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. 2018 Oct 4;2018(10):CD005179. doi: 10.1002/14651858.CD005179.pub4

Huet 2011.

Study characteristics
Methods RCT. 2 arms.
Participants Number of children: 15 control, 14 treatment
Sex of children: 16 M, 13 F
Age range of children: 5 ‐ 12 years
Mean age of children: not reported (median = 8 years and 9 years)
Needle procedure: local dental anesthetic
Diagnosis of child: none
Inclusion criteria: not reported
Exclusion criteria: not reported
Setting: Department of Pediatric Dentistry at Rennes University Hospital, France
Interventions 1. Hypnosis: Hypnosis followed the 3‐step Ericksonian procedure and was directed by a trained hypnotherapist. Hypnotic induction began in the dentist’s chair and focused on images, suggestions, and stories of interest to the child identified during an initial interview. The hypnotherapist spoke throughout the dental anesthesia and treatment, incorporating aspects of the intervention.
2. Standard care control: Children underwent the same procedures without hypnosis. The initial interview included reassuring explanations about the usual protocol.
Outcomes Pain measure:
  • Child self‐report: VAS 0 ‐ 10

  • Modified Objective Pain Score (MOPS) (0 ‐ 10)


Distress measure:
  • Modified Yale preoperative anxiety scale (mYAPS) at time of dental anesthesia


Adverse events: none mentioned
Notes Study dates: over a 3‐month period with year not reported
Funding: none stated
Conflicts of interest: none declared
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "randomly assigned by lottery" (p.426)
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgment of 'low' or 'high' risk
Blinding of participants and personnel (performance bias)
All outcomes High risk Study participants and personnel were not blinded
Blinding of outcome assessment (detection bias)
All outcomes High risk No blinding of outcome assessment
Incomplete outcome data (attrition bias)
All outcomes Low risk Missing data minimal and unlikely to be related to true outcome
Selective reporting (reporting bias) High risk One or more outcomes of interest are reported incompletely
Other bias High risk Multiple potential sources of bias related to study design and other problems