Fathima Ayesha, R Mahesh, R Ramesh, Pandurangan Kiran K
Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Prosthodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Jun 10;16(6):e62109. doi: 10.7759/cureus.62109. eCollection 2024 Jun.
Introduction The basic principle of a sensory adaptive dental environment is that an individual's sensory experiences have a significant impact on their emotional and psychological well-being. Taste, smell, touch, hearing, and sight are the five basic senses that affect our perception and responses to the environment. The study aimed to assess the effectiveness of a Sensory-Adaptive Dental Environment (SADE) compared with a Regular Dental Environment (RDE) in reducing anxiety, improving behavior, and providing a smooth experience for children undergoing dental treatment. Materials and methods This parallel-arm pilot study was conducted at the outpatient Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Chennai, from January 2024 to March 2024. A total of 148 children who met the inclusion criteria were divided into two groups: Group I (intervention group) received SADE or MSE (Multi-Sensory Environment) intervention, while Group 2 (control group) underwent dental treatments in a Regular Dental Environment (RDE). Patient behavior was assessed using Frankl's behavior rating scale, and anxiety levels were measured using Ayesha's Oddbodd anxiety scale. Additionally, heart rate and oxygen saturation (SpO) were evaluated using a pulse oximeter. Statistical analysis was conducted using IBM SPSS Statistics for Windows, Version 26.0 (IBM Corp., Armonk, NY), with significance set at a p-value less than 0.05. Results Before the procedure, there were no notable differences in behavior or anxiety levels. However, after the procedure, children undergoing treatment under SADE resulted in markedly improved behavior and notably lower anxiety levels. Also, this correlated with reduced anxiety levels, indicated by lower heart rates and higher oxygen saturation levels. Conclusion The study concluded that there were notable differences in patient experiences between SADE and RDE. After their dental procedures, participants in the SADE group were found to behave better and feel less nervous. Still, in the conventional setting, only improved behavior was noted, with no significant difference in anxiety levels. Overall, our study suggests that dental offices can significantly enhance patient experiences by providing a sensory-friendly setting that helps children feel more at ease, improves patient outcomes, and less nervous during their visits.
引言 感官适应性牙科环境的基本原则是，个体的感官体验对其情绪和心理健康有重大影响。味觉、嗅觉、触觉、听觉和视觉是影响我们对环境感知和反应的五种基本感官。该研究旨在评估感官适应性牙科环境（SADE）与常规牙科环境（RDE）相比，在减轻焦虑、改善行为以及为接受牙科治疗的儿童提供顺畅体验方面的有效性。
材料与方法 这项平行臂试点研究于2024年1月至2024年3月在金奈Saveetha牙科学院和医院的儿童及预防牙科门诊部进行。共有148名符合纳入标准的儿童被分为两组：第一组（干预组）接受SADE或MSE（多感官环境）干预，而第二组（对照组）在常规牙科环境（RDE）中接受牙科治疗。使用弗兰克尔行为评定量表评估患者行为，使用阿伊莎的Oddbodd焦虑量表测量焦虑水平。此外，使用脉搏血氧仪评估心率和血氧饱和度（SpO）。使用IBM SPSS Statistics for Windows 26.0版（IBM公司，纽约州阿蒙克）进行统计分析，显著性设定为p值小于0.05。
结果 在治疗前，行为或焦虑水平没有显著差异。然而，治疗后，在SADE环境下接受治疗的儿童行为明显改善，焦虑水平显著降低。此外，这与焦虑水平降低相关，表现为心率降低和血氧饱和度升高。
结论 该研究得出结论，SADE和RDE在患者体验方面存在显著差异。牙科手术后，发现SADE组的参与者表现更好，感觉不那么紧张。然而，在传统环境中，仅观察到行为改善，焦虑水平没有显著差异。总体而言，我们的研究表明，牙科诊所可以通过提供一个感官友好的环境来显著提升患者体验，这有助于儿童在就诊期间感到更轻松，改善患者治疗效果，并减少紧张情绪。
