Background: Periapical radiography is a technique that is routinely used in the field of dental radiology. Deficiencies in this procedure require patient cooperation, especially paediatric patients and during the procedure of making radiographs of intraoral film placement. Poor co-operability of paediatric patients has great potential to cause periapical radiographic failure. Vomiting reflexes are the most commonly reported complaints in children where one of the triggers for vomiting reflexes is in the palate which can affect the taking of periapical radiographs of the maxilla. The use of lollipop aids is one of the desensitization methods to overcome the problem of child cooperation during periapical radiography. Objective: To determine the quality of periapical radiographs of maxillary anterior teeth in paediatric patients using lollipops. Methods: This study used an experimental analytic study by taking periapical radiographs using lollipops and without assistive devices for paediatric patients. The lollipop used is made from tamarind candy (licensed by the Republic of Indonesia Food and Drug Supervisory Agency) which is melted and packaged into lollipops. This study has 52 samples and for each sample periapical radiography was taken by using a lollipop tool or not using a device, hence 26 radiographs were obtained for each technique. Periapical radiography was observed visually by three observers and then the observer filled the radiographic quality evaluation indicator table to obtain a score of quality evaluation results for each periapical radiography. Results: There were significant differences in quality evaluation results between periapical radiographs taken by using lollipops and without assistive devices (p-value 0.008). Conclusion: The quality of the maxillary anterior periapical radiographs of paediatric patients made using lollipops is better than without using aids.

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