Evidence map›Paper›PMID 39867120›Full record

ArticleInternational journal of clinical pediatric dentistry2024

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.

Vandana Ponnan, Madhu Santhakumar, Anupam Kumar Thekke Veetil

Abstract read
In one paragraph

Article in International journal of clinical pediatric dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

3 authors.

Vandana PonnanDepartment of Pediatric and Preventive Dentistry, Government Dental College, Kozhikode, Kerala, India.
Madhu SanthakumarDepartment of Pediatric and Preventive Dentistry, Government Dental College, Thrissur, Kerala, India.
Anupam Kumar Thekke VeetilDepartment of Pedodontics, Government Dental College, Alappuzha, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pain management in pediatric patients during dental procedures is very important. Here, the traditional method of behavior management is compared with novel methods. Aim: To compare and determine the effectiveness of an external cooling and vibrating device vs counterstimulation with the conventional technique in reducing the fear and discomfort of pediatric dental patients aged 5-7 years during inferior alveolar nerve block (IANB). Materials and methods: The study population consisted of children aged 5-7 years, rated as positive (+) or negative (-) on the Frankl behavior rating scale, who reported to the Department of Pediatric and Preventive Dentistry and required dental procedures in posterior teeth that warranted the use of IANB.Anxiety measurement was conducted by both objective and subjective means. The subjective measures included Wong-Baker Faces Pain Rating Scale (WBFPRS), as chosen by the patient, and Face, Legs, Activity, Cry, Consolability Scale (FLACC), as recorded by the observer, while the objective measure was pulse rate, recorded by a pulse oximeter.Group A: External cooling and vibrating device (Buzzy).Group B: Counterstimulation group.Group C: Control group. Results: The WBFPRS score and FLACC score reduced following the intervention in the counterstimulation group, indicating a reduction in pain perception and anxiety compared to the application of Buzzy and the conventional technique. Conclusion: Counterstimulation was the most effective in reducing pain perception and anxiety during the administration of IANB. Clinical significance: The injection of local anesthetic remains one of the painful and fear-inducing procedures in pediatric dentistry. This study provides evidence that counterstimulation is effective in reducing pain perception and anxiety during the administration of IANB. How to cite this article: Ponnan V, Santhakumar M, Thekke Veetil AK. 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. Int J Clin Pediatr Dent 2024;17(12):1335-1339.

Indexed as

Behavior modificationCounterstimulationDental anesthesiaRandomized controlled trialVibration

Identifiers

PMID39867120
PMCPMC11760414

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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.