Children's preference of benzocaine gel versus the lidocaine patch

Sonia J Wu, Kell Julliard
Pediatric Dentistry 2003, 25 (4): 401-5

PURPOSE: This study compared pain, acceptance, and preference associated with 2 topical anesthetics: benzocaine gel and lidocaine patch (DentiPatch).

METHODS: Thirty patients aged 3 to 10 years participated in this within-subjects study. All children required identical or similar dental work bilaterally (restorations, extractions, endodontic procedures, or sealants). Subjects chose either DentiPatch or benzocaine gel at the first visit. The anesthetic the child did not choose was used at the second visit. The Whali-Wong scale was used to measure comfort before and after application of topical anesthetic and after injection, and the Sounds, Eyes, Motor (SEM) scale measured pain upon injection.

RESULTS: At the first visit, 80% of subjects selected DentiPatch; 60% of subjects made their choice based on appearance. Younger children more than older children were influenced by appearance in their selection. After trying both topical anesthetics, 77% preferred DentiPatch; final preference and either age or gender were not significantly related. The gel had greater scores than the patch for the Sounds pain value and for the SEM scale composite score.

CONCLUSIONS: The lidocaine patch was associated with some objective evidence of reduced pain compared to the gel and was preferred by most children.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"