Dental Anxiety and Pain During Inferior Alveolar Nerve Block in Children: the Effects of Two Distraction Techniques
NCT ID: NCT06788301
Last Updated: 2025-01-23
Study Results
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Basic Information
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COMPLETED
NA
158 participants
INTERVENTIONAL
2022-07-20
2023-04-20
Brief Summary
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Materials and Methods: This randomized controlled parallel arm trial included 120 children aged between 6-12 years old who required IANB. Children were randomly divided following three groups: Group I: VR eyeglasses, Group II: Buzzy® device, and Group 3: Control (conventional behavior management technique). Dental anxiety levels were measured by the pulse rate and oxygen saturation level before, during, and after IANB procedure. Pain perception during IANB procedure was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale, Wong Baker Faces Scale (WBS), and Visual Analog Scale (VAS).
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Detailed Description
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The sample size consisted of 120 children, and the patients were randomly divided following three different groups: Group I: VR eyeglasses group, Group II: Buzzy® device group, and Group III: Control group.
Group I (VR eylasses): In the present study, 3D VR eyeglasses (Oculus Quest 2, Oculus Go, Facebook Technologies, Auburn, USA) were used for VR distraction.
Group II (Buzzy® device): In the present study, the Buzzy® device (MMJ Labs, Atlanta, GA, USA), consisting of a bee-shaped vibrating body and removable wing-shaped cold gel packs, was used for external cooling and vibration application.
Group III (Control): In the present study, group III received conventional behavior management technique (tell-show-do) during the administration of IANB.
Administration of IANB: The oral mucosa was dried with air-water spray and topical anesthetic solution (Vemcaine %10 Lidocaine, VEM Co. Ltd., Istanbul, Turkey) was applied to the dry mucosa with a cotton pellet for 1 minute. The patient was asked to open his/her mouth as wide as possible, and then IANB was administred using 2 ml of 4% articaine with 1:100.000 adrenaline (Ultracaine DS® Forte, Sanofi Health Products Co. Ltd., Istanbul, Turkey) using an automatic aspirated Aspiject® carpule syringe (RØNVIG Dental Mfg. A/S, Daugaard, Denmark) with a 35 mm 27 gauge needle at a rate of 1 ml/minute. In order to ensure standardisation, each patient received the same dosage of local anesthetic and the IANB procedure was provided by the same investigator.
Dental anxiety and pain assessment In order to evaluate physiological changes associated with anxiety, oxygen saturation (SpO2) and pulse rate (PR) values were recorded using pediatric fingertip pulse oximeter (ChoiceMMed, Beijing Choice Electronic Technology Co., Ltd, China) 1 minutes before, during, and 1 minutes after the administration of IANB.
For objective assessment of pain during the IANB procedure, the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Pain Assessment Scale was used. The FLACC scores were assessed by another investigator not involved in the IANB procedure.
The Wong Baker Face (WBS) and the Visual Analog Scale (VAS), two commonly used and valid pain measurment scale for pediatric patients, were used to assess the self perception of pain. Both scales were explained to the patients, and they were asked to choose the facial expression (for WBS) and the number (for VAS) that best reflected their current level of pain during the IANB procedure.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SCREENING
NONE
Study Groups
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Group I (VR eyeglasses)
In the VR group, patients wore a VR eyeglasses (Oculus Quest 2, Oculustm Go, Facebook Technologies, Auburn, USA) and watched a previously selected favorite cartoon during the IANB procedure.
Inferior Alveolar Nerve Block
local anesthesia administration (inferior alveolar nerve block)
VR eyeglasses
VR eyeglasses was used to distarct patients from dental environment during inferior alveolar nerve block.
Group II (Buzzy device)
In the Buzzy device group, the Buzzy® device (MMJ Labs, Atlanta, GA, USA) was placed extra-orally on the site of IANB (right/left mandibula) during the administration of IANB.
Inferior Alveolar Nerve Block
local anesthesia administration (inferior alveolar nerve block)
Buzzy device
Buzzy device was used to distarct patients from dental environment during inferior alveolar nerve block.
Group III (Control)
In the control group, patients received conventional behavior management technique (tell-show-do) during the administration of IANB. Prior to the IANB procedure, the instruments to be used and procedure were explained to the patient in phrases suitable for the patient's cognitive level.
Inferior Alveolar Nerve Block
local anesthesia administration (inferior alveolar nerve block)
Interventions
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Inferior Alveolar Nerve Block
local anesthesia administration (inferior alveolar nerve block)
VR eyeglasses
VR eyeglasses was used to distarct patients from dental environment during inferior alveolar nerve block.
Buzzy device
Buzzy device was used to distarct patients from dental environment during inferior alveolar nerve block.
Eligibility Criteria
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Inclusion Criteria
* Children whose behavior rating were positive and definitely positive according to the Frankl Behavior Scale (FBS),
* Children with no known allergy to any medication or local anesthetic,
* Children who had mandibular primary/permanent molar requiring dental treatment under an IANB,
* Children with no previous experience of local anesthesia.
Exclusion Criteria
* Children whose behavior rating were negative and definitely negative according to the FBS,
* Children with history of allergy to any medication or local anesthetic,
* Children who exhibeted any kind of dento-facial abnormality/syndrome that lead to administration of local anesthesia difficult,
* Children with previous experience of local anesthesia, and non-Turkish speaking
6 Years
12 Years
ALL
Yes
Sponsors
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Pamukkale University
OTHER
Responsible Party
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Arif Bolaca
Assist. Prof. Dr.
Principal Investigators
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Arif Bolaca, Dr.
Role: STUDY_DIRECTOR
Pamukkale University Faculty of Dentistry
Aybüke ipek Atik, Dr.
Role: PRINCIPAL_INVESTIGATOR
Pamukkale University Faculty of Dentistry
Locations
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Pamukkale University, Faculty of Dentistry, Department of Pediatric Dentistry
Denizli, , Turkey (Türkiye)
Countries
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Other Identifiers
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2022DİŞF003
Identifier Type: -
Identifier Source: org_study_id
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