Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India.
J Indian Soc Pedod Prev Dent. 2020 Oct-Dec;38(4):407-412. doi: 10.4103/JISPPD.JISPPD_435_20.
The aim was to evaluate and compare the effectiveness of two distraction techniques, magic trick and mobile dental game with tell-show-do (TSD) in the management of anxious children.
Two hundred and thirty children aged 4-5 years were screened for their baseline anxiety using the Chotta Bheem-Chutki scale. A double-blinded randomized control trial was conducted among 60 children with high anxiety scores. They were randomly divided into three groups. Group 1 received a magic trick distraction technique. Group 2 received a mobile dental game distraction technique. Group 3, the control group received TSD. Readiness to accept the dental treatment and postoperative anxiety scores were recorded.
Statistically significant reduction in the anxiety level was seen in children who received magic (P = 0.001), mobile dental game (P < 0.001), and TSD technique (P < 0.001). Based on the readiness to accept dental treatment, there was a statistically significant difference between the three groups (P = 0.025). The children in the mobile group were found to accept the treatment faster compared to the magic and TSD groups.
All three techniques were equally effective in reducing the anxiety of children. The mobile dental game was superior to magic trick and TSD in terms of children's readiness to accept dental treatment.
评估和比较两种分散注意力的技术,魔术技巧和带有“演示-示范-操作”(TSD)的移动牙科游戏,在管理焦虑儿童方面的效果。
使用 Chotta Bheem-Chutki 量表对 230 名 4-5 岁的儿童进行基线焦虑评估。对 60 名高焦虑评分的儿童进行了一项双盲随机对照试验。他们被随机分为三组。第 1 组接受魔术技巧分散注意力技术。第 2 组接受移动牙科游戏分散注意力技术。第 3 组,对照组接受 TSD。记录接受牙科治疗的准备情况和术后焦虑评分。
接受魔术(P=0.001)、移动牙科游戏(P<0.001)和 TSD 技术(P<0.001)的儿童焦虑水平明显降低。基于接受牙科治疗的准备情况,三组之间存在统计学差异(P=0.025)。与魔术和 TSD 组相比,移动组的儿童更快地接受了治疗。
三种技术在减轻儿童焦虑方面同样有效。就儿童接受牙科治疗的准备情况而言,移动牙科游戏优于魔术技巧和 TSD。