Pain and Anxiety Levels During Dental Restorations in Primary Molars: INJEX Needleless System vs Traditional Syringe

18 April 2025 : Clinical Research

Prabhadevi C. Maganur

^{ABDEFG 1*}, Satish Vishwanathaiah

^{ABDEFG 1}, Mohammed Abdurabu Jafer

^{ACDEFG 2}, Ibtisam Moafa

^{ACDEFG 2}, Noura Alessa

^{ACDEFG 3}, Ali A. Assiry

^{ADEFG 4}, Sultan Abdulaziz Altowairqi

^{ABEFG 5}, Amani Abdu Muhammed Basheri

^{ABEFG 5}, Hanan Hussain Najmi

^{ABEFG 6}, Zainab Ali Alhazmi

^{ABEFG 5}, Shahad Mohammed Maafa

^{ABEFG 5}, Ganesh Jeevanandan

^{ACDEF 7}, Varsha Manoharan

^{ACDEF 8}

DOI: 10.12659/MSM.947691

Med Sci Monit 2025; 31:e947691

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Table 2 Comparison of patient behavior and intensity of pain during local anesthesia administration.

SI. No	Parameters	Conventional syringe needle [Median(Q1, Q3)]	INJEX [Median(Q1, Q3)]	P value
1	FBRS
	Before anesthesia	4 (6, 4)	4 (3, 4)	0.36
	During anesthesia	3 (3, 4)	4 (3, 4)	0.054
	After anesthesia	4 (3, 4)	4 (3, 4)	0.964
2	FLACC Scale	4 (1, 5)	0 (0, 2)	<0.001^***
3	WBS
	Before the procedure	0 (0, 2)	0 (0, 0)	<0.001^***
	Immediately after injection	4 (2, 6)	2 (0, 2)	<0.001^***
	During the treatment	2 (2, 0)	0 (0, 0)	0.04^*
	At the end of the treatment	2 (0, 0)	0 (0, 0)	0.03^*
^* Significant at 0.05 level; ^ significant at 0.01 level; ^* significant at 0.001 level. FBR – Frankel Behavior Rating scale; FLACC – face legs activity cry consolability; WBS – Wong-Baker Scale.

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