Dental Injections and Dentistry

 

How to Use Buzzy for Dental work or Dentistry
Press the device against the maxilla or mandible with the round end closest to the injection

Dental injections famously instill fear. Buzzy pressed against the mandible or maxilla on the injection side reduces pain, and new research supports that it may even help with fear.  Allowing patients to hold the device can provide some control and distraction, assisting with their overall level of comfort and anxiety.

 

Four peer-reviewed publications demonstrate Buzzy’s effectiveness during injections, including one meta-analysis against DentalVibe and the Vibrational Anesthesia Device (Blaine Labs).

 

“The effect size for the Buzzy tended to be higher than that for the other devices. Overall, vibratory stimulation was significantly effective: self-rated pain.” “Buzzy was the only device that reduced anxiety.”

  • Ueki S, Yamagami Y, Makimoto K. Effectiveness of vibratory stimulation on needle-related procedural pain in children: a systematic review. JBI Database System Rev Implement Rep. 2019 Jul;17(7):1428-1463. PMID: 31021972

 

One study, titled, “Effect of a Vibration System on Pain Reduction during Injection of Dental Anesthesia in Children: A Randomized Clinical Trial,” concluded that the “bee-shaped device [that] consists of a main vibrating body and two removable ice wings,” is an “effective alternative in reducing experienced pain and fear in children undergoing infiltration dental anesthesia.”

 

“Combining external cold with vibrating devices might be effective in reducing discomfort and fear in children undergoing infiltration dental anesthesia,” noted another: “Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study” also found that children experienced a significantly lower heart rate and FLACC scores stating potential effectiviness in reducing discomfort and fear.

 

“External cooling and vibration had a significant effect on reducing injection pain during dental treatment.”

  • Bilsin E, Gungormus Z, Gungormus M. Efficacy of external cooling and vibration on decreasing the pain of local anesthesia injections during dental treatment in children: A randomized controlled study. J Perianesth Nurs 2020 Feb;35(1):44-47. PMID: 31564620

 

Conclusion: “Buzzy® can reduce pain and anxiety during local anesthetic delivery for various dental procedures.”

  • Suohu T, Sharma S, Marwah N, et al. A Comparative Evaluation of Pain Perception and Comfort of a Patient Using Conventional Syringe and Buzzy System. Int J Clin Pediatr Dent 2020;13(1):27-30. PMID: 32581474

 

BITE WING GAG REFLEX RESEARCH: Anecdotal use suggests that placing Buzzy on the temple allows the 7-8% of patients who gag with bite wing X-rays to tolerate the exam without gagging. The chemotactic trigger zone responsible for gagging has been shown to respond to vibration, and the mechanical stimulation of Buzzy may be transmitted through the skull to the CTZ. Published Dentists interested in formally testing this hypothesis please contact us.

Warts & Cryotherapy

Warts are small skin growths with a rough texture that can appear anywhere on the body. They may look like a solid blister or a small cauliflower. Warts are most common in children. As many as 1 in 3 children and teenagers are estimated to have warts, but only 3 to 5 percent of adults. Warts are caused by viruses. Types of warts include common warts, flat warts, pigmented warts, palmer and plantar warts. For common warts in adults and older children, cryotherapy (freezing) and injection of an irritant are the most common treatments. Buzzy® can help with the pain associated with cryotherapy and wart removal.

 

For Warts and Cryotherapy
Place Buzzy® “Between the brain and the pain” proximal to the area of freezing. Because cold will be used, there is no need to wait 30 seconds, simply place the vibrating Buzzy® with or without cold packs proximally.

 

Clinician Note: If you are accustomed to patients reacting to pain as a sign to stop spraying, be aware that the pain relief may blunt their reaction.

Vaccinations

Vaccines and immunizations play a critical role in keeping people healthy and protecting us from preventable diseases. accination is the administration of a vaccine to help the immune system develop protection from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism.

 

Vaccine-preventable diseases, such as measles, mumps, and whooping cough, are still a threat, resulting in hospitalizations and deaths every year. Other vaccinations, such as the flu, can prevent the illness or minimize its symptoms and impact of the illness. Vaccination protects others you care about, including family members, friends, grandparents, and coworkers. If people aren’t vaccinated, they can spread disease to others who are too young to be vaccinated or to people with weakened immune systems, such as transplant recipients and people with cancer. This could result in long-term complications and even death for these vulnerable people. Quite simply, vaccinations save lives. We all have a public health commitment to our communities to protect each other and each other’s children by vaccinating our own family members.

 

Needle fear is the most common reason people don’t get vaccinated.

 

The most effective way to deliver many vaccinations is through needle procedures, such as shots, which may be painful. Needle fear is the most common reason people don’t get vaccinated. People are more adherent when shots hurt less. Buzzy® is the only clinically proven needle pain and fear solution, which has blocked pain from 35MM needle procedures and is proven effective in over 50+ clinical trials. Two meta-analyses showed Buzzy® provided significant pain and fear relief – a 40% to 74% decrease for children, and a better experience for adults when receiving an flu shot. Buzzy® decreased pain 73% for children aged 7 getting a single TDap immunization. In one adult group average age 64, 84% found the flu vaccine to be painless with Buzzy, and 88% said they’d use Buzzy® again.

 

For vaccinations
Turn on the vibration and place Buzzy® on the site of the shot. Pain control is maximized by using Buzzy®’s ice wings to cool/numb and vibration to desensitize the area directly for 30-60 seconds, then move Buzzy® just proximal (toward the head or spine) during the shot. If the injection burns, the pain can be relieved by rubbing Buzzy®’s cold and vibration over the area after the medicine is in.

 

For children
Put an arm around your child age 4+ and hold Buzzy® on the sitefor about 30 seconds before the shot. Even with Buzzy® there will be dull touch sensations (those are transmitted on different nerves that Buzzy® doesn’t block) so use distraction questions or DistrACTION® cards to entertain and pull attention away if the child already has a needle phobia.

 

When the injection is ready, move the Buzzy® up and keep pressing on the nearest bony surface to maximize vibration transmission. If multiple immunizations are being given, change out the cold packs on each arm so the sites each have 30 seconds of numbing.”

Tattoos

During tattooing, one or more needles insert ink into the dermis, the second layer of your skin. The needles are attached to a handheld device that works like a sewing machine. As the needles move up and down, they repeatedly pierce your skin. During tattoo application, it may feel like stinging, scratching, burning, vibrating, or dullness Different parts of the body may be more sensitive to the pain, such as the neck/throat, inner wrist, stomach, ankle, or top of the foot. Even the most eager tattoo enthusiast will agree that getting a tattoo hurts! Cold and vibration have been proven to naturally decrease pain for tattoos.

 

For tattoo application
Place Buzzy® on the site to pre-numb for 30-60 seconds. During the procedure, place Buzzy® between the brain and the pain. Make sure the bottom of Buzzy® is pointing toward the needle with the switch end pointing away.

Splinters

Removing a splinter is easiest either immediately or one day after it lodges. Redness around the splinter can make it hurt more. If it does not come out easily, soak the area or apply antibiotic ointment. The body will have a chance to make fluid and infection-fighting white cells, which can make it easier to remove the next day. Whenever you remove the splinter, Buzzy® can help.

 

Make sure your child is in a comfortable spot with good lighting. Let the “patient” play with Buzzy® for a moment to get used to it. When you’re ready, place Buzzy® a few centimeters away from the splinter. For best results, make sure the ice pack is frozen solid, and leave in place about 30 seconds or longer. If they have a doll or animal, consider taping or placing a toothpick, and let them concentrate on taking it out while you do. You can use any of the distractions listed on the Pain Distraction page (blow out a puff of air, add numbers, do a task).

 

For a finger splinter
Put Buzzy® in the palm with the vibrating end toward the splinter. For a toe or foot splinter, have your child lay on their tummy, and put Buzzy® on the foot. Turn it on, and after 10 seconds or so, try to remove the splinter.

 

For a large splinter
Gently splitting the skin on top of the lodged splinter can make it easier to remove. Once finished, apply antibiotic ointment with or without a band-aid. If some parts of the splinter remain, soaking in soapy water or just waiting should do the trick. If the area gets more red or has drainage, see your doctor.

Needle Phobia

Needle phobia is an extreme fear of medical procedures involving injections or needles. Studies suggest 63% of young adults – those born in 2000 or later – fear needles. Over the past 40 years, we have added 30 injections to a child’s vaccine schedule, with children recieving booster getting up to 5 injections in one visit. For most people who have this fear, it develops around age 4 or 5 with a bad immunization experience. This fear can lead to reduced adherence to future vaccinations, such as HPV and the flu shot.

 

Additionally, about 3-5% of women and 1-2% of men have a genetic predisposition to getting light-headed or fainting (ie vasovagal syncope) in response to needle procedures. While this can lead to an avoidance or fear of needles, it starts out as physiologic response first. Two meta-analyses showed Buzzy® provided significant pain and fear relief – a 40% to 74% decrease for children, and a better experience for adults when receiving an flu shot. Buzzy® is the only clinically proven needle fear solution, which has blocked pain from 35MM needle procedures and is proven effective in over 50+ clinical trials.

 

In addition to treating the physical pain asssociated with needle fear, there are other tools that can help. Distraction is an incredible tool to mediate both fear and pain in needle procedures. Numerous studies show the effectiveness of distraction in reducing pain and negative emotions during injections. According to clinical research, Buzzy® Pain Relief can reduce IV needle pain by 50%; some studies have looked at both pain and fear. Used with DistrACTION® Cards, Buzzy® can almost completely eliminate pain (0.53 on a 10 point scale, Inal S.). The physiology of cold and vibration, called Gate Control, naturally blocks out the competing stimulation of pain. Controlling as many aspects of a medical visit as possible is one way to control your fear of needles.

 

Distraction is an incredible tool to mediate both fear and pain in needle procedures.

 

For Needle Phobia
Pain control is maximized by using Buzzy®’s ice wings to cool/numb and vibration to desensitize the area directly for 30-60 seconds, then move Buzzy® just proximal (toward the head or spine) during the shot. When injections burn, the pain can be relieved by rubbing Buzzy®’s cold and vibration over the area after the medicine is in.

 

Put an arm around your child age 4+ and hold Buzzy® on the site for about 30 seconds before the shot. Even with Buzzy® there will be dull touch sensations (those are transmitted on different nerves that Buzzy® doesn’t block) so use distraction questions or DistrACTION® cards to entertain and pull attention away if the child already has a needle phobia.

 

When the injection is ready, move the Buzzy® up and keep pressing on the nearest bony surface to maximize vibration transmission. If multiple immunizations are being given, change out the cold packs on each arm so the sites each have 30 seconds of numbing.

 

Distraction can reduce pain by up to 50%, often better than medical pain relief, which can have a positive effect on reducing needle phobia. Use DistACTION® cards to support efforts to reduce needle phobia and needle pain. These brightly colored cards on a convenient snap ring make a parent or staff able to distract like a pro! Simply flip a card toward your child and ask the age-appropriate question on the back. Medical professionals can easily attach the DistrACTION® card ring or individual cards to a badge.

Myofascial

Myofascial pain syndrome is a chronic pain disorder. Pressure on sensitive points in the muscles (trigger points) causes referred pain in seemingly unrelated parts of the body. Myofascial pain syndrome typically occurs after a muscle has been contracted repetitively. The pain can be made worse with activity or stress.Treating pain with drugs is not always a good option. Opioids, NSAIDs, and even acetaminophen may cause adverse health reactions. VibraCool® is FDA cleared to treat myofascial pain caused by trigger points, restricted motion and muscle tension.

 

When treating myofascial pain syndome, physicians may recommend needle procedures, such as trigger point injections and dry needling. For trigger point injections, a a numbing agent or a steroid is injected into into a trigger point to help relieve pain. For dry needling, a small,think needle is inserted into several places in and around the trigger point to break up the muscle tension. Proven to reduce needle pain, Buzzy® can improve the patient experience with these needle procedures.

 

For Myofascial Pain
Put VibraCool® vibration unit into neoprene pouch on compression strap (VibraCool® Extended or Easy Fit) or pocket for Flex. 2. Secure snugly with vibration unit over the area of pain. 3. Activate vibration by switching the toggle switch. 4. To add anti-inflammatory ice: Prepare unit: Freeze ice packs. Ice packs must be solid for use. Place frozen ice pack underneath the strap prior to placing on pain. Ice will remain frozen for 10-20 minutes. 5. To add muscle-relaxing heat: Click the metal plate within the heat pack. It may take a few clicks to activate. Place heat pack underneath strap prior to placing on pain. If the area is constantly aching, leave vibration going as long as necessary. VibraCool® can be left on during any stretching exercises to loosen muscles. Great for pre-weight lifting warm up and post-exercise soreness. For optimal relief and recovery, use VibraCool® for 20 minutes, 2-3x a day until you no longer hurt.

 

For trigger point injections
Pain control is maximized by placing Buzzy® with ice pack on the site of injection, leaving in place 30 – 60 seconds. The ice wings cool and numb the area and the vibration desensitize the area. Next, move Buzzy® just proximal (toward the head or spine) during the shot. When injections burn, the pain can be relieved by rubbing Buzzy®’s cold and vibration over the area after the medicine is administered. There is no risk of shrinking blood vessels

 

For dry needling
Pain control is maximized by placing Buzzy® with ice pack and vibration on the site of dry needling, leaving in place 30 – 60 seconds. The ice wings cool and numb the area and the vibration desensitizes the area. Next, move Buzzy® just proximal (toward the head or spine) during the dry needling treatment. After treatment, rub Buzzy® with fresh, frozen ice wing and vibration, over the site of dry needling to relieve post-procedure soreness.

Laser Procedures

Lasers can permanently reduce or remove unwanted hair. Laser procedures are increasingly used for skin resurfacing. For many, laser treatment can be associated with a stinging sensation. Buzzy®’s patented combination of cold and vibration can naturally help reduce the pain.

 

For laser procedures
On the face, press Buzzy® to the bone nearest the injection for best pain relief. The dermatome for the forehead comes downward straight from the scalp line, so place Buzzy® between the hairline and the injection. Make sure the bottom of Buzzy® is pointing toward the needle or device with the switch end pointing away. Buzzy® Mini has an indentation on the bottom end, showing to “put the shot near the dot.” Cold and ice work best in areas where there is one nerve pathway, or dermatome. In areas like the bikini, there are too many overlapping nerves, so focusing on vibration sensations while holding Buzzy® on the chest as pure distraction may work best for the most delicate areas to be treated.

Insect Bites & Stings

You can use Buzzy® to stop the painful sting and lessen the irritation caused by flies, bees, wasps, mosquitos, gnats, chiggers and ants. Some insects leave a stinger, others do not. This will be obvious to the naked eye. If you do not see a stinger, go straight to the work of treating pain, detailed below. If you do see a stinger, remove it as quickly as possible since the venom sac will release venom as long as the stinger is in. Fingers work fine if tweezers are not available.

 

Placing ice directly on the site immediately may be too intense. Placing Buzzy® (with or without ice pack) near the sting can help. Place Buzzy® “between the brain and the pain” to block the stinging sensation. Once the sting starts itching, scratching will spread and worsen the reaction. Buzzy® will relieve the itch without spreading the reaction. Use ibuprofen and ice for pain relief.

 

Systemic reactions (e.g., wheezing, lip swelling, vomiting, hives) are beyond this tip guide. Give Benadryl® and call or go to the doctor. Even non-allergic kids react about 4-10x what they would to a mosquito bite, including redness, swelling, and pain, followed by itching.

Injuries

Injuries can be caused by specific events, such as accidents or falls, or from reptitive actions. Injuries may impact bones, joints, muscles, tendons and more. Common examples include wrist fractures, ankle sprains, shoulder dislocations, and hamstring muscle strain. Injuries can happen at work or play, indoors or outdoors, driving a car, lifting items, or even spending too much time on your feet. These injuries are often accompanied by pain and discomfort. Rest and time can help the healing process of minor injuries. Treating the pain with drugs is not always a good option. Opioids, NSAIDs, and even acetaminophen may cause adverse health reactions. The Oscillice® technology of Buzzy® and VibraCool® can block pain and help speed recovery and the healing process.

 

Bumps and Bruises
Place Buzzy® or VibraCool® with frozen ice wings / ice packs attached directly on the site of pain. The ice pack will reduce swelling and inflammation. The vibration increases blood flow to help the healing process.

 

Elbow/Wrist Injuries
Repetitive motions involving the wrist and elbow, such as typing, writing, texting, gaming and sports such as golf, tennis, baseball, lacrosse and even bowling may cause wrist or elbow pain (ie carpal tunnel, tendinitis, golfer/tennis elbow, bowler’s wrist and gamer’s thumb), swelling and tenderness in the forearm. VibraCool® Easy Fit for Elbow/Wrist offers wearable pain relief that is easy to apply one-handed. Simply put the VibraCool® vibration unit into neoprene pouch on the compression strap. 2. Secure snugly with vibration unit over the area of pain. 3. Activate vibration by firmly pressing button on top of unit for at least 0.5 seconds 4. To add anti-inflammatory ice: Prepare unit: Freeze ice packs. Ice packs must be solid for use. Place frozen ice pack underneath the strap prior to placing on pain. Ice will remain frozen for 20 minutes VibraCool® Elbow/Wrist has an energy saving automatic shutoff after 10 minutes of constant use. We recommend using VibraCool® 2-3x a day for 3-5 days while you hurt.

 

Knee/Ankle or Lower Extremity Muscle/Joint Injuries
Lifting, falls, and sports can be common causes of lower extremity injuries involving tendons, joints, and muscles. These may include ankle/knee sprains, IT band sydrome, meniscal tears, quadricep or hamstring strains, and ACL strain. VibraCool® Extended (knee, ankle or larger muscles) or Easy Fit (ankle or for children/smaller muscles) offer wearable pain relief. Simply put the VibraCool® vibration unit into neoprene pouch on the compression strap. 2. Secure snugly with vibration unit over the area of pain. 3. Activate vibration by firmly pressing button on top of unit for at least 0.5 seconds 4. To add anti-inflammatory ice: Prepare unit: Freeze ice packs. Ice packs must be solid for use. Place frozen ice pack underneath the strap prior to placing on pain. Ice will remain frozen for 20 minutes VibraCool® Elbow/Wrist has an energy saving automatic shutoff after 10 minutes of constant use. We recommend using VibraCool® 2-3x a day for 3-5 days while you hurt.

 

For Back or Hip Injuries
Sitting in a chair, car or plane for long durations, as well as lifting, falls, and sports can be common causes of back or hip injuries. This pain may be acute, or sharp, dull and achey, or may involve muscle spasms. VibraCool® Flex is wearable pain relief that you can customize with heat or cold for the type of pain relief you need. Simply put the VibraCool® vibration unit into neoprene pocket and slide onto included latex-free band or onto your on belt. 2. Secure snugly with the strap or your belt, with vibration unit positioned over the area of pain. 3. Activate vibration by turning on the button on top of unit. 4. To add anti-inflammatory ice: Prepare unit: Freeze ice packs. Ice packs must be solid for use. Place frozen ice pack underneath the strap prior to placing on pain. Ice will remain frozen for 20 minutes. 5. To add muscle-relaxing heat: Click the metal plate within the heat pack. It may take a few clicks to activate. Place heat pack underneathe strap prior to placing on pain. We recommend using VibraCool® 2-3x a day for 3-5 days while you hurt.

 

For Neck Injuries
A sudden neck movement, like from a car accident or fall, is often the cause of a neck strain or sprain. Everyday activities, such as poor posture , sitting at a desk, texting/mobile phone use or awkward sleeping positions, can also cause these types of neck injuries. These injuries may include whiplash, pinched nerves, disc herniations, and swollen joints. Symptoms of these injuries include pain with neck movement, neck stiffness (sometimes described as a “crick in the neck”), muscle spasms and pain in the upper shoulder, or reduced neck flexibility. VibraCool® Flex is wearable pain relief that you can customize with heat or cold for the type of pain relief you need. Simply put the VibraCool® vibration unit into neoprene pocket 2. Hold vibration unit positioned over the area of pain on your neck. You may also lean against the unit while laying on a bed or leaning against a chair back. 3. Activate vibration by turning on the button on top of unit. 4. To add anti-inflammatory ice: Prepare unit: Freeze ice packs. Ice packs must be solid for use. Place frozen ice pack underneath the strap prior to placing on pain. Ice will remain frozen for 20 minutes. 5. To add muscle-relaxing heat: Click the metal plate within the heat pack. It may take a few clicks to activate. Place heat pack underneathe strap prior to placing on pain. We recommend using VibraCool® 2-3x a day for 3-5 days while you hurt.

Flu Shot

According to the Centers for Disease Control and Prevention, each year as much as 20% of Americans fall victim to influenza and flu-related complications, resulting in approximately 200,000 hospitalizations and 36,000 deaths. Yet, according to a survey conducted by Target and Harris Interactive, out of the 60 percent of American adults who choose not to receive a flu vaccination, 24 percent stated the reason is a fear of needles. Buzzy® can help. Buzzy® is the only device clinically proven to reduce needle pain and needle fear and anxiety.

 

Multiple studies demonstrate better flu experiences for adults with Buzzy®. In the biggest study to date found significant pain reduction, and said using Buzzy® was significantly better than previous flu vaccination experiences (62.0% vs. 23.9%, p < .0001). In a study at Jewel Osco, 45% of seniors who used Buzzy® said its availability would dictate where they got the flu shot next year, and 84% felt no pain (average age 64). Buzzy® has over 50 independent randomized clinical trials supporting efficacy for pain AND fear.

 

For flu shots
Turn on the vibration and place Buzzy® on the site of the flu shot. Pain control is maximized by using Buzzy®’s ice wings to cool/numb and vibration to desensitize the area directly for 30-60 seconds, then move Buzzy® just proximal (toward the head or spine) during the shot. If the flu injection burns, the pain can be relieved by rubbing Buzzy®’s cold and vibration over the area after the medicine is in.

 

For children
Put an arm around your child age 4+ and hold Buzzy® on the sitefor about 30 seconds before the shot. Even with Buzzy® there will be dull touch sensations (those are transmitted on different nerves that Buzzy® doesn’t block) so use distraction questions or DistrACTION® cards to entertain and pull attention away if the child already has a needle phobia.

When the injection is ready, move the Buzzy® up and keep pressing on the nearest bony surface to maximize vibration transmission. If multiple immunizations are being given, change out the cold packs on each arm so the sites each have 30 seconds of numbing.

First Aid

Buzzy® is a great tool to have as part of your home or travel first aid kit for minor injuries. From boo boos to bumps and bruises, to burning or itching from medications, rashes or insect bites, the patented combination of ice and vibration can provide instant pain relief and help ease discomfort.

 

Bumps and Bruises
Place Buzzy® with frozen ice wings attached directly on the site of pain. The ice pack will reduce swelling and inflammation. The vibration increases blood flow to help the healing process.

 

Burning or Itching
Burning and itching may occur from medications, allergies, rashes, dermatitis, or insect bites, causing pain and irritation. Buzzy® can help. Take frozen ice wings and massage the vibrating Buzzy® /ice wing combination directly on the site that hurts or itches. Rub of press in place until the area feels better. Do not place Buzzy® directly on a thermal burn (caused by a heat source, such touching a hot surface, fire or scalds from steam or hot water).