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Effect of Bubble Breath Play Therapy in Anxiety Levels and Pain Perception in Children Receiving Local Anesthesia: A

Shrimahalakshmi1, Preethi B Shivanand2, M Nisha1

  • 1Department of Pedodontics and Preventive Dentistry, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamil Nadu, India.

International Journal of Clinical Pediatric Dentistry
|March 20, 2025
PubMed

Insights

Bubble Breath Play Therapy (BBPT) and diaphragmatic breathing exercises (DBE) effectively reduced pain and anxiety in children during local anesthesia. Both methods proved beneficial for managing procedural discomfort in pediatric dental patients.

Area of Science:

  • Pediatric Dentistry
  • Behavioral Science
  • Pain Management

Background:

  • Local anesthesia administration in children can cause significant pain and anxiety.
  • Effective non-pharmacological methods are needed to manage procedural pain and anxiety in pediatric dental patients.
  • Bubble Breath Play Therapy (BBPT) and diaphragmatic breathing exercises (DBE) are potential techniques for pain and anxiety reduction.

Purpose of the Study:

  • To evaluate the effect of BBPT and DBE on pain perception and anxiety levels in children aged 6-11 years during local anesthesia administration.
  • To compare the effectiveness of BBPT, DBE, and conventional techniques in managing pain and anxiety.
  • To assess the impact of these interventions on physiological and behavioral indicators of distress.

Main Methods:

  • A randomized clinical trial involving 36 children aged 6-11 years.
  • Participants were allocated to three groups: BBPT, DBE, or conventional techniques.
  • Pain and anxiety were assessed using VPRS, pulse rate, oxygen saturation, Frankl's scale, FLACC scale, and RMS before, during, and after intervention.

Main Results:

  • Both BBPT and DBE significantly reduced dental pain and anxiety in children compared to conventional techniques.
  • No significant differences were observed between the BBPT and DBE groups in terms of effectiveness.
  • Both intervention groups demonstrated improvements in pain and anxiety management.

Conclusions:

  • BBPT is a simple, fun, and effective relaxation and distraction method for children undergoing dental procedures.
  • DBE is also effective in reducing pain and anxiety during local anesthesia administration.
  • These non-pharmacological techniques should be encouraged to manage pain and anxiety associated with brief, painful procedures in children.
Abstract

Keywords:
Behavior managementBehavior management techniquesBubble breath play therapyDental anxiety

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