Evidence map›Paper›PMID 42291639›Full record

ArticleInternational journal of clinical pediatric dentistry2026

Comparison of Pain and Anxiety Levels with Two Different Local Anesthesia Delivery Systems in Children: A Randomized Clinical Trial.

M Prerana, Veena Shivanna, Jyothsna V Setty, Nagalakshmi Chowdhary, Nikhitha Elsa Shaji, Rajashekar Reddy Vundela, Mahesh Kumar Karuppiah

Abstract read
In one paragraph

Article in International journal of clinical pediatric dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

M PreranaDepartment of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, Karnataka, India.
Veena ShivannaDepartment of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, Karnataka, India.
Jyothsna V SettyDepartment of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, Karnataka, India.ORCID https://orcid.org/0000-0001-7346-7849
Nagalakshmi ChowdharyDepartment of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, Karnataka, India.
Nikhitha Elsa ShajiDepartment of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, Karnataka, India.ORCID https://orcid.org/0009-0001-4022-3407
Rajashekar Reddy VundelaDepartment of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, Karnataka, India.ORCID https://orcid.org/0000-0002-0209-6646
Mahesh Kumar KaruppiahDepartment of Pediatric and Preventive Dentistry, Faculty of Medicine and Health Sciences, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.ORCID https://orcid.org/0000-0003-1326-8121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In pediatric patients, it is of utmost importance to deal with pain during invasive and noninvasive dental procedures. In this study, two different local anesthesia delivery systems-Star Pen and Buzzy-were compared to the traditional syringe in reducing pain and apprehension in children aged between 5 and 10 years. Aim: To evaluate and compare the pain levels and anxiety levels while local anesthesia is being delivered using Star Pen and Buzzy system in children between the ages of 5 and 10 years. Materials and methods: Children between the aged 5 and 10 years were recruited, who were randomly split into three different groups-group I: Star Pen, group II: Buzzy, and group III: Conventional syringe. Local anesthesia was administered, followed by standard extraction procedures. Anxiety and pain measurements were recorded using Venham's Picture Test (VPT), face, leg, activity, cry, consolability (FLACC) scale, Animated Visual Pain Rating Scale, and pulse oximeter to measure pulse rate and oxygen saturation. Results: Star Pen and Buzzy group showed lower pain and anxiety scores; lower post-treatment pulse rates were found in the Buzzy group, whereas Star Pen group showed lower VPT and FLACC scores. Conclusion: Star Pen and Buzzy systems can be used as effective adjuncts in pediatric dentistry to reduce pain and apprehension. How to cite this article: Prerana M, Shivanna V, Setty JV,

Indexed as

AnxietyBuzzyFLACCPainStar Pen

Identifiers

PMID42291639
PMCPMC13262011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.