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Evaluating Conventional Syringe with Camouflage Syringe with Starry Smile Quest: A Randomized Controlled Trial
Surbhi Saxena1, Pallavi Vashisth1, Sathyajith Naik1
1Department of Pediatric and Preventive Dentistry, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.
International Journal of Clinical Pediatric Dentistry
|June 15, 2026
Summary
A camouflage syringe combined with a sensory-modified environment significantly reduced pain and anxiety in children during dental local anesthesia (LA) administration. This technique offers a better alternative to traditional syringes for pediatric dental procedures.
Area of Science:
- Pediatric Dentistry
- Pain Management
- Anesthesia
Background:
- Local anesthesia (LA) administration in children can cause significant anxiety and pain.
- Traditional dental environments may exacerbate fear and distress during procedures.
- Novel approaches are needed to improve the pediatric dental experience.
Purpose of the Study:
- To evaluate the effectiveness of passive distraction techniques during LA administration in children.
- To compare the outcomes of using conventional versus camouflage syringes in a sensory-modified dental environment.
- To assess the impact of different syringe methods on children's physiological and psychological responses.
Main Methods:
- A randomized controlled trial involving 66 children aged 6-11 years.
- Participants were divided into three groups: conventional syringe, camouflage syringe, and camouflage syringe with a sensory-modified environment (Starry Smile Quest).
- Outcomes measured included SpO2 levels, heart rate, dental anxiety, and pain perception.
Main Results:
- The group using a camouflage syringe with the Starry Smile Quest exhibited significantly higher SpO2 levels.
- This group also demonstrated lower heart rates, reduced dental anxiety, and minimal pain compared to the other groups (p < 0.05).
- The combined distraction technique proved superior in improving physiological and psychological outcomes.
Conclusions:
- Camouflaged syringes, particularly when used with the Starry Smile Quest distraction technique, effectively improve children's behavior and reduce anxiety during LA.
- This innovative approach is recommended as a preferable alternative to traditional syringes for administering local anesthesia in pediatric dentistry.
- The findings support the integration of sensory modifications and specialized tools to enhance patient comfort and cooperation.
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