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Dental fear and anxiety in pediatric patients: Practical strategies to help children cope
A comprehensive guide to pediatric dental fear/anxiety (DFA) and phobia that will provide practitioners with a full understanding of the etiology, prevalence, assessment, and management of these conditions. The coping styles of children when under stress are explored, with discussion of their relevance to the assessment visit and treatment allocation. Practical treatment techniques are comprehensively covered, from non-pharmacological behavioral strategies relevant for children with no or mild DFA to those approaches more appropriate for children with severe DFA/phobia. The importance of the use of language and communication skills to build rapport and allay anxiety is explored. Relaxation and hypnosis techniques are described, with guidance on how to introduce these to patients and their parents/carers. Techniques that help children cope when receiving injections are detailed, including systematic needle desensitization
Comparison of traditional and computerized alveolar block in children using articaine 4% (randomized controlled trial)
Pediatric dental anxiety frequently centers around needle procedures, particularly for mandibular anesthesia. This study compares pain perception, efficacy, and physiological responses between computerized (CCLAD) and traditional syringe administration of articaine 4% for inferior alveolar nerve blocks (IANB) during pulpotomies.
Comparison of digital anesthesia using articaine vs. lidocaine for mandibular infiltration in pediatric patients : Aged 4-5 vs. 6-8 years
Articaine and lidocaine exhibit equivalent efficacy for mandibular infiltration via computerized systems in children aged 4–8 years. While articaine may marginally improve injection comfort, both agents provide reliable anesthesia with minimal complications. Computerized delivery enhances patient experience, supporting its adoption to reduce dental anxiety.This investigation aims to : determine whether articaine's theoretical advantages translate to clinically significant improvements in young children, identify optimal anesthetic protocols for different pediatric age groups, validate the effectiveness of digital delivery systems in pediatric mandibular anesthesia and provide robust data to replace current adult-derived guidelines with pediatric-specific evidence.
