Trial reportEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2019
Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study.
Trial report in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy of External Cold and a Vibrating Device in Reducing Discomfort of Dental Injections in Children - A Split Mouth Randomized Clinical Trial
Effect of Buzzy System (Vibrating Device) Compared to Topical Anaesthesia on Pain Reduction During Injection of Infiltration Anaesthesia in Children: A Randomized Clinical Trial.
The Effect of Using a Sugar-free Candy Flavoring Before Local Anesthesia Injection on Anxiety and Pain Perception in Children: a Split-mouth Randomized Clinical Trial
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Auxillary aids for pain and anxiety reduction during dental local anesthesia in pediatric patients: a systematic review.Evidence-based dentistry · 2025Pooled it
- Effect of Thermomechanical Stimulation on Pain During IANB Injections.Anesthesia progress · 2025Trial
- Effectiveness of cold vibratory stimuli on pain perception governing infiltration anesthesia in the maxillary arch in children: a randomized controlled clinical trial.BMC oral health · 2025Trial
- Trial
- Differential Analgesia From Vibratory Stimulation During Local Injection of Anesthetic: A Randomized Clinical Trial.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2020Trial
- Evaluation of effect of warm local anesthetics on pain perception during dental injections in children: a split-mouth randomized clinical trial.Clinical oral investigations · 2020Trial
- Comparison of Transcutaneous Electrical Nerve Stimulation and Cold-vibration Distraction on Pain Perception during Local Anesthesia in Children: A Randomized Controlled Trial.International journal of clinical pediatric dentistry · 2026Article
- Efficacy of Different Pediatric Local Anesthesia Delivery Techniques in Reducing Pain and Anxiety: A Randomized Clinical Trial.International journal of clinical pediatric dentistry · 2026Article
- Effect of Buzzy Bee in Reducing Pain Perception during Local Anesthesia in Children: A Split-mouth Crossover Study.International journal of clinical pediatric dentistry · 2025Article
- Effects of Cold and Vibration on Venipuncture Pain Management in Children Aged 2-7 Years Old: Randomized Controlled Trial.JMIR pediatrics and parenting · 2025Article
- Effectiveness of combined extraoral vibration and cooling on pain perception due to inferior alveolar nerve block administration in children: a systematic review and meta-analysis.Journal of dental anesthesia and pain medicine · 2025Review
- Comparing Pain and Anxiety Levels during Local Anesthesia Administration Using Intra- and Extraoral Vibratory Systems.International journal of clinical pediatric dentistry · 2025Article
- Topical anesthetics methods used to reduce needle pain/discomfort prior to local anesthesia in children and adolescents: a scoping review.Evidence-based dentistry · 2025Article
- Effectiveness of an External Cooling and Vibrating Device vs Counterstimulation in Reducing Discomfort of Inferior Alveolar Nerve Block in Pediatric Dental Patients: A Single-blinded Randomized Controlled Trial.International journal of clinical pediatric dentistry · 2024Article
- Comparison of Conventional Syringe with Camouflaged Syringe and Vibration-assisted Syringe for Pain and Fear Perception during Local Anesthetic Administration in Children: A Split-mouth Randomized Controlled Trial.International journal of clinical pediatric dentistry · 2024Article
- Interventions to Reduce Intra-Operative and Post-Operative Pain Associated with Routine Dental Procedures in Children: A Systematic Review and Meta-Analysis.Dentistry journal · 2024Review
- Evaluation of the Efficacy of a Customized Mucosal Vibrator in Alleviating Pain Perception Associated with Local Anesthesia Administration in Children Aged 6-10 Years.International journal of clinical pediatric dentistry · 2024Article
- Intercomparison of Efficacy of Transcutaneous Electrical Nerve Stimulation and Precooling Vibration Device on Pain and Anxiety Management during Administration of Local Anesthesia Injection in 6-12-year-olds.International journal of clinical pediatric dentistry · 2024Article
- Effectiveness of External Precooling and Vibration Induced by BUZZY on Pain and Anxiety During Inferior Alveolar Nerve Block Injection in Children.International journal of dentistry · 2024Article
- Effect of audio distraction with thermomechanical stimulation on pain perception for inferior alveolar nerve block in children: a randomized clinical trial.Journal of dental anesthesia and pain medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo study the discomfort and fear associated with maxillary infiltration injections when using a combination of external cold and a commercially available vibrating device. METHODOLOGY: A total of 60 children aged 7 years old participated in this split mouth randomised crossover study. The control intervention comprised of the administration of 1.8 ml of 2% lidocaine with 1:100,000 adrenaline using a 24 mm 30 gauge needle, while the test intervention used external cold and a commercially available vibrating device in addition to the control protocol. The heart rate of the child at the time of injection was used as an objective measure and the Wong-Baker pain scale was used as a subjective measure of the child's discomfort. The face, limbs, arms, cry and consolability (FLACC) scale was used to record the child's pain as perceived by the dentist.
resultsChildren reported a significantly lower Wong-Baker score and the operators observed a significantly lower heart rate and FLACC scores in the test visit than the control visit.
conclusionsCombining external cold with vibrating devices might be effective in reducing discomfort and fear in children undergoing infiltration dental analgesia. CLINICAL TRIALS IDENTIFIER: NCT02675387.
Indexed as
Identifiers
30519955What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.