The Use of Topical Anesthesia among Dentists: An Online Survey

Abstract

Introduction: Providing “painless” dental care has been one of the main goals of dental surgeons for decades. The experience
of pain with dental procedures can lead to avoidance of much needed oral health care due to dental fears and anxiety. According
to the American Academy of Pediatric Dentistry, the prevention of pain during dental procedures can nurture the relationship
of the patient and dentist, building trust, allaying fear and anxiety, and promoting a positive dental attitude.

Aim: This study
aims to determine the current usage of various topical anesthetics (TAs) among dentists.

Methodology: Surveys were sent
online to dentists asking about their usage of TA. The survey included questions ranging from the type of TA used, waiting
time after the application of TA, if the practitioner considered the TA effective, and what percentage of the patients had an
adverse drug reaction (ADR) to TA. Data were analyzed by computing the percentage response for each question. Results: TA
is used by most dentists and the most commonly used is lignocaine spray (15% w/w). About 40.3% waited for 11–30 s after
the application of the TA. Most patients (70.1%) disliked the taste of TA and ADRs are rarely seen.

Conclusion: TA has been
commonly used, however, the perception of its effectiveness is varied. There also appears to be a better acceptance of flavored
TA in the pediatric dental population.
Key words: Dental clinicians, pedodontia, topical anesthesia, web-based survey