Patient perception: pain · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
The wand (computer-controlled LA delivery system) showed no clear difference in pain perception during the intervention (pooled) compared with traditional local anaesthetic; GRADE not reported.
1 finding from 1 review
Good or better behaviour · Children and adolescents (0 to 16 years) needing dental treatment
It is very uncertain whether chloral hydrate changes good or better behaviour compared with placebo (including no intervention) (very low certainty).
1 finding from 1 review
Good or better behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Meperidine (intramuscular) may leads to higher good or better behaviour compared with placebo (including no intervention) (low certainty).
1 finding from 1 review
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
1 finding from 1 review
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
It is very uncertain whether nitrous oxide/oxygen changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).
1 finding from 1 review
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
It is very uncertain whether oral diazepam changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).
1 finding from 1 review
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
It is very uncertain whether intravenous midazolam changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).
1 finding from 1 review
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Oral midazolam probably leads to higher behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (moderate certainty).
1 finding from 1 review
Completion of treatment · Children and adolescents (0 to 16 years) needing dental treatment
The review found no eligible studies for this question.
1 finding from 1 review
Physiological measures during local anaesthesia (pulse rate and oxygen saturation) · Children aged 4 to 13 years with no previous dental experience undergoing restorative treatment with local anaesthesia (Gokli 1994)
1 finding from 1 review
With regard to oxygen saturation and pulse rate, only pulse rate was significantly lower in the hypnosis group (P = 0.005); oxygen saturation did not differ significantly. (Gokli 1994; cross-over, 29 children.)
1 study · 29 participants
GRADE not reported
Adverse events · Children undergoing dental and orthodontic treatment (Gokli 1994; Trakyali 2008)
1 finding from 1 review
Difference in post-operative anxiety between test and control groups · Children and adolescents (0 to 16 years) needing dental treatment
The review found no eligible studies for this question.
1 finding from 1 review
Measures of behaviour during local anaesthesia administration (undesirable behaviours: crying, hand movement, physical resistance, leg movement) · Children aged 4 to 13 years with no previous dental experience undergoing restorative treatment with local anaesthesia (Gokli 1994)
1 finding from 1 review
Patients who were hypnotised demonstrated fewer undesirable behaviours (crying, hand movement, physical resistance and leg movement) than those who did not undergo hypnosis. Decreased crying with hypnosis was the only…
1 study · 29 participants
GRADE not reported
Orthodontic appliance (headgear) wearing time and patient co-operation · Children (mean age approximately 10 years) with skeletal Class II division 1 malocclusion undergoing orthodontic treatment with cervical…
1 finding from 1 review
A statistically significant decrease (P < 0.05) in headgear wear was observed in the control (verbal motivation) group from the first to the sixth month; the difference in the hypnosis group was not significant,…
1 study · 30 participants
GRADE not reported
Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
The review found no eligible studies for this question.
1 finding from 1 review
Anxiety · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
Video modelling acclimatisation showed no clear difference in pre- and post-operative anxiety measures (Venham's scale) compared with acclimatisation in clinic (tell-show-do); GRADE not reported.
1 finding from 1 review
Physical/verbal resistance and self-reported pain during LA (other studies) · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
Hypnosis led to lower physical/verbal resistance and self-reported pain during LA (other… compared with conventional treatment; GRADE not reported.
1 finding from 1 review
Self- or observational assessment of intraoperative distress/pain/acceptance of treatment during provision of LA: pain-related behaviour (any disruptive behaviour/sudden reaction/movement) · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
1 finding from 1 review
pain-related behaviour (any disruptive behaviour/sudden reaction/movement); 4 studies reported a benefit in using the wand while the remaining studies results suggested no difference between the 2 methods of delivering…
6 studies · 704 participants
Very low
Self- or observational assessment of intraoperative distress/pain/acceptance of treatment during provision of LA: anxiety/pain experience (VAS, higher scores indicate worsened anxiety) · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
Video modelling acclimatisation for LA may leads to lower self- or observational assessment of intraoperative… compared with oral hygiene video (low certainty).
1 finding from 1 review
Acceptance of LA · Children and adolescents having dental treatment under local anaesthetic without general anaesthesia
The review found no eligible studies for this question.
1 finding from 1 review