Cebalo Nina, Negovetić Vranić Dubravka, Bašić Kes Vanja
Community Health Centre Zagreb-West, Postgraduate student, School of Dental Medicine, University of Zagreb, Croatia.
Department of Paediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Croatia.
Acta Stomatol Croat. 2020 Dec;54(4):412-419. doi: 10.15644/asc54/4/8.
Dental fear or dental phobia is caused by previous unpleasant dental experiences and pain. It can result in delaying or avoiding dental visits. Most often it leads to individuals avoiding visiting the dentist until physical pain completely impairs the quality of life.
Transcutaneous electrical nerve stimulation (TENS) is a method of pain relief involving the use of a mild electrical current. The main aim of this study was to examine whether the TENS device affects the reduction of anxiety and fear during dental procedures.
The study was conducted on a sample of 125 respondents, aged 9-14 years. Statistical significance of differences between pre- and post-treatment results on all applied measuring instruments was verified by the t-test for dependent samples. The calculation was performed for all respondents and individually for the three observed groups. The Children`s Fear Survey Schedule - Dental Subscale test was used to assess anxiety and fear.
The results on the CFSS-DS scale in all subjects did not differ statistically significantly before and after treatment (p > 0.05). The results on the CFSS-DS scale in subjects who received TENS were statistically significantly different before and after treatment (p < 0.01). The results on the CFSS-DS scale in subjects who received local anesthesia were statistically significantly different before and after treatment (p < 0.05).
The TENS device had an anxiolytic effect after the first visit.
牙科恐惧或牙科恐惧症是由先前不愉快的牙科经历和疼痛引起的。它会导致推迟或避免看牙医。最常见的情况是，这会导致人们直到身体疼痛严重影响生活质量才去看牙医。
经皮电刺激神经疗法（TENS）是一种使用微弱电流缓解疼痛的方法。本研究的主要目的是检验TENS设备是否会影响牙科治疗过程中焦虑和恐惧的减轻。
该研究以125名9至14岁的受访者为样本。通过配对样本t检验验证了所有应用测量工具治疗前后结果差异的统计学显著性。对所有受访者以及三个观察组分别进行了计算。使用儿童恐惧调查问卷 - 牙科分量表测试来评估焦虑和恐惧。
所有受试者在CFSS - DS量表上的治疗前后结果在统计学上无显著差异（p > 0.05）。接受TENS治疗的受试者在CFSS - DS量表上的治疗前后结果在统计学上有显著差异（p < 0.01）。接受局部麻醉的受试者在CFSS - DS量表上的治疗前后结果在统计学上有显著差异（p < 0.05）。
首次就诊后，TENS设备具有抗焦虑作用。
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