ArticleInternational journal of clinical pediatric dentistry2026
Comparative Assessment of Behavior, Anxiety, Pulse Rate, and Pain Perception in Children Using Different Local Anesthesia Delivery Systems: A Randomized Controlled Trial.
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.
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5 authors.
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Abstract
Background: Local anesthesia (LA) remains fundamental to effective pain control in invasive dental procedures. However, the act of administering LA can itself be a source of anxiety, particularly among pediatric patients, which may in turn influence their pain perception. Technological advancements, such as computer-controlled LA delivery systems, have emerged as innovative alternatives designed to enhance patient comfort and potentially reduce the pain and anxiety associated with conventional injection techniques. Aim: To compare and evaluate behavior, anxiety, pulse rate, and pain perception in children using StarPen, VibraJect, and conventional syringe systems. Materials and methods: In this parallel-group randomized controlled trial, a total of 150 children (aged 6-10 years) undergoing inferior alveolar nerve block (IANB) were randomly divided into three groups ( Results: StarPen demonstrated the most favorable outcomes, significantly reducing pain (mean FLACC: 1.19 ± 0.55), anxiety (mean Venham: 0.58 ± 0.54), and pulse rate (mean: 105.09 ± 4.37 bpm) compared to VibraJect and conventional syringe groups ( Conclusion: StarPen demonstrated superior outcomes across all evaluated parameters, supporting its efficacy as a behavior-management tool and pain-minimizing device in pediatric dentistry.
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