The feasibility of needleless jet injection versus conventional needle local anesthesia during dental procedures: a systematic review
10.5125/jkaoms.2022.48.6.331
- Author:
Alreem Ahmed ALAMEERI
1
;
Hessa AlFandi ALSHAMSI
;
Amel MURAD
;
Mariam Mahmoud ALHAMMADI
;
Meznah Hamad ALKETBI
;
Arwa ALHAMWI
;
Natheer Hashim AL RAWI
;
Sausan AL KAWAS
;
Marwan Mansoor MOHAMMED
;
Shishir Ram SHETTY
Author Information
1. Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
- Publication Type:REVIEW ARTICLE
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2022;48(6):331-341
- CountryRepublic of Korea
- Language:English
-
Abstract:
This systematic review evaluates current evidence regarding the feasibility of using needleless jet injection instead of a conventional local anesthetic needle. EBSCO, ProQuest, PubMed, and Scopus databases were used to identify relevant literature published in English from 2005 to 2020. Ten studies were selected. Five of them were randomized clinical trials, 3 case-control studies, and 2 equivalence trials. Using the Critical Appraisal Skills Program checklist, 6 studies scored between 67% and 100%, and 4 studies scored between 34% and 66%. According to Jadad’s scale, 2 studies were considered strong, and 8 studies were considered moderate in quality. The results of the 10 studies showed differences in patient preference for needleless jet injection. Needleless injection technique has been found to be particularly useful in uncooperative patients with anxiety and needle phobia.Needleless jet injection is not technique sensitive. However, with needleless jet anesthesia, most treatments require additional anesthesia. Conventional needle anesthesia is less costly, has a longer duration of action, and has better pain control during dental extraction. Needleless jet anesthesia has been shown to be moderately accepted by patients with a fear of needles, has a faster onset of action, and is an efficient alternative to conventional infiltration anesthesia technique.
