Shaw A J, Niven N
Department of Child Dental Health, Dental Hospital, Newcastle Upon Tyne.
Br Dent J. 1996 Jan 6;180(1):11-6. doi: 10.1038/sj.bdj.4808950.
Dental fear and anxiety in children and adolescents is a common problem. Hypnosis has been shown to be useful in the treatment of these patients. This paper briefly reviews conventional management skills before considering the application of hypnosis. Following a definition of hypnosis, the concepts of relaxation, restricted awareness, blunting of critical faculties and the enhanced capacity to respond to suggestion are outlined. Consideration is given to the induction of hypnosis and its general application in an informal and formal manner. The application of more specific techniques, such as the use of hypnoanalgesia to reduce physical discomfort and the development of coping strategies to help children overcome their fears, are discussed. It has been widely shown that hypnosis is a useful adjunct in dentistry. However, it is unfortunate that hypnosis is not more widely used as it has the potential for making conventional dental management more acceptable and reducing the number of children requiring general anaesthesia.
儿童和青少年的牙科恐惧和焦虑是一个常见问题。催眠已被证明对治疗这些患者有用。本文在考虑催眠的应用之前，简要回顾了传统的管理技能。在对催眠进行定义之后，概述了放松、意识受限、批判性思维钝化以及对暗示反应能力增强等概念。探讨了催眠的诱导及其在非正式和正式场合的一般应用。还讨论了更具体技术的应用，例如使用催眠镇痛来减轻身体不适以及制定应对策略来帮助儿童克服恐惧。大量研究表明，催眠在牙科领域是一种有用的辅助手段。然而，遗憾的是催眠没有得到更广泛的应用，因为它有可能使传统的牙科治疗更容易被接受，并减少需要全身麻醉的儿童数量。
