Effectiveness of Mobile Applications During the Administration of Local Anesthesia in Pediatric Dentistry

Mobile App (Little Lovely Dentist) Versus Tell-Show-Do Technique in Reduction of Anxiety and Pain During Administration of Local Anaesthesia in Children (A Randomized Clinical Trial)

To evaluate the mobile games' effect on patient acceptance of local anesthesia and decreasing dental pain and anxiety levels in pediatric patients.

a randomized clinical trial with parallel-group and allocation ratio (1:1). intervention group: mobile application (little lovely dentist) control group: Tell-Show-Do technique. in children aged 4-6 years who need local anesthesia for dental treatment during their first dental visit.

For both groups:

Verbal assent from participating patients and written consent from their legal guardians will be taken.

1. Taking personal data, medical and dental history.

2. Diagnosis and determination of the required treatment.

3. Measuring preoperative anxiety using a pulse oximeter.

4. Evaluate preoperative anxiety using RMS-pictorial scale.

5. Using the behavior guidance technique:

   Intervention group: Allow the child to play the module simulating the required procedure. Control group: tell-show-do technique is used to explain the procedure to the child

6. Administration of local anesthesia and evaluation of child behaviour during the administration of local anaesthesia using Venham's behaviour rating scale and Frankl behaviour rating scale .

7. Measuring postoperative anxiety using the pulse oximeter.

8. Evaluate postoperative anxiety using RMS-pictorial scale.

9. Evaluate postoperative pain using the visual analog scale.

in second visit (after 1 week)

1) Evaluation of child behavior during the second dental visit using Venham's behavior rating scale and Frankl behavior rating scale. outcome:

1. ry: Pre and postoperative anxiety using Pulse oximeter and RMS-pictorial scale.
2. ry: Postoperative pain using Visual analog scale, evaluation of attitude during the administration of local anaesthesia at first and second dental visits using -Venham's behavior rating scale-Frankl behavior rating scale. the study will be held in 2 visits.

Inclusion Criteria:

• Children aged 4-6 years.
• Children without any systemic or mental disorders.
• Children without any prior experience with the dental environment or treatment procedures (first dental visit).
• Children whose behavior could be rated as positive or negative based on the Frankl behavior rating scale.

Exclusion Criteria:

• Children seeking dental treatment that does not necessitate local anesthesia.
• Children suffering from any systemic or mental disorders.
• Children who are not willing to participate in the study