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Dental anxiety usually stands in the way of obtaining adequate dental treatment, and the dental setting and team are considered factors that may affect dental anxiety. Many cross-sectional studies have indicated that dentally anxious children prefer their dentist to wear friendly attire rather than a conventional white coat, but no clinical trial has detected the effect of wearing a child's friendly attire on anxiety levels among young patients. A total of 120 children were enrolled in this study and divided into four groups in which the dentists wore either friendly attire or white coat in the reception and treatment areas. Anxiety and pain were assessed while the patients received a dental injection. A statistically significant decrease in anxiety levels was observed in the 1st group compared with the other three groups after dental infiltration into the maxilla. The pain scores were significantly lower in the 1st group, whereas the control group patients scored the highest scores. A child's friendly attire can help dentists build positive relationships with young patients and help reduce their anxiety., Competing Interests: Declarations. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)

Background: Dental simulation games are virtual educational games that help children get familiar with different dental procedures. This study aimed to evaluate the pretreatment exposure to the "Baby Panda Dental Care" game in reducing pain and anxiety in comparison with the tell-show-do (TSD) technique during primary molars pulpotomy for patients aged 6-10 years., Materials and Methods: It was a triple-blinded, two-arm, parallel-group, randomized, active-controlled trial. It was done on 60 patients, who were randomly divided into two groups: the control group, TSD technique (n = 30), and the experimental group, "Baby Panda Dental" Care (n = 30). For the TSD technique, children were provided with a verbal explanation followed by a demonstration of the dental treatment in a non-threatening way. The "do" phase is then initiated during performing treatment. For the "Baby Panda dental care" game, children were asked to play for 5 min before treatment, selecting root canal therapy procedures. Pulse rate and RMS pictorial scale were recorded at four time points: (1) at the baseline (t 0 ). (2) After conditioning the child (t 1 ). (3) During treatment (t 2 ). (4) After finishing the treatment (t 3 ). Face, Legs, Activity, Cry, Consolability (FLACC) behavioral pain scale was recorded during treatment (t 2 )., Results: The pulse rate is higher in the control group at t 1 (p = 0.012) and t 2 (p = 0.015). There was a statistically significant difference in the mean RMS pictorial scale score at t 1 (p < 0.001), t 2 (p = 0.006), and t 3 (p < 0.001), a statistically significant difference was noticed in FLACC behavioral pain assessment between the two groups (p = 0.033)., Conclusions: The mobile dental game showed better results than the TSD technique, but neither technique did not reduce anxiety and pain effectively during dental treatment., Trial Registration: The trial was registered at the ISRCTN registry (ISRCTN30470866) on 19/04/2024., (© 2024. The Author(s).)