THE USE OF TRANSCUTANEOUS NERVE STIMULATION IN DENTISTRY

Yıl 2023, Cilt: 12 Sayı: 2, 328 - 333, 13.05.2023

Taha Özer

https://doi.org/10.54617/adoklinikbilimler.1232611

Cited By: 1

Öz

Transcutaneous electrical nerve stimulation (TENS) is a method used in various fields to relieve acute pain like contusion, laceration, hematoma, fracture, postoperative pain, etc. and chronic pain like osteoarthritis, phantom limb pain, neuropathic pain syndrome, etc. Especially in recent years, it has been frequently used in the field of dentistry for pain relief during various dental procedures or the treatment of maxillofacial pain caused by various reasons. This review aims to outline analgesic and non analgesic use of TENS on adult and pediatric patients in dentistry. The history of therapeutic electricity, the mechanism of action and types of TENS, administration techniques, indications, and contraindications are also discussed. Moreover, it is aimed to raise awareness about TENS in dentistry and to increase its use.

Anahtar Kelimeler

Nerve stimulation;, Oral surgery;, Pain control;, TENS.

Diş Hekimliğinde Transkutanöz Elektriksel Sinir Stimülasyonu: Derleme

Öz

Transkutanoz elektriksel sinir stimulasyonu (TENS), akut (laserasyon, fraktür, hematom, kontüzyon, postoperatif ağrı, vs.) ve kronik (osteoartrit, fantom ekstremite ağrısı, nöropatik ağrı sendromu, vs.) ağrıyı gidermek için çeşitli alanlarda kullanılan bir metod olmakla birlikte; özellikle son yıllarda diş hekimliği alanında çeşitli dental işlemler sırasında ağrının giderilmesi veya maksillofasiyal bölgeyi etkileyen çeşitli sebeplerden kaynaklanan ağrının tedavisi gibi durumlarda sıklıkla kullanılmaktadır. Bu derleme, diş hekimliği alanıyla ilgili yetişkin ve pediyatrik hastalarda TENS’in analjezik ve analjezik olmayan kullanımları için mevcut klinik araştırmalar ışığında bir bakış sağlamayı amaçlamaktadır. Ayrıca, terapötik elektriğin tarihçesi, TENS’in etki mekanizması ve çeşitleri, uygulama teknikleri, endikasyon ve kontrendikasyonları tartışılmıştır. Bununla birlikte dişhekimliği alanlarında TENS konusunda farkındalık yaratmak ve kullanımını artırmak hedeflenmiştir.

Anahtar Kelimeler

Ağrı kontrolü;, Oral cerrahi;, Sinir stimülasyonu;, TENS;

Kaynakça

• Kasat V, Gupta A, Ladda R, Kathariya M, Saluja H, Farooqui A. Transcutaneous electric nerve stimulation (TENS) in dentistry- A review. J Clin Exp Dent 2014;6:562-8.
• Dissanayaka TD, Banerjee G, Johnson MI. A survey of the attitudes and beliefs about the use of TENS for pain management by physiotherapists working in two cities in Sri Lanka. Patient Relat Outcome Meas 2014;5:35-41.
• Quarnstrom F. Electronic dental anesthesia. Anesth Prog 1992;39:162-77.
• Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971-9.
• Reynolds DV. Surgery in the rat during electrical analgesia induced by focal brain stimulation. Science 1969;164:444-5.
• Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003;4:109-21.
• Sluka KA, Deacon M, Stibal A, Strissel S, Terpstra A. Spinal blockade of opioid receptors prevents the analgesia produced by TENS in arthritic rats. J Pharmacol Exp Ther 1999;289:840-6.
• Kalra A, Urban MO, Sluka KA. Blockade of opioid receptors in rostral ventral medulla prevents antihyperalgesia produced by transcutaneous electrical nerve stimulation (TENS). J Pharmacol Exp Ther 2001;298:257-63.
• Dhindsa A, Pandit IK, Srivastava N, Gugnani N. Comparative evaluation of the effectiveness of electronic dental anesthesia with 2% lignocaine in various minor pediatric dental procedures: A clinical study. Contemp Clin Dent 2011;2:27-30.
• Malamed SF, Quinn CL, Torgersen RT, Thompson W. Electronic dental anesthesia for restorative dentistry. Anesth Prog 1989;36:195-8.
• Yap AU, Ho HC. Electronic and local anesthesia: a clinical comparison for operative procedures. Quintessence Int 1996;27:549-53.
• Yap AU, Ong G. An introduction to dental electronic anesthesia. Quintessence Int 1996;27:325-31.
• Roth PM, Thrash WJ. Effect of transcutaneous electrical nerve stimulation for controlling pain associated with orthodontic tooth movement. Am J Orthod Dentofacial Orthop 1986;90:132-8.
• Quarnstrom F, Libed EN. Electronic anesthesia versus topical anesthesia for the control of injection pain. Quintessence Int 1994;25:713-6.
• Meechan JG, Gowans AJ, Welbury RR. The use of patient-controlled transcutaneous electronic nerve stimulation (TENS) to decrease the discomfort of regional anaesthesia in dentistry: a randomised controlled clinical trial. J Dent 1998;26:417-20.
• Varrese M, Guerrini G. Approach to electrical anesthesia: nine years of experience in odontostomatological surgery. Anesth Prog 1992;39:185.
• Quarnstrom FC, Milgrom P. Clinical experience with TENS and TENS combined with nitrous oxide-oxygen. Report of 371 patients. Anesth Prog 1989;36:66-9.
• Baghdadi ZD. Evaluation of electronic dental anesthesia in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:418-23.
• teDuits E, Goepferd S, Donly K, Pinkham J, Jakobsen J. The effectiveness of electronic dental anesthesia in children. Pediatr Dent 1993;15:191-6.
• Oztas N, Olmez A, Yel B. Clinical evaluation of transcutaneous electronic nerve stimulation for pain control during tooth preparation. Quintessence Int 1997;28:603-8.
• Katch EM. Application of transcutaneous electrical nerve stimulation in dentistry. Anesth Prog 1986;33:156-60.
• Singla S, Prabhakar V, Singla RK. Role of transcutaneous electric nerve stimulation in the management of trigeminal neuralgia. J Neurosci Rural Pract 2011;2:150-2.
• Yameen F, Shahbaz NN, Hasan Y, Fauz R, Abdullah M. Efficacy of transcutaneous electrical nerve stimulation and its different modes in patients with trigeminal neuralgia. J Pak Med Assoc 2011;61:437-9.
• Hansson P, Ekblom A. Transcutaneous electrical nerve stimulation (TENS) as compared to placebo TENS for the relief of acute oro-facial pain. Pain 1983;15:157-65.
• Mittal A, Masuria BL, Bajaj P. Transcutaneous electrical nerve stimulation in treatment of post herpetic neuralgia. Indian J Dermatol Venereol Leprol 1998;64:45-7.
• Hargitai IA, Sherman RG, Strother JM. The effects of electrostimulation on parotid saliva flow: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:316-20.
• Steller M, Chou L, Daniels TE. Electrical stimulation of salivary flow in patients with Sjogren's syndrome. J Dent Res 1988;67:1334-7.
• Talal N, Quinn JH, Daniels TE. The clinical effects of electrostimulation on salivary function of Sjogren's syndrome patients. A placebo controlled study. Rheumatol Int 1992;12:43-5.
• Wong RK, Jones GW, Sagar SM, Babjak A, Whelan T. A Phase I-II study in the use of acupuncture-like transcutaneous nerve stimulation in the treatment of radiation-induced xerostomia in head-and-neck cancer patients treated with radical radiotherapy. Int J Radiat Oncol Biol Phys 2003;57:472-80.