Debs Nahla Nassif, Aboujaoude Samia
Department of Pediatric Dentistry and Public Health, Faculty of Dental Medicine, Lebanese University, Hadat, Lebanon.
J Int Soc Prev Community Dent. 2017 Nov-Dec;7(6):315-320. doi: 10.4103/jispcd.JISPCD_397_17. Epub 2017 Dec 29.
The aim of the present prospective study is to determine the effect of an intellectual colored game (ICG) on the severity of gag reflex (GR) and anxiety in children during dental alginate impression.
Forty-one children, aging between 5 and 11 years, having a GR varying from normal to moderate had upper alginate impressions. The children's anxiety was evaluated with a facial image scale (FIS) before (T0) and after first failed impression (T1), then, after playing an intellectual colored game (ICG) at T2, while taking an upper alginate impression.
42.9 % of the children had a gag reflex of stage 2 and 31.0 % a facial scale of 3. Initial GR was not significantly associated with the final success of the impression ( =0.260) whereas final impression success was strongly associated with FIS ( <0.001). There was a statistically significant reduction in median GR score from T0 to T2 ( < 0.001) and FIS dropped significantly at T2 with ICG ( < 0.001).
This study highlights the clinical performance of the intellectual distraction approach in GR management.
本前瞻性研究的目的是确定智力彩色游戏（ICG）对儿童在进行牙科藻酸盐印模时恶心反射（GR）严重程度和焦虑的影响。
41名年龄在5至11岁之间、恶心反射程度从正常到中度的儿童接受上颌藻酸盐印模。在首次印模失败前（T0）和失败后（T1），然后在T2进行智力彩色游戏（ICG）后取上颌藻酸盐印模时，用面部图像量表（FIS）评估儿童的焦虑程度。
42.9%的儿童恶心反射为2级，31.0%的儿童面部量表评分为3分。初始恶心反射与印模最终成功与否无显著相关性（=0.260），而印模最终成功与面部图像量表评分密切相关（<0.001）。从T0到T2，恶心反射中位数得分有统计学意义的降低（<0.001），且在T2进行智力彩色游戏时面部图像量表评分显著下降（<0.001）。
本研究突出了智力分散注意力方法在恶心反射管理中的临床效果。
