Evidence map›Paper›PMID 41696625›Full record

ArticleInternational journal of dentistry2026

Effectiveness of Camouflaged Syringe on Dental Anxiety and Pain During Maxillary Local Anesthesia in Children: A Randomized Controlled Clinical Trial.

Bana Darwish, Mohammad Bashier Al Monaqel, Mohammed N Al-Shiekh, Mawia Karkoutly

Abstract read
In one paragraph

Article in International journal of dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Bana DarwishDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria, damascusuniversity.edu.sy.
Mohammad Bashier Al MonaqelDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria, damascusuniversity.edu.sy.
Mohammed N Al-ShiekhDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria, damascusuniversity.edu.sy.ORCID https://orcid.org/0009-0000-5891-5367
Mawia KarkoutlyDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria, damascusuniversity.edu.sy.ORCID https://orcid.org/0000-0003-0227-1560

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The current study aimed to evaluate the effectiveness of a camouflaged dental syringe in reducing dental anxiety and pain during maxillary infiltration anesthesia in children aged 6-9 years, compared to a conventional syringe. Materials and Methods: This randomized controlled clinical trial included healthy children aged 6-9 years who attended the Department of Paediatric Dentistry at Damascus University between December 2023 and May 2024. All participants required dental treatment in the maxilla involving buccal and palatal infiltration on one side. Participants were randomly assigned to two groups: Group A received local anesthesia with a conventional syringe using the tell-show-do (TSD) technique, and Group B received anesthesia with a camouflaged syringe using the same TSD approach. Dental anxiety was assessed using the facial image (FI) scale. Dental pain was assessed using the face, legs, activity, cry, consolability (FLACC) behavioral pain scale and changes in pulse rate as a physiological indicator for both pain and anxiety. Primary outcome measures were recorded at baseline ( Results: A total of 70 children (mean age = 7.34 years) were enrolled. The FI scale scores and pulse rates increased significantly overtime in both groups ( Conclusions: The use of a camouflaged syringe appears to be an effective strategy for reducing dental anxiety and pain in children undergoing local anesthetic injections in the maxillary arch.

Indexed as

behavioral managementcamouflaged syringedental anxietylocal anesthesiapain perceptionpediatric dentistry

Identifiers

PMID41696625
PMCPMC12904842

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Registered trials

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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.