Khandelwal Madhuri, Shetty Raghavendra M, Rath Sujata
Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India.
Department of Preventive and Pediatric Dentistry, Gulf Medical University, Ajman, UAE.
Int J Clin Pediatr Dent. 2019 Jan-Feb;12(1):18-24. doi: 10.5005/jp-journals-10005-1582.
Children having dental anxiety usually hesitate to seek dental care which can result in poor oral health and may lead to expensive and complex dental treatment in the future. The aim of the present study is to compare and evaluate the effectiveness of various distraction techniques in managing pediatric dental patients.
Eighty healthy children selected for the study were randomly divided into 4 groups with 20 children in each group. Group I was termed as the control group; in group II, the audio distraction technique was used. Group III received audio-video distraction (AVD) by means of a chair-mounted audio-video device and group IV received AVD by means of a ceiling-mounted television. Each child had four dental visits. Child's anxiety in each visit was assessed using four parameters: RMS pictorial scale (RMS-PS), Venham picture test (VPT), pulse rate, and oxygen saturation.
Ceiling-mounted AVD was found to be the most effective in reducing the anxiety followed by chair-mounted AVD. Audio distraction was found to be the least effective but was better than the control group.
The AVD technique is simple, passive, and noninvasive means of behavior management and can be used alternatively in managing anxious pediatric dental patients.
Khandelwal M, Shetty RM, Effectiveness of Distraction Techniques in Managing Pediatric Dental Patients. Int J Clin Pediatr Dent 2019;12(1):18-24.
患有牙科焦虑症的儿童通常不愿寻求牙科护理,这可能导致口腔健康状况不佳,并可能在未来导致昂贵且复杂的牙科治疗。本研究的目的是比较和评估各种分散注意力技术在管理儿科牙科患者方面的有效性。
选取80名健康儿童参与本研究,随机分为4组,每组20名儿童。第一组为对照组;第二组采用音频分散注意力技术。第三组通过安装在椅子上的视听设备接受视听分散注意力(AVD),第四组通过安装在天花板上的电视接受AVD。每个孩子进行4次牙科就诊。每次就诊时使用四个参数评估儿童的焦虑程度:RMS图片量表(RMS-PS)、韦纳姆图片测试(VPT)、脉搏率和血氧饱和度。
发现天花板安装的AVD在减轻焦虑方面最有效,其次是椅子安装的AVD。音频分散注意力被发现效果最差,但比对照组好。
AVD技术是一种简单、被动且无创的行为管理方法,可替代用于管理焦虑的儿科牙科患者。
Khandelwal M, Shetty RM, 分散注意力技术在管理儿科牙科患者中的有效性。《国际临床儿科牙科杂志》2019年;12(1):18 - 24。