Dentist, Private Practice, Tehran, Iran.
Department of Pediatric Dentistry, School of Dentistry, Arak University of Medical Sciences, Arak, Iran.
J Psychosom Res. 2023 May;168:111218. doi: 10.1016/j.jpsychores.2023.111218. Epub 2023 Mar 11.
Control of pain, fear, and anxiety of children during dental procedures is a major challenge in pediatrics. This study aimed to compare the effect of audio distraction by music and audio-story on pain and anxiety of children during dental treatment.
This randomized crossover clinical trial evaluated 60 systemically healthy children between 4 and 8 years, who were candidates for pulpotomy and steel crown of bilateral primary maxillary first or second molars. The patients were randomly divided into two groups of music-story (M first), and story-music (S first) according to the sequence of receipt of the distraction techniques with a split-mouth design. The level of pain and anxiety of patients was measured using physiological scales such as pulse rate (PR), sound-eye-motor (SEM) and faces pain rating (FPR). The pkcross package in Stata software version 14 was used to assess the treatment effect, period effect, sequence effect and carryover effect.
In each group, 28 cases were included in the analysis. The difference in PR was not significant at the onset and termination of each treatment session between two distraction techniques and also, the mean FPR (P = 0.55) and SEM (P > 0.99) scores were not significantly different between the two groups.
The "audio-story" and "music" distraction techniques were not significantly different for pediatrics relieving during LA administration. Thus, considering the equal efficacy of the two techniques, dental clinicians can use any of the two to distract children.
The study registered in the Iranian Registry of Clinical Trials (IRCT20190702044077N1).
控制儿童在牙科治疗过程中的疼痛、恐惧和焦虑是儿科的主要挑战。本研究旨在比较音乐和音频故事的听觉分散对儿童在牙科治疗过程中疼痛和焦虑的影响。
本随机交叉临床试验评估了 60 名系统健康的 4 至 8 岁儿童，他们是双侧上颌第一或第二恒磨牙牙髓切断术和钢冠的候选者。根据接受分散技术的顺序，采用裂口腔设计将患者随机分为音乐故事组（M 组）和故事音乐组（S 组）。采用脉搏率（PR）、声眼运动（SEM）和面部疼痛评分（FPR）等生理量表测量患者的疼痛和焦虑程度。使用 Stata 软件版本 14 中的 pkcross 包评估治疗效果、时期效果、序列效果和延续效果。
在每组中，有 28 例纳入分析。两种分散技术在每次治疗开始和结束时，PR 的差异均不显著，且两组的平均 FPR（P=0.55）和 SEM（P>0.99）评分也无显著差异。
在局部麻醉过程中，“音频故事”和“音乐”分散技术对儿科患者的缓解效果没有显著差异。因此，考虑到两种技术的等效疗效，牙科临床医生可以使用两种技术中的任何一种来分散儿童的注意力。
该研究在伊朗临床试验注册中心（IRCT20190702044077N1）注册。
