J Dent Anesth Pain Med.  2023 Jun;23(3):143-151. 10.17245/jdapm.2023.23.3.143.

Effectiveness of thaumaturgic distraction in alleviation of anxiety in 4–6-year-old children during inferior alveolar nerve block administration: a randomized controlled trial

• Kothari P
• Mathur A
• Chauhan RS
• Nankar M
• Tirupathi S
• Suvarna A

• KMID: 2543045
• DOI: http://doi.org/10.17245/jdapm.2023.23.3.143

Abstract

Background
Dental anxiety is a matter of serious concern to pediatric dentists as it may impede the efficient delivery of dental care. If not adequately resolved, a persistent negative response pattern may emerge. Thaumaturgy, commonly known as magic trick, has become popular recently. It is a tool that distracts and relaxes the child by using magic trick while the dentist performs necessary treatment. Hence, the aim of this study was to evaluate the effectiveness of Thaumaturgic aid in alleviation of anxiety in 4–6 – year-old children during administration of local anesthesia using the inferior alveolar nerve block (IANB) technique.
Methods
Thirty children aged between 4–6 years with dental anxiety requiring IANB were included in this study. Patients were divided equally into two groups: Group I, thaumaturgic aid group and Group II, conventional non-pharmacological group using randomization. Anxiety was measured before and after using the intervention with Raghavendra Madhuri Sujata-Pictorial scale (RMS-PS), Venham’s anxiety rating scale, and pulse rate. All the data were tabulated and compared using statistical analysis.
Results
Children in thaumaturgy group (Group- I) exhibited significantly lower anxiety during IANB in comparison with children in the conventional group (Group- II) and the difference was statistically significant.
Conclusion
Magic tricks are effective in reducing anxiety among young children during IANB; Moreover, it expands the arsenal of behavior guidance techniques for treatment of children with anxiety and plays an important role in shaping the behavior of a child in pediatric dentistry.

Keyword

Children; Distraction; Inferior Alveolar Nerve; Magic Tricks; Nerve Block; Pain