Multifaceted distraction technique: an innovative tailored approach in dental settings for anxiety reduction in children: A preliminary report

Jayalakshmi Pandranki¹ image, Narsimha Rao V Vanga2 image, Nikitha Janipalli3 image


The new multifaceted distraction technique based on the new “Van–Pan–Nik” concept to vanish panic attacks reduces procedural anxiety in children visiting dental clinics.

The technique combines stress relaxation techniques with coordinated visual distraction.

This preliminary report confirms that the multifaceted distraction technique is easy to use, clinically acceptable, safe, and effective for behaviour management in anxious children.


Aim: This study aimed to evaluate the useability of a new multifaceted distraction technique and its effects on dental anxiety reduction in children. Methods: This in vivo experimental study included 54 anxious children with an Modified Child Dental Anxiety Scale- Face Version score>19. Multifaceted distraction was used to relax and distract the children during dental treatment. Ease of use, attractiveness, functionality, and changes in anxiety scores before and after treatment were assessed in the paediatric patients. The scores obtained were tabulated and statistically analysed using the Wilcoxon signed-rank and paired t-tests. Results: The multifaceted distraction technique was attractive, easy to use, and reduced procedural anxiety in 98.15% children aged 3–10 years. Conclusions: Within the limitations of this study, the multifaceted distraction technique was an effective behaviour.

Keywords: Behaviour Management; Child Behaviour; Dental Anxiety; Paediatric Dentistry; Stress Relaxation

Author Affiliations

  1. Associate Professor, Department of Pedodontics and Preventive Dentistry, GITAM Dental College and Hospital, Andhra Pradesh, India (Correspondence:
  2. Professor, Department of Pedodontics and Preventive Dentistry, GITAM Dental College and Hospital, Andhra Pradesh, India
  3. Postgraduate, Department of Pedodontics and Preventive Dentistry, GITAM Dental College and Hospital, Andhra Pradesh, India
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Article Info

Contemp Pediatr Dent 2023:4(2):57-68

Received: 17 April 2023

Accepted: 04 August 2023

Online First: 10 August 2023


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					Jayalakshmi Pandranki, Narsimha Rao V Vanga, Nikitha Janipalli. Multifaceted distraction technique: an innovative tailored approach in dental settings for anxiety reduction in children: A preliminary report. Contemp Pediatr Dent 2023:4(2):57-68.

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