ABSTRACT
OBJECTIVE: To compare the pain experienced by patients during injections of local anesthesia in the palate using the traditional syringe and the controlled flow technique with the Calaject system. METHOD AND MATERIALS: A single-blind, split-mouth, randomized controlled trial was performed. Twenty-five volunteers were recruited in the Dental Hospital of the University of Barcelona, Spain. Each participant received two injections (0.3â¯mL of mepivacaine 3%), one with the traditional syringe (control side) and another with the Calaject system (experimental side), both during the same session. Pain intensity was evaluated after each injection with a 100-mm visual analog scale (VAS). A descriptive and bivariate statistical analysis was made. RESULTS: The mean pain experienced was 44.8â¯mm (standard deviation [SD] 19.0, range 8-72) with the traditional injection and 28.8â¯mm (SD 19.7, range 8-72) with the Calaject system (Pâ¯<â¯.001). Moderate/severe pain was more frequently referred in the control side (68%) in comparison with the experimental side (28%). CONCLUSION: Given the parameters of this study's design, the injection of local anesthetics in the palatal area with the Calaject controlled-flow system seems to reduce pain, in comparison to the use of a traditional syringe.