Evidence map›Paper›PMID 33826087›Full record

Trial reportEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2021

Comparison of two behavior management techniques used during mandibular block anesthesia among preschool children: a randomized clinical trial.

E A Vidigal, J Abanto, A M Leyda, G O Berti, I E V Aillón, M S N P Corrêa, M Bönecker

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. The effect of needle demonstration during local anaesthesia on the child's dental fear, pain perception and behaviour: a randomised controlled trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Trial
  2. Observational
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

E A VidigalDivision of Pediatric Dentistry, School of Dentistry, Universidad Científica del Sur, Lima, Perú. evelyn_vidigal@hotmail.com.ORCID http://orcid.org/0000-0002-1147-213X
J AbantoPaediatric Dentistry Department, School of Dentistry, International University of Catalunya, Spain, Barcelona, Spain.ORCID http://orcid.org/0000-0001-5088-878X
A M LeydaUniversity Dental Clinic, Faculty of Dentistry, CEU Cardenal Herrera University, C/Santiago Ramón y Cajal s/n. Alfara del patriarca, Valencia, Spain.ORCID http://orcid.org/0000-0002-2704-7867
G O BertiDepartment of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Faculdade de Odontologia de São Paulo, University of São Paulo, Av. Professor Lineu Prestes, 2227, Cidade Universitária, São Paulo, SP, 05508-000, Brazil.ORCID http://orcid.org/0000-0002-0116-2621
I E V AillónDepartment of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Faculdade de Odontologia de São Paulo, University of São Paulo, Av. Professor Lineu Prestes, 2227, Cidade Universitária, São Paulo, SP, 05508-000, Brazil.ORCID http://orcid.org/0000-0003-1340-9350
M S N P CorrêaDepartment of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Faculdade de Odontologia de São Paulo, University of São Paulo, Av. Professor Lineu Prestes, 2227, Cidade Universitária, São Paulo, SP, 05508-000, Brazil.ORCID http://orcid.org/0000-0002-3607-7152
M BöneckerDepartment of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Faculdade de Odontologia de São Paulo, University of São Paulo, Av. Professor Lineu Prestes, 2227, Cidade Universitária, São Paulo, SP, 05508-000, Brazil.ORCID http://orcid.org/0000-0001-9786-6473
Universidade de São Paulo · BRUniversidad Cardenal Herrera CEU · ESUniversidad Científica del Sur · PEUniversitat Internacional de Catalunya · ES

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico (BR) 141118/2013-0
6 · The paper itself

Abstract

purposeTo compare the Tell-Show-Do Technique (TSD-T) with Hiding Dental-Needle Technique (HDN-T) based on children's anxiety, pain, and behavior during first-time mandibular block anesthesia.

methodsA total of 52 children aged 3-5 years who had never received dental anesthesia and had at least one mandibular primary molar requiring extraction or pulpal therapy were included in the study. Children were randomly allocated into two groups: G1: TSD-T (n = 26) and G2: HDN-T (n = 26). This study included two sessions: intervention session (baseline) and control session (7 days after intervention). Facial Image Scale and Wong-Baker Pain Scale were used to evaluate anxiety and pain levels, respectively. Frankl Behavior Scale was used to assess children's behavior.

resultsAnxiety and pain levels were not statistically significant between G1 and G2 groups (p > 0.05). Similar results were observed for children's behavior rating (p > 0.05). Higher pain level was associated with younger children (rate ratios (RR) = 0.41; p = 0.016) and negative behavior (RR = 1.11; p < 0.001). On the other hand, in within-groups comparisons, there was a statistical difference in anxiety levels between intervention session and control session (p = 0.032) in G2.

conclusionsEven though there are no differences in the efficacy of TSD-T compared to HDN-T during first-time mandibular block anesthesia in preschool children in terms of children's anxiety, pain, and behavior, children from the HDN-T group can show reduced dental anxiety levels in the control sessions.

Indexed as

Anesthesia, DentalMandibleAnesthesia, LocalAnesthetics, LocalAnxietyChild, PreschoolHumansPainPain MeasurementAnesthetics, LocalBehaviorDental anxietyLocal anesthesiaPain controlPreschool children

Identifiers

PMID33826087
OpenAlexW3149572122

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.