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. 2019 Jun;19(3):143-149.
doi: 10.17245/jdapm.2019.19.3.143. Epub 2019 Jun 30.

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6-11 years: A crossover split-mouth study

Kuthpady Manasa Hegde  1 , Neeraja R  1 , Ila Srinivasan  1 , Murali Krishna D R  1 , Anjana Melwani  1 , Sreeraksha Radhakrishna  1
Affiliations

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6-11 years: A crossover split-mouth study

Kuthpady Manasa Hegde et al. J Dent Anesth Pain Med. 2019 Jun.

Abstract

Background: Uncooperative behavior of children due to dental anxiety may interfere with the effective delivery of dental care and compromise the quality of treatment provided. Injection of local anesthesia is one of the most anxiety-inducing stimuli in pediatric dentistry. This study aimed to compare the efficacy of a child-friendly device, having a combined effect of vibration and distraction, with the conventional method of injection on pain, anxiety, and behavior of pediatric patients aged 6-11 years.

Methods: This randomized, crossover, split-mouth study included 30 children requiring a bilateral inferior alveolar nerve block. The children were equally divided into two groups: group 1, aged 6-8 and group 2, aged 9-11 years. All children were injected with anesthesia using the conventional and device method in two separate sessions. They were assessed for anxiety by measuring the pulse rate before and during the administration of local anesthesia. Behavior was assessed using Faces, Legs, Activity, Cry, Consolability (FLACC) scale, and the child's experience while receiving anesthesia was assessed using the Wong Bakers Pain Rating Scale.

Results: Results showed that the children who received local anesthesia using the device method had a lower mean pulse rate, FLACC scores, and pain rating scores than those who received local anesthesia using the conventional method.

Conclusion: The device method was more effective than the conventional method in managing pain, anxiety, and behavior of patients aged 6-11 years. The device is a cost effective, simple, and child-friendly product for administrating local anesthesia in pediatric patients.

Keywords: Behavior; Distraction; Local Anesthesia; Pain; Pediatric Dentistry; Vibration.

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Conflict of interest statement

DECLARATION OF INTERESTS: The authors declare that they have no financial or competing interests.

Figures

Fig. 1
Fig. 1. The photo depicts the device used in the study.
Fig. 2
Fig. 2. This figure shows the comparison of Faces, Legs, Activity, Cry, Consolability scores between the two age groups during local anesthesia administration using conventional and device methods among the study subjects.
Fig. 3
Fig. 3. This figure shows the comparison of mean pulse oximeter readings before and after intervention between the two age groups using conventional and device methods.
Fig. 4
Fig. 4. This figure shows the comparison of mean pain scores between the two age groups using conventional and device methods.
Fig. 5
Fig. 5. This figure shows the administration of local anesthesia using the conventional method.
Fig. 6
Fig. 6. This figure shows the administration of local anesthesia using the device method.
See this image and copyright information in PMC

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