Effectiveness of External Vibrating Device on Children’s Anxiety and Pain Perception During Dental Anesthetic Injections
Keywords:
external vibrating device, anesthesia, anxiety, painAbstract
Background and Objective: Fear and anxiety-related behavior, especially during dental procedures, can be a significant impediment to child's dental care, injections remain
a source of discomfort and concern. This study aimed to study the effectiveness of external vibrating device on children’s anxiety and pain perception during dental anesthetic injections.
Material and method: This was a quasi experimental research. Thirty children aged 5–12 years, requiring dental anesthetic injections, were recruited and allocated equally into two groups. Based on the interventions used: Group 1 (n = 15) first week received topical anesthesia (Precaine®) before dental anesthetic injections and second week received vibration using a Buzzy® device during dental anesthetic injections. Group 2 (n = 15)
first week received a Buzzy® device during dental anesthetic injections and second week received topical anesthesia (Precaine®) before dental anesthetic injections. Venham clinical anxiety scale (VCAS), Venham picture test (VPT), Pulse rate (PR) and pain perception [Wong-baker faces pain rating scale (WBFPS), Children’s Hospital of Eastern Ontario pain scale (CHEOPS)] were evaluated immediately after injection in first week and second week. Statistical analysis was performed using wilcoxon sign-ranked test to assess the mean difference before and after study, and mann-whitney u test to assess the mean difference between the two groups. Statistical significance was set at p< 0.05.
Results: The mean age of the participants was 6.96±1.60 years, with 63.33% boys. After applying the two methods. The results showed a statistically significant reduction in children’s anxiety and pain perception during dental anesthetic injections (p<0.05).
Conclusions: The external vibrating device seems to be an easy, useful, and might be effective in reducing discomfort and fear in children undergoing infiltration dental anaesthesia.
References
Chulalongkorn University. Adjusting children's behavior during dental procedures [Internet] [cited March 10, 2024]. Available from: http://pioneer.netserv.chula.ac.th/~hdhanis/ChildManagement.htm.
Merskey H. Pain terms: a list with definitions and notes on usage. Recommended by the IASP subcommittee on taxonomy. Pain 1979;6(3):249-52. pmcid:460932.
Kaufman E, Epstein JB, Naveh E, Gorsky M, Gross A, Cohen G. A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections. Anesth Prog 2005;52(4):122-7. doi:10.2344/0003-3006(2005)52[122:ASP]2.0.CO;2.
Uman LS, Chambers CT, McGrath PJ, Kisely SR. Psychological interventions for needle‐related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev 2006;18(4):179. doi:10.1002/14651858.CD005179.pub2.
Bienvenu OJ, Eaton WW. The epidemiology of blood-injection-injury phobia. Psychol Med 1998;28(5):1129-36. doi:10.1017/s0033291798007144.
Okawa K, Ichinohe T, Kaneko Y. Anxiety may enhance pain during dental treatment. Bull Tokyo Dent Coll 2005;46(3):51-8. doi:10.2209/tdcpublication.46.51.
Lee H-S. Recent advances in topical anesthesia. J Dent Anesth Pain Med 2016;16(4):237-44. doi:10.17245/jdapm.2016.16.4.237.
Amitai Y, Whitesell L, Lovejoy Jr F. Death following accidental lidocaine overdose in a child. N Engl J Med 1986;314(3):182-3. doi:10.1056/nejm198601163140315.
Garrettson LK, McGee E. Rapid onset of seizures following aspiration of viscous lidocaine. J Toxicol Clin Toxicol 1992;30(3):413-22. doi:10.3109/15563659209021556.
Sakai RI, Lattin JE. Lidocaine ingestion. Am J Dis Child 1980;134(3):323-. doi:10.1001/archpedi.1980.02130150077023.
Dedeepya P, Nuvvula S, Kamatham R, Nirmala S. Behavioural and physiological outcomes of biofeedback therapy on dental anxiety of children undergoing restorations: a randomised controlled trial. Eur Arch Paediatr Dent 2014;15(2):97-103. doi:10.1007/s40368-013-0070-3.
Ghaderi F, Banakar S, Rostami S. Effect of pre-cooling injection site on pain perception in pediatric dentistry: "A randomized clinical trial". Dent Res J 2013;10(6):790-4. pmcid:PMC3872632.
Harbert H. Topical ice: a precursor to palatal injections. J Endod 1989;15(1):27-8. doi:10.1016/S0099-2399(89)80094-9.
Sahiner NC, Inal S, Akbay AS. The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. J Perianesth Nurs 2015;30(3):228-35. doi:10.1016/j.jopan.2014.05.011.
Baxter AL, Lawson ML. Methodological concerns comparing buzzy to transilluminator device. Indian J Clin Biochem 2014;29(1):114-5. doi:10.1007/s12291-013-0370-8.
Carrillo‐Diaz M, Crego A, Armfield JM, Romero‐Maroto M. Assessing the relative efficacy of cognitive and non‐cognitive factors as predictors of dental anxiety. Eur J Oral Sci 2012;120(1):82-8. doi:10.1111/j.1600-0722.2011.00924.x.
Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2):175-91. doi:10.3758/bf03193146.
Suraseranivongse S. Validation of pain measurements in Thai children aged 1-5 years within 24 hours following operation. Bangkok: Master of Science Thesis Chulalongkorn University; 1999.
Bilsin E, Gungormus Z, Gungormus M. The effıcacy 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;35(1):44-7. doi:10.1016/j.jopan.2019.06.007.
Sahithi V, Saikiran KV, Nunna M, Elicherla SR, Challa RR, Nuvvula S. 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. J Dent Anesth Pain Med 2021;21(4):345-55. doi:10.17245/jdapm.2021.21.4.345.
Dak-Albab R, Al-Monaqel MB, Koshha R, Shakhashero H, Soudan R. A comparison between the effectiveness of vibration with Dentalvibe and benzocaine gel in relieving pain associated with mandibular injection: a randomized clinical trial. Anaesthesia Pain Intensive Care 2019;20(1):43-9.
Shaefer JR, Lee SJ, Anderson NK. A vibration device to control injection discomfort. Compend Contin Educ Dent 2017;38(6):e5-e8. pmcid:28586233.
Nanitsos E, Vartuli R, Forte A, Dennison PJ, Peck CC. The effect of vibration on pain during local anaesthesia injections. Aust Dent J 2009;54(2):94-100. doi:10.1111/j.1834-7819.2009.01100.x.
Suohu T, Sharma S, Marwah N, Mishra P. 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. doi:10.5005/jp-journals-10005-1731. pmcid:PMC7299891.
Bhatia MS, Goyal A. Anxiety disorders in children and adolescents: Need for early detection. J Postgrad Med 2018;64(2):75-6. doi:10.4103/jpgm.JPGM_65_18.
Nigam AG, Marwah N, Goenka P, Chaudhry A. Correlation of general anxiety and dental anxiety in children aged 3 to 5 years: A clinical survey. J Int Oral Health 2013;5(6):18-24.
Doerr PA, Lang WP, Nyquist LV, Ronis DL. Factors associated with dental anxiety. J Am Dent Assoc (1939) 1998;129(8):1111-9. doi:10.14219/jada.archive.1998.0386.
Grisolia BM, Dos Santos APP, Dhyppolito IM, Buchanan H, Hill K, Oliveira BH. Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta‐analyses. Int J Paediatr Dent 2021;31(2):168-83. doi:10.1111/ipd.12712.
Yesilyurt C, Bulut G, Taşdemir T. Pain perception during inferior alveolar injection administered with the Wand or conventional syringe. Br Dent J 2008;205(5):E10; discussion 258-9. doi:10.1038/sj.bdj.2008.757.
Aartman IH, van Everdingen T, Hoogstraten J, Schuurs AH. Self-report measurements of dental anxiety and fear in children: a critical assessment. ASDC J Dent Child 1998;65(4):252-8, 29-30.
Pani SC, AlAnazi GS, AlBaragash A, AlMosaihel M. Objective assessment of the influence of the parental presence on the fear and behavior of anxious children during their first restorative dental visit. J Int Soc Prev Community Dent 2016;6(Suppl 2):S148-52. doi:10.4103/2231-0762.189750.
Nowak AJ, Charistensen JR, Mabry TR, Townsend JA, Wells MH. Pediatric dentistry-infancy through adolescence. 6th, editor. China: Services Manager: Catherine Jackson; 2005.
American academy of pediatric dentistry. Behavior guidance for the pediatric dental patient. Pediatr Dent 2024;39(6):246-59.
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