Comparison of Parental Perceptions and Oxygen Saturation Response to Papoose Board and Comfy Wrap Restraints in Pediatric Dental Procedures: A Crossover Study

to help improve comfort and alleviate anxiety for children and parents alike.Unlike the traditional Papoose Board, which has come under fire for its stiffness and frightening appearance, these newer models emphasize ease of use and emotional comfort with comparable immobilization for procedures.These IntroductIonTreatment of anxiety and uncooperative behavior among pediatric patients remains a significant challenge in clinical dental practice. 1,2ncooperative children not only hinder the safe provision of care but also pose the risk of psychological trauma and failure of procedures if not effectively managed. 3,4Both pharmacologic and non-pharmacologic behavioral guidance methods promote cooperation, provide safety, and enhance treatment success in such situations. 5,6rotective stabilization is a standard mode among the nonpharmacologic approaches, particularly when urgent treatment is required and pharmacologic alternatives are unavailable or contraindicated. 7The Papoose Board, a passive restraint system, has been used in pediatric dentistry for many years to reduce the risk of injury and allow safe treatment delivery.It is economical and spares the risks of sedation or general anesthesia. 8,9Yet, besides its practicality, the Papoose Board has also drawn significant ethical attention and criticism from parents, some of whom have found it traumatic or oppressive. 10ewer alternatives to conventional physical restraints, including ergonomically shaped devices and swaddledsheet wraps, have evolved to minimize perceived cruelty and emotional distress with pediatric immobilization.