Sisodia Manishi, Kaur Harsimran, Garg Nishita, Choudhary Rishika, Yeluri Ramakrishna
Department of Paedodontics and Preventive Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.
Department of Paedodontics & Preventive Dentistry, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Int J Clin Pediatr Dent. 2024 Feb;17(2):136-142. doi: 10.5005/jp-journals-10005-2738.
To evaluate the efficacy of three-point acupressure therapy in decreasing the dental anxiety in children undergoing dental procedures and to introduce acupressure as a simple, noninvasive, and cost-effective technique of reducing dental anxiety in children.
One hundred and sixty-eight, 8-12 years participants who met the inclusion criteria were randomly allotted to either group I (three-point acupressure) ( = 84) or group II (control) ( = 84). All children were subjected to a self-report measure of anxiety [Modified Child Dental Anxiety Scale (MCDAS)] 30 minutes before starting and after completing the dental treatment. For group I children, acupressure beads were applied on selected three acupoints for approximately 10 minutes and were left adhered in place. After 20 minutes, anxiety scores were recorded for all the children and allotted treatment procedure was initiated. For group II children, the same methodology was followed except for the application of acupressure beads. Frankl behavior (FB) rating scale, pulse rate (PR), and systemic saturation levels of oxygen were also recorded as secondary outcome measures. The data obtained was analyzed statistically using Chi-squared analysis, -test, repeated measures analysis of variance (ANOVA) along with Bonferroni test. Significance level was predetermined at ≤ 0.05.
At time frame (TF)-2, significant decrease in anxiety scores was observed in acupressure group irrespective of the treatment procedure, whereas in control group, it increased significantly. PR was also increased in acupressure group and FB scale was improved. In control group, PR increased and behavior was not improved. Between TF-2 and 3, no reduction in anxiety score was observed.
The three-point acupressure therapy reduces anxiety in children undergoing dental procedures when compared to nonacupressure group and the difference was statistically significant. Acupressure is a noninvasive stimulation technique applied to acupoints and can be easily administered by a trained pediatric dentist.
Sisodia M, Kaur H, Garg N, The Effect of Three-point Acupressure Therapy on Anxiety Levels in Children Undergoing Dental Procedures. Int J Clin Pediatr Dent 2024;17(2):136-142.
评估三点穴位按压疗法在降低牙科治疗过程中儿童牙科焦虑方面的疗效,并将穴位按压作为一种简单、无创且经济有效的减轻儿童牙科焦虑的技术进行介绍。
168名符合纳入标准的8至12岁参与者被随机分配到第一组(三点穴位按压组)(n = 84)或第二组(对照组)(n = 84)。所有儿童在开始牙科治疗前30分钟和完成治疗后均接受焦虑自评量表[改良儿童牙科焦虑量表(MCDAS)]评估。对于第一组儿童,将穴位按压珠应用于选定的三个穴位约10分钟,然后留在原处。20分钟后,记录所有儿童的焦虑评分并开始分配的治疗程序。对于第二组儿童,除不应用穴位按压珠外,采用相同的方法。还记录弗兰克尔行为(FB)评定量表、脉搏率(PR)和全身血氧饱和度水平作为次要观察指标。使用卡方分析、t检验、重复测量方差分析(ANOVA)以及邦费罗尼检验对获得的数据进行统计学分析。显著性水平预先设定为P≤0.05。
在时间点(TF)-2时,无论治疗程序如何,穴位按压组的焦虑评分均显著降低,而对照组的焦虑评分显著增加。穴位按压组的PR也增加,FB量表有所改善。对照组中,PR增加且行为未改善。在TF-2和TF-3之间,未观察到焦虑评分降低。
与非穴位按压组相比,三点穴位按压疗法可降低牙科治疗过程中儿童的焦虑,且差异具有统计学意义。穴位按压是一种应用于穴位的无创刺激技术,经过培训的儿科牙医即可轻松实施。
西索迪亚M、考尔H、加尔格N,三点穴位按压疗法对牙科治疗中儿童焦虑水平的影响。《国际临床儿科牙科学杂志》2024年;17(2):136 - 142。