The anxiety experienced by pediatric patients is one of the biggest problems that
dentists encounter in practice and is closely related to their current oral health.
Studies have shown that dental anxiety depends on many factors, but the pain that is
thought to occur during the procedure is one of the most important reasons for the
formation of dental anxiety. Painful dental procedures cause anxiety, and anxiety
prolongs the duration and increases the severity of the pain felt. For this reason,
coping with dentist anxiety at an early age and practices that will enable painless
dental treatment in pediatric patients should be emphasized. Behavioral guidance
techniques and pain management are used to minimize the pain felt during dental
treatment.
Various strategies, devices or techniques have been developed to reduce or eliminate pain
occurring during local anesthesia injection. Intraosseous injection is an anesthesia with
a high success rate. Anesthesia begins in a short time following the injection, it does
not cause numbness in the tongue-lips-cheek, there is almost no injection pain, and less
anesthetic solution is used compared to traditional nerve block techniques.
Situations that cause dental anxiety in pediatric patients include children with
hypersensitive teeth. Molar incisor hypomineralization (MIH) is a qualitative
developmental enamel defect affecting at least one permanent molar. The color of these
defects can vary from white to yellow and brown, and especially in severe cases, enamel
destruction may occur after application. MIH; dental hypersensitivity is among the most
complicated cases that require management of various clinical difficulties in pediatric
dentistry, such as failure to provide adequate analgesia/anesthesia, increased risk of
carious lesion formation, increased dental anxiety, and increased aesthetic anxiety.
MIH continues to be a subject that continues to be researched in pediatric dentistry.
Pediatric dentists encounter difficulties in providing adequate depth of anesthesia in
restorative treatments, especially in MIH accompanied by hypersensitivity. This thesis
study aims to examine the effect of intraosseous anesthesia on procedural pain in
patients with MIH.
As a result of the literature review, the following hypothesis was put forward: There is
no significant difference in terms of pain perception between intraosseous anesthesia and
traditional metal syringe anesthesia in children with MIH.