Pathivada Lumbini, Sahu Bhumika, Garg Nishita, Krishna Karthik M, Roy Sayani, Kaur Manpreet
Department of Pedodontics and Preventive Dentistry, Rungta College of Dental Sciences & Research, Bhilai, Chhattisgarh, India.
Department of Pedodontics and Preventive Dentistry, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Int J Clin Pediatr Dent. 2025 Sep;18(9):1128-1133. doi: 10.5005/jp-journals-10005-3260. Epub 2025 Sep 15.
This study aimed to compare the effectiveness of a mobile dental application and a kaleidoscope in reducing dental anxiety among children aged 6-9 years receiving local anesthesia (LA) during dental procedures.
In this clinical study, 48 healthy children requiring invasive dental treatment were divided into two groups: the mobile dental app group (group I) and the kaleidoscope group (group II). Group I used the "Little Lovely Dentist" app before receiving LA, while group II viewed various designs through a kaleidoscope prior to anesthesia administration. Anxiety levels were assessed using physiological measures [pulse rate, oxygen saturation (SpO), and respiratory rate] and subjective measures [facial image scale and Wong-Baker faces pain rating scale (WBFPS)] at preoperative and postoperative time points.
The kaleidoscope group demonstrated statistically significant improvements in all measured parameters compared to the dental app group postintervention ( = 0.000). Group II exhibited decreased pulse and respiratory rates, increased SpO, and reduced pain scores, while group I showed slight increases in pain scores and significant increases in respiratory and pulse rates.
The findings suggest that using a kaleidoscope as a distraction technique is more effective than a mobile dental application in alleviating dental anxiety and pain in children during the administration of LA.
Pathivada L, Sahu B, Garg N, Evaluating the Impact of a Smartphone Dental Application vs a Kaleidoscope on Mitigating Childhood Dental Anxiety during the Administration of Local Anesthesia. Int J Clin Pediatr Dent 2025;18(9):1128-1133.
本研究旨在比较一款移动牙科应用程序和一个万花筒在减轻6至9岁儿童在牙科手术中接受局部麻醉时的牙科焦虑方面的效果。
在这项临床研究中，48名需要进行侵入性牙科治疗的健康儿童被分为两组：移动牙科应用程序组（第一组）和万花筒组（第二组）。第一组在接受局部麻醉前使用“小可爱牙医”应用程序，而第二组在麻醉给药前通过万花筒观看各种图案。在术前和术后时间点，使用生理指标[脉搏率、血氧饱和度（SpO）和呼吸率]和主观指标[面部图像量表和面部表情疼痛评分量表（WBFPS）]评估焦虑水平。
与干预后的牙科应用程序组相比，万花筒组在所有测量参数上均显示出统计学上的显著改善（P = 0.000）。第二组的脉搏和呼吸率降低，SpO升高，疼痛评分降低，而第一组的疼痛评分略有增加，呼吸和脉搏率显著增加。
研究结果表明，在局部麻醉给药期间，使用万花筒作为一种分散注意力的技术比移动牙科应用程序在减轻儿童牙科焦虑和疼痛方面更有效。
Pathivada L, Sahu B, Garg N, 评估智能手机牙科应用程序与万花筒对减轻局部麻醉期间儿童牙科焦虑的影响。《国际临床儿科牙科学杂志》2025；18(9):1128 - 1133。
