Department of Pedodontics and Preventive Dentistry, DY Patil University-School of Dentistry, Sector 7, Nerul, Navi Mumbai, India.
Eur Arch Paediatr Dent. 2021 Apr;22(2):219-225. doi: 10.1007/s40368-020-00582-2. Epub 2020 Nov 27.
To evaluate the effect of interactive distraction technique on the severity of gagging and success of impression taking in children between age 5 and 10 years.
This single blind, randomised controlled trial recruited 48 children aged 5-10 years requiring maxillary impressions. Selected children were randomly allocated to one of the two groups: (1) Test group, use of interactive distraction, and (2) Control group, no use of interactive distraction, during impression taking. Dental anxiety was scored using Facial Image Scale (FIS) before and after impression taking. Gagging-related Impression Success Scale (GISS) and Gagging Severity Index (GSI) were recorded by a blinded assessor. Nonparametric tests were used to compare the variables between the groups.
Maxillary impressions were successfully recorded in all children in the Test group; either with no gag (87.5%) or with gag (12.5%). In 33.3% control children impressions could not be recorded. Statistically significant, strong association was found between the interactive distraction and GISS (p = 0.003, Cramer's V = 0.32). Mean GSI and post-impression FIS scores were significantly lesser in the Test group (p = 0.029 and p = 0.048, respectively). Significant increase in the mean FIS scores was observed after recording impression in the Control group. Post-impression FIS showed significant positive correlation with GSI (Test: p = 0.003, Control: p = 0.009) and significant inverse correlation with GISS (Test: p = 0.003, Control: p = 0.01).
Interactive distraction technique used in this study is a simple, non-invasive and cost-effective method to effectively manage gagging and successfully record a maxillary impression in children between age 5 and 10 years.
评估互动分散注意力技术对 5 至 10 岁儿童呛咳严重程度和印模制取成功率的影响。
本单盲、随机对照试验纳入了 48 名 5-10 岁需行上颌印模制取的儿童。入选儿童随机分为两组：（1）试验组，使用互动分散注意力技术；（2）对照组，不使用互动分散注意力技术。在印模制取前后使用面部图像量表（FIS）对儿童的牙科焦虑症进行评分。由盲法评估者记录呛咳相关印模制取成功率量表（GISS）和呛咳严重程度指数（GSI）。采用非参数检验比较两组间的变量。
试验组所有儿童均成功记录上颌印模，无呛咳者占 87.5%，有呛咳者占 12.5%；对照组 33.3%的儿童无法记录印模。互动分散注意力技术与 GISS 之间存在统计学显著的强关联（p=0.003，Cramer's V=0.32）。试验组的平均 GSI 和印模制取后 FIS 评分显著较低（p=0.029 和 p=0.048）。对照组记录印模后 FIS 评分显著升高。印模制取后 FIS 评分与 GSI 呈显著正相关（试验组：p=0.003，对照组：p=0.009），与 GISS 呈显著负相关（试验组：p=0.003，对照组：p=0.01）。
本研究中使用的互动分散注意力技术是一种简单、非侵入性且经济有效的方法，可有效管理 5 至 10 岁儿童的呛咳并成功记录上颌印模。
