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http://dx.doi.org/10.17245/jdapm.2021.21.4.345

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)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.21, no.4, 2021 , pp. 345-355 More about this Journal
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
Anesthesia; Child; Dental Anxiety; Pain; Pulpectomy; Vibration;
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