{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:59:42Z","timestamp":1790171982628,"version":"4.1.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background and Aim:<\/jats:title>\n Dental anxiety can compromise children\u2019s cooperation during dental treatment. Although distraction is widely used for behavior guidance, evidence comparing dual-sensory distraction techniques with conventional management remains limited. This study evaluated the effectiveness of audiovisual and visual-olfactory dual-sensory stimulation for reducing dental anxiety and improving behavior in pediatric patients.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This randomized controlled trial included 138 healthy pediatric patients aged 4\u20137 years who were allocated equally to audiovisual distraction, visual-olfactory distraction using jasmine oil, or tell-show-do management. Anxiety and behavior were assessed before and after treatment using the Chhota Bheem\u2013Chutki Scale and Venham\u2019s Picture Test. Pulse rate and oxygen saturation (SpO2) were also recorded. Data were analyzed using a paired\n t<\/jats:italic>\n -test, one-way analysis of variance, and Kruskal\u2013Wallis test, with significance set at\n P<\/jats:italic>\n < 0.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Both dual-sensory distraction techniques significantly reduced anxiety and improved cooperative behavior. Compared with Tell-Show-Do, both interventions produced better post-treatment behavioral outcomes; audiovisual distraction additionally showed a significant improvement in SpO2. Pulse-rate reduction was comparable among groups.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Dual-sensory distraction is an effective non-pharmacological strategy for managing anxiety and improving behavior in pediatric dental patients, with audiovisual distraction showing greater effectiveness.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_344_26","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:00:57Z","timestamp":1790096457000},"page":"553-559","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative evaluation of a novel dual sensory stimulation technique for reducing dental anxiety and improving behavior in pediatric patients: A randomized controlled trial"],"prefix":"10.4103","volume":"44","author":[{"given":"Namrata","family":"Puri","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauri","family":"Kalra","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhulika","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanu","family":"Nangia","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrolene","family":"Langpoklakpam","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Manav Rachna Dental 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