Kim Gail, Carrico Caroline, Ivey Carole, Wunsch Patrice B
Department of Pediatric Dentistry, Virginia Commonwealth University, Richmond, Virginia.
Private Practice, Charlottesville, Virginia.
Spec Care Dentist. 2019 Mar;39(2):180-187. doi: 10.1111/scd.12360. Epub 2019 Feb 6.
This was a pilot study assessing the impact of a sensory adapted dental environment (SADE) on children with developmental disabilities (DD) receiving routine dental care.
A crossover study of 22 children with DD, aged 6 through 21, was conducted at a University Pediatric Dental clinic. Each participant was randomized to a sequence of two dental cleanings on a 3- to 4-month recall schedule, one with a regular dental environment (RDE) and one with SADE. Outcomes included physiological measures (heart rate and oxygen saturation) and cooperation (Frankl scores).
Study subjects completed 36 visits. None of the physiological measures differed at either time point between the two treatment settings. The Frankl scores were significantly higher with SADE setting than RDE (P = 0.0368). Forty-six percent of parents strongly agreed that they would prefer the SADE for their child's next visit.
SADE may be associated with improved behavior in children with DD.
这是一项试点研究，评估感官适应牙科环境（SADE）对接受常规牙科护理的发育障碍（DD）儿童的影响。
在大学儿科牙科诊所对22名年龄在6至21岁的DD儿童进行了一项交叉研究。每位参与者按3至4个月的复诊计划随机接受两次牙齿清洁，一次在常规牙科环境（RDE）中进行，另一次在SADE中进行。结果包括生理指标（心率和血氧饱和度）和合作情况（弗兰克尔评分）。
研究对象共完成36次就诊。两种治疗环境下的任何生理指标在两个时间点均无差异。SADE环境下的弗兰克尔评分显著高于RDE（P = 0.0368）。46%的家长强烈同意他们希望孩子下次就诊时采用SADE。
SADE可能与DD儿童的行为改善有关。
