ArticleJournal of dental anesthesia and pain medicine2021
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.
Article in Journal of dental anesthesia and pain medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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
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Who cites it
19 citing papers in PubMed.
- Effect of Thermomechanical Stimulation on Pain During IANB Injections.Anesthesia progress · 2025Trial
- 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
- Effectiveness of Buzzy BEE in Reducing Pain Perception During Inferior Alveolar Nerve Block in Children: A Split-Mouth Crossover Study.Children (Basel, Switzerland) · 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
- Comparison of Pain and Anxiety Levels with Two Different Local Anesthesia Delivery Systems in Children: A Randomized Clinical Trial.International journal of clinical pediatric dentistry · 2026Article
- Comparative Evaluation of Buzzy System and Conventional Masked with Camouflage Syringe for Pain Perception in 5-12-year-old Children: A Split-mouth Study.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
- Comparing Pain and Anxiety Levels during Local Anesthesia Administration Using Intra- and Extraoral Vibratory Systems.International journal of clinical pediatric dentistry · 2025Article
- External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial.European oral research · 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
- Article
- Recent Developments in the Non-Pharmacological Management of Children's Behavior Based on Distraction Techniques: A Concise Review.Healthcare (Basel, Switzerland) · 2024Review
- 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
- Behavior and anxiety levels in pediatric patient: The behavioral changes and anxiety of pediatric patient in dental clinic.Clinical and experimental dental research · 2023Article
- Advances in pediatric dentistry: new approaches to pain control and anxiety reduction in children - a narrative review.Journal of dental anesthesia and pain medicine · 2023Review
- Effectiveness of an extraoral cold and vibrating device in reducing pain perception during deposition of local anesthesia in pediatric patients aged 3-12 years: a split-mouth crossover study.Journal of dental anesthesia and pain medicine · 2023Article
- Erratum: Addendum: 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.Journal of dental anesthesia and pain medicine · 2023Article
- The combined effect of extraoral vibratory stimulus and external cooling on pain perception during intra-oral local anesthesia administration in children: a systematic review and meta-analysis.Journal of dental anesthesia and pain medicine · 2022Review
- The Effect of External Cold and Vibration on Infiltration-Induced Pain in Children: A Randomized Clinical Trial.International journal of dentistry · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate the efficacy of external vibrating devices and counterstimulation on a child's dental anxiety, apprehension, and pain perception during local anesthetic administration.
methodsThis was a prospective, randomized, parallel-arm, single-blinded interventional, clinical trial. One hundred children aged 4-11 years, requiring pulp therapy or extraction under local anesthesia (LA), were recruited and allocated equally into two groups (1:1) based on the interventions used: Group BD (n = 50) received vibration using a Buzzy® device {MMJ Labs, Atlanta, GE, USA} as a behavior guidance technique; Group CS (n = 50) received counterstimulation for the same technique. Anxiety levels [Venham's Clinical Anxiety Rating Scale (VCARS), Venham Picture Test (VPT), Pulse oximeter {Gibson, Fingertip Pulse Oximeter}, Beijing, China)] were assessed before, during, and after LA administration, while pain perception [Wong-Baker Faces Pain Rating Scale (WBFPS), Visual Analogue Scale (VAS)] was evaluated immediately after injection. Statistical analysis was performed using the Student's t-test to assess the mean difference between the two groups and the repeated measures ANOVA for testing the mean difference in the pulse rates. Statistical significance was set at P < 0.05.
resultsSignificant differences in mean pulse rate values were observed in both groups. In contrast, the children in the BD group had higher diminution (P < 0.05), whereas the mean VCARS and VPT scores were conspicuous (P < 0.05). Based on the mean WBFPS and VAS scores, delayed pain perception after LA injection was more prominent in the BD group than in the CS group.
conclusionExternal vibration using a Buzzy® device is comparatively better than counterstimulation in alleviating needle-associated anxiety in children requiring extraction and pulpectomy.
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