Effectiveness of Drinking a Sweet-Tasting Snack Before Local Anesthetic Injection on Pain Perception among 5-Year-Old Children: A Split-Mouth Cross-Over Study

Authors

  • Hamidreza Poureslami
  • Jelveh Hashemi Nejad
  • Parnian Poureslami
  • Maryam Rad

Keywords:

Dentistry, Injections, Mandibular Nerve, Pain, Anesthetics, Local

Abstract

Objective: To investigate the pain-relieving property of consuming sweet-tasting solution before dental injections. Material and Methods: In this single-blinded split-mouth study, fifty-two 5-year-old children who needed bilateral mandibular deciduous molars pulpotomies participated. The effect of drinking a cool liquid snack containing 10 milliliters of 12% sucrose solution (study group) or cool tap water (control group) with a straw before inferior alveolar nerve block injection was assessed regarding pain perception. The degree of discomfort was recorded after dental injections using the Wong-Baker Faces Pain Scale (WBFPS). Data were analyzed using SPSS version 26 and the Independent Sample Test. The statistical significance level was set at p<0.05. Results: Significantly lower WBFPS scores were reported for the test group (2.9231) compared to the study group (5.0000) (p<0.001). Conclusion: Drinking a cool sucrose solution with a straw before dental injections can aid in reducing the associated discomfort, resulting in better interaction with the child during dental sessions.

References

Kassab M, Foster JP, Foureur M, Fowler C. Sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age. Cochrane Database Syst Rev 2012; 12(12):CD008411. https://doi.org/10.1002/14651858.CD008411.pub2

Ghaderi F, Ghaderi R, Davarmanesh M, Bayani M, Arabzade Moghadam S. Pain management during needle insertion with low level laser. Eur J Paediatr Dent 2016; 17(2):151-154.

Aminabadi NA, Farahani R. The effect of pre-cooling the injection site on pediatric pain perception during the administration of local anesthesia. J Contemp Dent Pract 2009; 10(3):43-50.

Janiani P, Gurunathan D. Effectiveness of pre-administered natural sweet-tasting solution for decreasing pain associated with dental injections in children: A split-mouth randomized controlled trial. J Contemp Dent Pract 2021; 22(12):1434-1437.

Kracke GR, Uthoff KA, Tobias JD. Sugar solution analgesia: The effects of glucose on expressed mu opioid receptors. Anesth Analg 2005; 101(1):64-68. https://doi.org/10.1213/01.ANE.0000152617.11003.42

Ghaderi F, Ahmadbeigi M, Vossoughi M, Sardarian A. The efficacy of administrating a sweet-tasting solution for reducing the pain related to dental injections in children: A randomized controlled trial. Int J Paediatr Dent 2021; 31(2):184-190. https://doi.org/10.1111/ipd.12697

Hatfield LA, Gusic ME, Dyer AM, Polomano RC. Analgesic properties of oral sucrose during routine immunizations at 2 and 4 months of age. Pediatrics 2008; 121(2):e327-334. https://doi.org/10.1542/peds.2006-3719

Aljohar HI, Maher HM, Albaqami J, Al-Mehaizie M, Orfali R, Orfali R, et al. Physical and chemical screening of honey samples available in the Saudi market: An important aspect in the authentication process and quality assessment. Saudi Pharm J 2018; 26(7):932-942. https://doi.org/10.1016/j.jsps.2018.04.013

Shah PS, Aliwalas LI, Shah V. Breastfeeding or breast milk for procedural pain in neonates. Cochrane Database Syst Rev 2006; 19:(3):CD004950. https://doi.org/10.1002/14651858.CD004950.pub2

Aarts C, Hornell A, Kylberg E, Hofvander Y, Gebre-Medhin M. Breastfeeding patterns in relation to thumb sucking and pacifier use. Pediatrics 1999; 104(4):e50. https://doi.org/10.1542/peds.104.4.e50

Bartley EJ, Fillingim RB. Sex differences in pain: A brief review of clinical and experimental findings. Br J Anesth 2013; 111(1):52-58. https://doi.org/10.1093/bja/aet127

Lewkowski MD, Barr RG, Sherrard A, Lessard J, Harris AR, Young SN. Effects of chewing gum on responses to routine painful procedures in children. Physiol Behav 2003; 79(2):257-265. https://doi.org/10.1016/s0031-9384(03)00098-2

Shiiba S, Sakamoto E, Sago T, Furuta H, Yamamoto T, Tada Y, et al. Effect of sweet solutions on pain tolerance threshold in pediatric oral mucosa. Pediatr Dent J 2012; 22(1):22-26. https://doi.org/10.1016/S0917-2394(12)70248-3

Van Belkom B, Van Lier I, Umanets A, Van Mil E, Havermans RC. Sweetness in a glass: A study on children's sweet preference and sensitivity. Food Qual Prefer 2023; 110(11):104939. https://doi.org/10.1016/j.foodqual.2023.104939

Padmanabh SK, Gangurde VB, Jhamb V, Gori N. Effect of cryoanesthesia and sweet tasting solution in reducing injection pain in pediatric patients aged 7–10 years: A randomized controlled trial. J Dent Anesth Pain Med 2024; 24(1):37-45. https://doi.org/10.17245/jdapm.2024.24.1.37

Downloads

Published

2025-01-26

How to Cite

Poureslami, H., Nejad, J. H., Poureslami, P., & Rad, M. (2025). Effectiveness of Drinking a Sweet-Tasting Snack Before Local Anesthetic Injection on Pain Perception among 5-Year-Old Children: A Split-Mouth Cross-Over Study. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 25, e230245. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/4248

Issue

Section

Original Articles