Abed Dajma, Bchara Jamila, Abed Dani, Alfeel Jina, Bshara Nada
Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria.
Faculty of Dentistry, Damascus University, Damascus, Syria.
Sci Rep. 2025 Jan 11;15(1):1678. doi: 10.1038/s41598-024-83613-y.
This study evaluated the efficacy of an eye massage device that uses acupressure points combined with natural sounds to reduce anxiety and pain in children receiving dental anesthesia for the first time. A total of 105 children aged between 8 and 10 years whose dental treatment required inferior alveolar nerve block (IANB) injection participated in this randomized controlled clinical trial. The participants were randomly divided into three groups: Group A: eye massage with natural sounds; Group B: eye massage only; and Group C (control group): traditional behavior management techniques. Anxiety and pain were assessed before, during, and after anesthesia using the Children's Fear Scale (CFS), Wong-Baker pain rating scale (WBS), the Face-Legs-Activity-Cry-Consolability (FLACC) observational pain assessment scale, and pulse rate as a physiological scale. Anxiety and pain significantly decreased in groups A and B compared with those in the control group (p < 0.05), with group A showing a greater decrease in pulse rate and objective pain assessed during injection via the FLACC scale than group B (p < 0.05); however, no significant difference was noted between groups A and B regarding the data recorded after anesthesia using the WBS and CFS (p > 0.05). Changes in pulse rate and anxiety levels (CFS) measured before and after the procedure in each group revealed a significant decrease in fear and pulse rate in group A and no significant change in group B, whereas group C showed a significant increase in pulse rate and fear at the end of the procedure. Eye massage with natural sounds can effectively alleviate children's anxiety in the dental setting and reduce pain related to anesthesia, and the combination of these two interventions has the best relaxation effect on children.
本研究评估了一种眼部按摩装置的功效，该装置利用穴位按压点并结合自然声音，以减轻首次接受牙科麻醉的儿童的焦虑和疼痛。共有105名年龄在8至10岁之间、牙科治疗需要下牙槽神经阻滞（IANB）注射的儿童参与了这项随机对照临床试验。参与者被随机分为三组：A组：伴有自然声音的眼部按摩；B组：仅眼部按摩；C组（对照组）：传统行为管理技术。使用儿童恐惧量表（CFS）、 Wong - Baker疼痛评定量表（WBS）、面部 - 腿部 - 活动 - 哭泣 - 安慰度（FLACC）观察性疼痛评估量表以及作为生理指标的脉搏率，在麻醉前、麻醉期间和麻醉后对焦虑和疼痛进行评估。与对照组相比，A组和B组的焦虑和疼痛显著降低（p < 0.05），A组在注射期间通过FLACC量表评估的脉搏率和客观疼痛的降低幅度大于B组（p < 0.05）；然而，在使用WBS和CFS对麻醉后记录的数据方面，A组和B组之间未观察到显著差异（p > 0.05）。每组在手术前后测量的脉搏率和焦虑水平（CFS）的变化显示，A组的恐惧和脉搏率显著降低，B组无显著变化，而C组在手术结束时脉搏率和恐惧显著增加。伴有自然声音的眼部按摩可以有效减轻儿童在牙科治疗中的焦虑，并减轻与麻醉相关的疼痛，这两种干预措施的结合对儿童具有最佳的放松效果。
