Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Comparative evaluation of efficacy of external vibrating device and counterstimulation on child's dental anxiety and pain perception during local anesthetic administration: a clinical trial

  • Sahithi, Varada (Department of Pediatric and Preventive dentistry, Narayana Dental College and Hospital) ;
  • Saikiran, Kanamarlapudi Venkata (Department of Pediatric and Preventive dentistry, SVS Institute of Dental Sciences) ;
  • Nunna, Mahesh (Department of Pediatric and Preventive dentistry, Narayana Dental College and Hospital) ;
  • Elicherla, Sainath Reddy (Department of Pediatric and Preventive dentistry, Narayana Dental College and Hospital) ;
  • Challa, Ramasubba Reddy (Department of Pediatric and Preventive dentistry, Narayana Dental College and Hospital) ;
  • Nuvvula, Sivakumar (Department of Pediatric and Preventive dentistry, Narayana Dental College and Hospital)
  • Received : 2021.05.23
  • Accepted : 2021.07.18
  • Published : 2021.08.01
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Abstract

Background: This study aimed to evaluate the efficacy of external vibrating devices and counterstimulation on a child's dental anxiety, apprehension, and pain perception during local anesthetic administration. Methods: This was a prospective, randomized, parallel-arm, single-blinded interventional, clinical trial. One hundred children aged 4-11 years, requiring pulp therapy or extraction under local anesthesia (LA), were recruited and allocated equally into two groups (1:1) based on the interventions used: Group BD (n = 50) received vibration using a Buzzy® device {MMJ Labs, Atlanta, GE, USA} as a behavior guidance technique; Group CS (n = 50) received counterstimulation for the same technique. Anxiety levels [Venham's Clinical Anxiety Rating Scale (VCARS), Venham Picture Test (VPT), Pulse oximeter {Gibson, Fingertip Pulse Oximeter}, Beijing, China)] were assessed before, during, and after LA administration, while pain perception [Wong-Baker Faces Pain Rating Scale (WBFPS), Visual Analogue Scale (VAS)] was evaluated immediately after injection. Statistical analysis was performed using the Student's t-test to assess the mean difference between the two groups and the repeated measures ANOVA for testing the mean difference in the pulse rates. Statistical significance was set at P < 0.05. Results: Significant differences in mean pulse rate values were observed in both groups. In contrast, the children in the BD group had higher diminution (P < 0.05), whereas the mean VCARS and VPT scores were conspicuous (P < 0.05). Based on the mean WBFPS and VAS scores, delayed pain perception after LA injection was more prominent in the BD group than in the CS group. Conclusion: External vibration using a Buzzy® device is comparatively better than counterstimulation in alleviating needle-associated anxiety in children requiring extraction and pulpectomy.

Keywords

References

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