Abstract
BACKGROUND: Children's dental anxiety, which is frequently brought on by discomfort or a fear of pain, is a major obstacle to receiving quality dental care, especially while local anesthesia (LA) is being administered. To lessen anxiety and enhance the child's experience, a variety of pharmaceutical and nonpharmacological strategies have been investigated, including distraction approaches, like audiovisual (AV) eyeglasses. AIMS: The purpose of this study was to evaluate how well AV eyeglasses and various topical anesthetics, including precaine, lollicaine, and ice tubes, affected juvenile patients' perceptions of pain during intraoral injections. MATERIALS AND METHODS: Group I (AV eyeglasses + precaine), group II (AV eyeglasses + ice tube), and group III (AV eyeglasses + lollicaine) comprised 30 children between the ages of 6 and 12 who needed tooth extractions under local anesthetic. Pain perception was assessed using the universal pain assessment tool, behavior pain scale, and pulse oximetry. Statistical analysis was conducted using ANOVA and Fisher's exact test. FINDINGS: Group I had the lowest mean pain scores and the highest pain tolerance. Compared to groups II and III, where ice tubes and lollicaine offered superior pain relief, group I experienced more crying and hand movements. AV eyeglasses had no discernible effect on behavioral control, but it did marginally increase pain tolerance. CONCLUSION: Audiovisual eyewear did not significantly enhance child behavior during local anesthesia, although offering some distraction and increasing pain tolerance. Lollicaine and cryoanesthesia (ice tube) were more successful in lessening the impression of pain. In pediatric dentistry, AV eyeglasses can be utilized as an additional distraction method. HOW TO CITE THIS ARTICLE: Waddo NA, Shaikh NK, Ranjan A, et al. Influence of Site Preparation Methods on Pain Associated with Injection of Local Anesthesia Using Audiovisual Eyeglasses: A Clinical Study. Int J Clin Pediatr Dent 2025;18(11):1354-1357.