Cold Vibratory Stimuli on Pain Perception Governing Infiltration Anesthesia in in Children

Effectiveness of Cold Vibratory Stimuli on Pain Perception Governing Infiltration Anesthesia in the Maxillary Arch in Children: a Randomized Controlled Clinical Trial

Local anesthesia injections are sometimes painful, resulting in antagonistic cooperation, fear, and anxiety in children. This study aims to investigate the effectiveness of vibratory and cold stimulation before the injection to reduce pain. Purpose of the study: Evaluate the effectiveness of Buzzy® in pain reduction during local anesthesia administration compared to the traditional topical anesthetic gel in pediatric patients.

Inclusion Criteria:

• Patients who are in need of extraction of maxillary posterior teeth.
• Children free of any systemic disease or special health care needs (ASA I).
• Children with no learning disabilities.
• Positive or definitely positive behavior during preoperative assessments according to the Frankl Scale.
• Patients whose parents will give consent to participate.

Exclusion Criteria:

• Having active sites of pathosis in the area of injection that could affect the anesthetic assessment.
• Signs of reversible pulpitis.
• Restorable tooth.
• Patients allergic to local anesthesia or having a family history of allergy to local anesthesia.
• Patients with acute oral or facial infection (swelling and/or cellulites )