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Cited by 14Dental Anxiety and Anesthesia TechniquesPediatric Pain Management TechniquesMusic Therapy and Health

Comparative Evaluation of Effect of Two Relaxation Breathing Exercises on Anxiety during Buccal Infiltration Anesthesia in Children Aged 6–12 Years: A Randomized Clinical Study

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Bargale, Seema, Khandelwal, Jayesh Rupesh, Dave, Bhavna Haresh, Deshpande, Anshula Neeraj, Shah, Susmita Shrenik, Chari, Deepika Narasimha·2021·Journal of Indian Society of Pedodontics and Preventive Dentistry
DOI 10.4103/jisppd.jisppd_501_20
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Abstract

Background: Dental procedures, especially local anesthetic administration, are a source of great anxiety to children. Diaphragmatic breathing is defined as an efficient integrative body–mind training for dealing with stress and psychosomatic conditions. Pinwheel exercise is also a highly effective technique of “play therapy.” Aim: This study aimed to compare dental anxiety using pinwheel breathing exercise and diaphragmatic breathing exercise during buccal infiltration anesthesia. Methodology: Sixty children in the age group of 6–12 years with Frankel's behavior rating score of 3 who required buccal infiltration local anesthesia were selected. Subjects were divided randomly into two groups, i.e., Group A: children who performed pinwheel breathing exercise and Group B: children who performed diaphragmatic breathing exercise. The level of anxiety of the patients was recorded using an animated emoji scale. The data were analyzed using IBM SPSS version 20 software with paired t -test and Chi-square test. Results: There was a significant reduction in dental anxiety score from score 1 (before the anesthetic procedure) to score 2 (after the anesthetic procedure) in both the groups. On intergroup analysis, children who performed pinwheel breathing exercise (Group A) showed higher values than children who performed deep breathing exercise without pinwheel (Group B) with a t value of 1.42 but was not statistically significant with a P value of 0.161. Conclusion: Pinwheel breathing exercise as well as diaphragmatic breathing exercise proved to be significantly effective in reducing dental anxiety during local anesthesia.

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Authors
Bargale, S., Khandelwal, J. R., Dave, B. H., Deshpande, A. N., Shah, S. S., & Chari, D. N.
Affiliations
KM Shah Dental College and Hospital (IN)
Corresponding author
  • Bargale, Seema
  • Shah, Susmita Shrenik
ORCID
Venue
Journal of Indian Society of Pedodontics and Preventive Dentistry
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2021-07
Volume
39
Issue
3
Pages
284-290
ISSN
  • 0970-4388 (ISSN-L)
  • 1998-3905
DOI
10.4103/jisppd.jisppd_501_20
OpenAlex
W3216329047
Cited by
14
References
30
Citations by year
2026: 2 · 2025: 7 · 2024: 3 · 2023: 2
FWCI
1.28
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Indian Society of Pedodontics and Preventive Dentistry (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
  • Social Sciences › Psychology › Social Psychology › Music Therapy and Health
Keywords
dental anxiety, children, buccal infiltration anesthesia, local anesthesia, diaphragmatic breathing, preoperative anxiety reduction
MeSH terms
Anesthesia, Dental, Anesthesia, Local, Anesthetics, Local, Anxiety, Anxiety Disorders, Breathing Exercises, Child, Humans

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