Journal of South Asian Association of Pediatric Dentistry

Register      Login

VOLUME 5 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Magic: A Modern Alleviating Constituent of Anxiety Levels in Children

CH Chandana Krishna Shree, HR Pooja, Andrea Natalia Mascarenhas

Keywords : Behavior guidance, Distraction tricks, Magic trick, Rubber light and thumb trick, Strong-willed children

Citation Information : Shree CC, Pooja H, Mascarenhas AN. Magic: A Modern Alleviating Constituent of Anxiety Levels in Children. J South Asian Assoc Pediatr Dent 2022; 5 (3):121-126.

DOI: 10.5005/jp-journals-10077-3241

License: CC BY-NC 4.0

Published Online: 27-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Anxiety in the dental setup is a most encountered problem associated with fear and stress, which has overemphasized its impact on the pediatric population. The lack of cooperativeness of children seen in the dental setup is mainly accredited to the behavioral expression of anxiety. There is a requirement for a constructive technique in dealing with children with obstinate attitudes. The magic technique is a new epoch in dentistry that can be used in strong-willed children. The magic technique helps in distracting the child and thus helps the child to relax and the dentist to perform the necessary treatment. Aim: To evaluate the change in behavioral attitude during the first visit in children and adolescents using magic distraction and audio-video distraction aids. Materials and methods: A total of 60 children of the age-group 4–13 years, who are recognized as strong-willed children, were chosen for the study. Children falling under the inclusion criteria were treated with endodontic and surgical procedures requiring local anesthesia administration and were assessed using three distraction aids (audio, audio-video, and magic group). Anxiety was assessed before and after the procedures using the Chotta Bheem and Chutki anxiety scale. Results: Mean anxiety levels were observed to be significantly reduced with the magic group using the thumb and light trick, followed by the audio-video group and then with the audio group. Conclusion: The use of distraction aids significantly reduced anxiety levels in children and adolescents.

  1. Konde S, Sumaiyya S, Agarwal M, et al. “Thaumaturgy”—a novel behavior-shaping technique. Int J Clin Pediatr Dent 2020;13(4):318. DOI: 10.5005/jp-journals-10005-1781.
  2. Forehand R, Long N. Strong-willed children: a challenge to parents and pediatric dentists. Pediatr Dent 1999;21(7):463–468. PMID: 10633525.
  3. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007;17(6):391–406. DOI: 10.1111/j.1365-263X.2007.00872.x.
  4. Ingersoll TG, Ingersoll BD, Seine RJ, et al. A survey of patient and auxiliary problems as they relate to behavioral dentistry curricula. J Dent Educ 1978; 42(5):260–263. DOI: 10.1002/j.0022-0337.1978.42.5.tb01189.x
  5. Allen KD, Stark LJ, Rigney BA, et al. Reinforced practice of children's cooperative behavior during restorative dental treatment. ASDC J Dent Child 1988;55(4):273–277. PMID: 3165985.
  6. Thomas A, Chess S. Temperament and Development. New York, NY: Brunner/Mazel, 1977.
  7. Asokan S, Geetha Priya PR, Natchiyar SN, et al. Effectiveness of distraction techniques in the management of anxious children–a randomized controlled pilot trial. J Indian Soc Pedod Prev Dent 2020;38(4):407. DOI: 10.4103/JISPPD.JISPPD_435_20
  8. Shetty RM, Khandelwal M, Rath S. RMS Pictorial Scale (RMS-PS): an innovative scale for the assessment of child's dental anxiety. J Indian Soc Pedod Prev Dent 2015;33(1):48–52. DOI: 10.4103/0970-4388.149006.
  9. Seligman LD, Ollendick TH. Cognitive-behavioral therapy for anxiety disorders in youth. Child Adolesc Psychiatr Clin N Am 2011;20(2):217–238. DOI: 10.1016/j.chc.2011.01.003.
  10. Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent 2016;8:35–50. DOI: 10.2147/CCIDE.S63626.
  11. Agarwal M, Das UM. Dental anxiety prediction using Venham Picture test: a preliminary cross-sectional study. J Indian Soc Pedod Prev Dent 2013;31(1):22. DOI: 10.4103/0970-4388.112397.
  12. Allani S, Setty JV. Effectiveness of distraction techniques in the management of anxious children in the dental operatory. IOSR J Dent Med Sci 2016;15(10):69–73. DOI: 10.9790/0853-1510026973.
  13. Waxman D. Hartland's Medical and Dental Hypnosis. 3rd ed., London: Bailliere Tindall; 1989.
  14. Accessed:2018/15/10.
  15. Peretz B, Gluck G. Magic trick: a behavioural strategy for the management of strong-willed children. Int J Paediatr Dent 2005;15(6):429–436. DOI: 10.1111/j.1365-263X.2005.00668.x.
  16. Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2007;25(4):177. DOI: 10.4103/0970-4388.37014.
  17. Aitken JC, Wilson S, Coury D, et al. The effect of music distraction on pain, anxiety and behavior in pediatric dental patients. Pediatr Dent 2002;24(2):114–118. PMID: 11991313.
  18. Seyrek SK, Corah NL, Pace LF. Comparison of three distraction techniques in reducing stress in dental patients. J Am Dent Assoc 1984;108(3):327–329. DOI: 10.14219/jada.archive.1984.0034.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.