Sahebalam Rasoul, Rafieinezhad Reihane, Boskabad Marzie
Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
J Dent (Shiraz). 2020 Dec;21(4):284-291. doi: 10.30476/dentjods.2020.81897.1001.
Modeling is one of the non-pharmacological approaches to manage anxiety behavior and encourage children's cooperation in dentistry. This method is based on social learning theory in which the children learn the skills of overcoming anxiety and adapting their skills and behaviors during dental treatment.
The aim of this study was to evaluate the effect of an animated-movie modeling approach, named Jilo, on cooperation and anxiety of children in comparison with the conventional Tell-Show-Do (TSD) method in a dental setting.
In this randomized controlled trial, 50 healthy children (aged 4-6) with no history of dental treatment were recruited and randomly allocated to experimental (n= 24) and control (n= 24) groups. During the first visit, the experimental group watched the Jilo animated movie. After a 30-minute break, they received prophylaxis followed by fluoride therapy. The control group received the conventional TSD technique and then underwent prophylaxis and fluoride therapy. One week later, a dental restoration, which required mandibular nerve block anesthesia, was performed for both groups. The cooperation and anxiety levels of patients were evaluated during two visits using Venham Clinical Cooperation Scale (VCCS) and Venham Clinical Anxiety Scale (VCAS).
The mean VCAS in the experimental group was significantly lower compared to the control group during the first and second visits (= 0.008 and = 0.044, respectively). The mean VCCS was also significantly lower in the experimental group during the first (= 0.015) and second visits (= 0.019) compared to the control group.
The application of animated-movie modeling (Jilo) can be recommended as an effective method for preparation of children before the dental treatment session.
建模是管理焦虑行为并鼓励儿童在牙科治疗中配合的非药物方法之一。该方法基于社会学习理论，即儿童在牙科治疗期间学习克服焦虑的技能并调整自己的技能和行为。
本研究的目的是在牙科环境中，将名为吉洛（Jilo）的动画电影建模方法与传统的告知-展示-操作（TSD）方法进行比较，评估其对儿童合作度和焦虑的影响。
在这项随机对照试验中，招募了50名无牙科治疗史的健康儿童（4至6岁），并随机分为实验组（n = 24）和对照组（n = 24）。在第一次就诊时，实验组观看吉洛动画电影。休息30分钟后，他们接受预防治疗，随后进行氟化物治疗。对照组接受传统的TSD技术，然后进行预防治疗和氟化物治疗。一周后，两组均进行需要下颌神经阻滞麻醉牙科修复。在两次就诊期间，使用韦纳姆临床合作量表（VCCS）和韦纳姆临床焦虑量表（VCAS）评估患者的合作度和焦虑水平。
在第一次和第二次就诊时，实验组与对照组相比，平均VCAS显著更低（分别为= 0.008和= 0.044）。在第一次就诊时（= 0.015）和第二次就诊时（= 0.019），实验组的平均VCCS也显著低于对照组。
动画电影建模（吉洛）的应用可被推荐为在牙科治疗前让儿童做好准备的有效方法。
