{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:19:05Z","timestamp":1787847545792,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In order to reduce the fear and anxiety of injection during root canal procedures, Madajet injection technique was substituted for the first time among the adult patients to obtain its efficacy and to overcome the painful procedure during the conventional syringe technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of this study is to compare the clinical efficacy and level of patient acceptance of jet injections with conventional syringe technique in patients with symptomatic pulpitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Seventy patients were randomly divided into needleless pressure injection technique using Madajet XL and conventional syringe technique. The onset of anesthesia was evaluated using the electric pulp tester, and the pain was assessed using the Visual Analog Scale scoring criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis:<\/jats:title>\n                    <jats:p>The obtained data were tabulated and subjected to the statistical analysis using the Chi-square test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Needleless pressure injection technique (Madajet XL) proves to be effective in patients with symptomatic irreversible pulpitis during endodontic procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It can be concluded that the needle-less pressure injection technique (Madajet XL) promises to be a viable mode of pain control during endodontic procedures as it converts the solution to a tiny droplet which is then carried by the myelin sheath.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ccd.ccd_466_19","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T23:04:46Z","timestamp":1616195086000},"page":"28-31","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Jet Injection Technique with Conventional Injection Technique in Patients Undergoing Endodontic Therapy"],"prefix":"10.4103","volume":"12","author":[{"given":"Mahaboob Shahul","family":"Hameed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthil","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Charanya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Muthalagu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Anitha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20240901","doi-asserted-by":"crossref","first-page":"728","DOI":"10.14219\/jada.archive.1986.0277","article-title":"Controlling anxiety in the dental office","volume":"113","author":"Giangrego","year":"1986","journal-title":"J Am Dent Assoc"},{"key":"R2-6-20240901","first-page":"62","article-title":"Increasing access to measures for prevention and treatment of dental anxiety, fear and phobia: Perspective from a dental school based fear clinic","volume":"33","author":"Milgrom","year":"1986","journal-title":"Anaesth Prog"},{"key":"R3-6-20240901","doi-asserted-by":"crossref","first-page":"734","DOI":"10.14219\/jada.archive.1985.0427","article-title":"Dentists' management of patients' fear and anxiety","volume":"110","author":"Corah","year":"1985","journal-title":"J Am Dent Assoc"},{"key":"R5-6-20240901","doi-asserted-by":"crossref","first-page":"S103","DOI":"10.4103\/0975-7406.113307","article-title":"Supplemental pulpal anesthesia for mandibular teeth","volume":"5","author":"Boopathi","year":"2013","journal-title":"J Pharm Bioallied Sci"},{"key":"R6-6-20240901","doi-asserted-by":"crossref","first-page":"131","DOI":"10.17796\/jcpd.25.2.q6426p853266q575","article-title":"Clinical evaluation of the efficacy of anesthesia and patient preference using the needle-less jet syringe in pediatric dental practice","volume":"25","author":"Munshi","year":"2001","journal-title":"J Clin Pediatr Dent"},{"key":"R7-6-20240901","first-page":"109","article-title":"The needle-less syringe efficacy of anesthesia and patient preference in child dental patients","volume":"15","author":"Saravia","year":"1991","journal-title":"J Clin Ped Dent"},{"key":"R8-6-20240901","doi-asserted-by":"crossref","first-page":"169","DOI":"10.4103\/0972-0707.128063","article-title":"Comparison of acceptance, preference and efficacy between pressure anesthesia and classical needle infiltration anesthesia for dental restorative procedures in adult patients","volume":"17","author":"Makade","year":"2014","journal-title":"J Conserv Dent"},{"key":"R9-6-20240901","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.1016\/j.bjoms.2011.04.068","article-title":"Effect of alkalinisation of lignocaine for intraoral nerve block on pain during injection, and speed of onset of anaesthesia","volume":"49","author":"Kashyap","year":"2011","journal-title":"Br J Oral Maxillofac Surg"},{"key":"R10-6-20240901","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1213\/00000539-194701000-00050","article-title":"Clinical studies with jet injection; 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