Comparing Pain and Anxiety Levels during Local Anesthesia Administration Using Intra- and Extraoral Vibratory Systems.

Background: Children with trypanophobia may develop anxiety by simply seeing healthcare professionals. Recently, dentists have explored using gels with vibrating devices under cold temperatures to mask pain. Aim: This study aimed to compare the effectiveness of intra- and extraoral vibratory systems with conventional local anesthesia (LA) in assessing pain perception and anxiety in children. Design: A total of 120 children, aged 6-10 years, needing dental procedures with LA, were divided into three groups of 40 each. Group I received conventional treatment, while groups II and III were treated with intra- and extraoral vibratory systems, respectively. Anxiety levels were recorded using pulse oximetry, and pain perception was measured using the visual analog scale (VAS) and face, legs, activity, cry, and consolability (FLACC) scale. Results: Anxiety levels showed no significant difference between groups, but pain scores measured by VAS were significantly lower in groups II and III. FLACC scores showed no significant differences. Conclusion: Intra- and extraoral vibratory systems can be effective adjuncts to conventional LA techniques. How to cite this article: Mamilla SG, Cheruku SR, Mohammad ZU, et al. Comparing Pain and Anxiety Levels during Local Anesthesia Administration Using Intra- and Extraoral Vibratory Systems. Int J Clin Pediatr Dent 2025;18(7):820-824.