Sara Ahmed Mahmoud

Citation:

Comparative evaluation of passive, active, and passive-active distraction techniques on pain perception during local anesthesia administration in children, Abdelmoniem, Soad A., and Mahmoud Sara A. , Journal of Advanced Research, Volume 7, p.551-556, (2015)

Abstract:

Local anesthesia forms the backbone of pain control techniques and is necessary for a painless
dental procedure. Nevertheless, administering a local anesthetic injection is among the most
anxiety-provoking procedures to children. This study was performed to compare the efficacy
of different distraction techniques (passive, active, and passive-active) on children’s pain
perception during local anesthesia administration. A total of 90 children aged four to nine years,
requiring inferior alveolar nerve block for primary molar extraction, were included in this study
and randomly divided into three groups according to the distraction technique employed during
local anesthesia administration. Passive distraction group: the children were instructed to listen
to a song on headphones; Active distraction group: the children were instructed to move their
legs up and down alternatively; and Passive-active distraction group: this was a combination
between both techniques. Pain perception during local anesthesia administration was evaluated
by the Sounds, Eyes, and Motor (SEM) scale and Wong Baker FACES
Pain Rating Scale.
There was an insignificant difference between the three groups for SEM scale and Wong Baker
FACES Pain Rating Scale at P=0.743 and P=0.112 respectively. The examined distraction
techniques showed comparable results in reducing pain perception during local anesthesia
administration.