Torres-Gomez Job, Arnason Stephen C, Hoopes Wyeth L, Vandewalle Kraig S
DMD, MS. Capt, USAF, DC. Deputy Program Director. Advanced Education in General Dentistry Residency. Air Force Postgraduate Dental School. Uniformed Services University of the Health Sciences. 2501 Capehart Rd. Offutt, Air Force Base, Bellevue, NE, USA.
DDS, MS. Maj, USAF, DC. Training Officer. Advanced Education in General Dentistry Residency. Air Force Postgraduate Dental School. Uniformed Services University of the Health Sciences. 1615 Truemper St. Joint Base San Antonio - Lackland, TX, USA.
J Clin Exp Dent. 2021 Apr 1;13(4):e350-e356. doi: 10.4317/jced.57660. eCollection 2021 Apr.
The purpose of this study was to evaluate the use of a stress ball as a distraction technique on stress levels of patients undergoing a dental procedure.
A randomized, split-mouth design was conducted using 20 adult subjects requiring scaling and root planing (Sc/RP) in all four quadrants. Each side of the mouth (maxillary/mandibular) received Sc/RP with local anesthetic with or without the use of a stress-ball distraction over two separate sessions. Subjects completed two pre-procedural questionnaires (Spielberger State-Trait Anxiety Inventory, STAI; Modified Dental Anxiety Scale, MDAS) before and after each treatment session. A Galvanic Skin Response (GSR) sensor (Neulog) was used throughout each session to measure skin conductance or sweat.
No significant difference in GSR scores was found during treatment with or without the use of the stress ball. Also, no significant differences in the change in STAI or MDAS scores were found with or without the use of a stress ball.
The results of this study found that the use of a stress ball as a distraction technique did not result in any significant reduction in stress levels in subjects undergoing scaling and root planing with local anesthesia. Anxiety, distraction, stress ball.
本研究的目的是评估使用减压球作为一种分散注意力的技术对接受牙科治疗的患者压力水平的影响。
采用随机、双侧口内对照设计,选取20名需要在四个象限进行龈上洁治和根面平整(Sc/RP)的成年受试者。口腔的每一侧(上颌/下颌)在两个不同的治疗时段接受局部麻醉下的Sc/RP治疗,其中一侧使用减压球分散注意力,另一侧不使用。受试者在每个治疗时段前后完成两份治疗前问卷(斯皮尔伯格状态-特质焦虑量表,STAI;改良牙科焦虑量表,MDAS)。在每个治疗时段全程使用皮肤电反应(GSR)传感器(Neulog)测量皮肤电导率或出汗情况。
使用减压球和不使用减压球治疗期间,GSR评分无显著差异。此外,使用和不使用减压球时,STAI或MDAS评分的变化也无显著差异。
本研究结果表明,对于接受局部麻醉下龈上洁治和根面平整的受试者,使用减压球作为分散注意力的技术并不能显著降低其压力水平。焦虑、分散注意力、减压球。