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Objectives: To compare the effectiveness of Audiovisual (AV), Video games (VG), and Conventional (Co) distractions in pediatric dental patients.
Materials and Methods: Sixty healthy children, 6–9-years-old, with carious molars in three quadrants were treated with a local anesthetic, rubber dam, and caries removal over three visits. On the first visit, Co distraction was used, and the patients were then randomly divided into two groups, where Group A received VG, followed by AV, on their second and third visits, respectively, and Group B received the distractions in the reverse order. The Wong-baker FACES pain rating scale and a modified FLACC behavioral scale were used, and heart rate was measured.
Results: The patient’s behaviors were less disruptive when using VG than AV (p = 0.006) during the local anesthetic injection, during which VG alleviated pain (p = 0.036), promoted cooperative behavior (p = 0.007), and reduced heart rates (p = 0.0004).
Conclusion: VG was the most effective distraction to reduce disruptive behavior during local anesthetic injection.
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