Background: Dental anxiety is a common problem, which can affect people of all ages, but appears to develop mostly in childhood. Practitioners use numerous methods to control dental anxiety in children during the dental procedures. Objective: To evaluate the effectiveness of nitrous oxide/oxygen (N2O/O2) inhalation sedation and video-eyeglass distraction (VED) in the management of anxious pediatric patients during dental extraction. Methods: The study was conducted on 40 children aged 6-12 years who required extraction of at-least one mandibular primary molar under local anesthesia. The children were randomly divided into two groups with 20 children in each -Group-A wearing videoeyeglass and Group-B using N2O/O2 inhalation sedation during dental extraction. The physiological assessment was done by recording heart rate using fingertip pulse oximeter. The psychological assessment was done by recording base line anxiety before the treatment and post treatment anxiety at the completion of extraction using Venham's anxiety scale (VAS). Independent t-test with p value <0.05 level of significance was used to compare means of two groups. Results: Comparison of Venham's anxiety score of participants at the completion of extraction, showed statistically no significant difference (p=0.946). The mean pulse rate recorded at different time points between the two groups was also statistically non-significant (P=0.923, 0.957, 1.00 respectively). Conclusion: Both N2O/O2 inhalation sedation and VED were equally effective in reducing anxiety during dental extraction but considering the adverse effects and requirement of expert personnel in N2O/O2 inhalation sedation, VED may be preferred because of its better applicability.

Background: Covid-19 led to closure of many dental services, reducing the help and support for children and families. During COVID-19, many of the emergency calls received were regarding children with caries, which lead to pain and infection. We are concerned that decay rates for children may increase during the pandemic, whilst children are at home and access to dentistry is limited. Aim: Our aim was to try target children with high caries risk by educating children and families in the form of an E-leaflet. The use of IT and technology has increased during the pandemic. Children are also familiar with E-learning. Methods: Information gatheringassessing current information within the trust. Leaflet design alongside an illustrator, to ensure child-friendly. We used an online to obtain feedback. The leaflet was sent electronically. Result: Positive feedback was gained, relating to its child friendly layout and easy-to-read format. Conclusions: The E-leaflet has been a successful, cost effective and eco-friendly method of information sharing, in a time where face-to face appointments were not possible.