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评价和比较万花筒和虚拟现实护目镜在减少接受局部麻醉的幼儿牙科焦虑中的有效性。

Evaluation and comparison of the effectiveness of kaleidoscope and virtual reality goggles to reduce dental anxiety in young children undergoing administration of local anesthesia.

机构信息

Department of Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, 442001, India.

出版信息

F1000Res. 2024 Aug 21;12:546. doi: 10.12688/f1000research.134041.4. eCollection 2023.

Abstract

Administration of local anesthesia via injection is the main reason for inducing anxiety in children and if not intervened it aggravates the anxiety in subsequent appointments. There are many approaches, including pharmacological and non-pharmacological methods that can be used to reduce children's perception of pain and anxiety. A frequently used non-pharmacological behaviour management method to reduce anxiety and procedure pain is distraction. The rationale of distraction is to shift the attention to avert the brain from receiving unwanted stimulus which induce anxiousness. Many approaches including music, television, portable video games, virtual reality (VR) helmet, and virtual reality audio-visual eyewear, have been implemented so far. Kaleidoscope and virtual reality goggles may help as distraction techniques in reducing the levels of anxiety caused during administration of local anesthesia. By the aid of which the operator may be able to make the dental experience child friendly and ultimately provide quality dental care to anxious children. Non pharmacological measures of reducing pain are cost effective and best means that can be used while performing dental procedures. This is a research protocol for a study aimed to evaluate and compare the effectiveness of kaleidoscope and virtual reality goggles to reduce dental anxiety in young children.

摘要

局部麻醉注射是引起儿童焦虑的主要原因,如果不加以干预,会加重儿童在后续就诊时的焦虑。有许多方法,包括药理学和非药理学方法,可用于减轻儿童对疼痛和焦虑的感知。分散注意力是一种常用的非药物行为管理方法,可减轻焦虑和手术疼痛。分散注意力的原理是将注意力转移,以避免大脑接收引起焦虑的不必要刺激。迄今为止,已经实施了许多方法,包括音乐、电视、便携式视频游戏、虚拟现实(VR)头盔和虚拟现实视听眼镜。万花筒和虚拟现实护目镜可以作为分散注意力的技术,帮助减轻局部麻醉给药时引起的焦虑程度。借助这些工具,操作人员可以使儿童的牙科治疗体验更友好,并最终为焦虑的儿童提供优质的牙科护理。减轻疼痛的非药物措施具有成本效益,是进行牙科手术时最有效的方法。这是一项旨在评估和比较万花筒和虚拟现实护目镜在减轻幼儿牙科焦虑方面效果的研究方案。

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Dental anxiety - a joint interest for dentists and psychologists.牙科焦虑——牙医和心理学家的共同关注点。
Eur J Oral Sci. 2013 Jun;121(3 Pt 2):221-4. doi: 10.1111/eos.12046. Epub 2013 Mar 28.
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Assessing children's dental anxiety: a systematic review of current measures.评估儿童的牙科焦虑:当前测量方法的系统评价。
Community Dent Oral Epidemiol. 2013 Apr;41(2):130-42. doi: 10.1111/j.1600-0528.2012.00740.x. Epub 2012 Sep 12.

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