Efficiency of a Vibrating and Cold Applicating Device in Reducing Pain of Local Anesthesia in Children | ||
| Dental Science Updates | ||
| Volume 6, Issue 2, September 2025, Pages 219-236 PDF (1.67 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/dsu.2025.396117.1307 | ||
| Authors | ||
| Hager AbdElkhalek Atta* 1; Reham El-nemr2; Ghada Elbaz3 | ||
| 1Pediatric and Preventive Dentistry and Dental Public Health, Faculty of Dentistry, Suez Canal University, Egypt. | ||
| 2pediatric and preventive dentistry department,suez canal university,ismailia | ||
| 3pediatric and preventive dentistry department, faculty of dentistry, SCU, Ismailia | ||
| Abstract | ||
| Introduction: Children often develop phobia toward needle pricks and invasive procedures. Unmanaged pain could result in short and long-term physiological, psychological, and emotional consequences. Aim: The aim of this study wasto compare the effectiveness of (Buzzy Bee device) versus traditional topical anesthesia 20% benzocaine gel in management of pain and anxiety during nerve block and infiltration for maxillary and mandibular primary molars in children. Materials and methods: A randomized, split-mouth study was conducted on 60 children aged 4-6 years, with no previous dental experience, who required maxillary infiltration or inferior alveolar nerve block for pulpotomy in the maxillary or mandibular primary molars. The children were divided equally into two main groups, nerve block (n=30) and infiltration groups (n=30). Then each group was subdivided into Buzzy Bee device subgroup (examined side) and topical anesthesia 20% benzocaine gel subgroup (control side), followed by pulpotomy or extractions. An assessment of the children’s pain perceptions was conducted by the dentist, using The Face Legs Activity Cry Consolability (FLACC) Scale, while anxiety levels of children were assessed by Venham’s anxiety and behavioral rating scale (VCARS), recorded during and after administration of local anesthesia. Data were analyzed for statistical significance (p<0.05). Results: There was a very highly significant reduction in anxiety assessment by (VCARS), during and after injection of LA using Buzzy Bee device (P<0.001***). According to pain assessment by (FLACC) Scale, effective reduction during and after injection of local anesthesia observed when using Buzzy Bee device (P<0.001***) in both groups. Conclusion: In pediatric patients, the Buzzy Bee device dramatically lessens the impression of pain during local anesthetic deposition. The device could be used as a supplement to standard dental procedures when giving children local anesthetic. | ||
| Keywords | ||
| Anxiety; Buzzy bee; Children; FLACC Scale; Pain; VCARS | ||
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