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Which needle hurts more?

Published in Medical Procedures 2 mins read

The perception of pain during needle injections is not determined by the needle's gauge size (diameter), contrary to common belief.

Needle Gauge and Pain Perception

Many people assume that larger needles, with their wider diameters, cause more pain than smaller needles. However, research indicates that this is not the case.

What the Research Shows

  • Gauge Size Does Not Affect Pain: Under clinical conditions, studies have found that the size of the needle (gauge) doesn't affect how much pain a person feels during an injection.
  • Dentists' Preference: Many dentists favor using smaller gauge needles like 27- or 30-gauge needles for anesthesia, believing they will result in less injection pain than larger-gauge needles.
  • No Scientific Evidence of Benefit: While dentists prefer smaller gauge needles, there is no scientific evidence to support their preference in terms of pain reduction.

Practical Implications

This information is helpful in managing expectations when receiving injections:

  • Focus on Technique: Pain from an injection might be related more to the injection technique, speed of the injection, and insertion angle rather than the size of the needle.
  • Minimize Discomfort: Proper technique, distractions, or the use of numbing agents can help reduce any discomfort during an injection regardless of needle size.

Summary

In conclusion, the size of the needle does not impact the amount of pain felt. Smaller diameter needles are often preferred, but clinically, they do not result in less injection pain than larger diameter needles.

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