Effectiveness of Distraction Techniques in The Management of Anxious Children in the Dental Operatory

Allani, Sindura; Setty, Jyothsna V

doi:10.9790/0853-1510026973

Cited by 21 publications

(14 citation statements)

References 22 publications

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“…Active forms of distraction promote a child's participation involving different sensory components such as interactive toys, virtual reality, controlled breathing, guided imagery and relaxation, and writing in the air using their leg. Conversely, the passive forms can be used for distraction by asking a child to observe an activity or stimulus rather than allowing them to explicitly involve in a certain activity such as listening to music or watching television [23]. In the present study, a toy fish with vibrations was used to distract their thought and attention to the needle, which worked excellently.…”

Section: Discussionmentioning

confidence: 94%

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: A crossover split-mouth study

Hegde

Neeraja

Srinivasan

et al. 2019

J Dent Anesth Pain Med

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Background Uncooperative behavior of children due to dental anxiety may interfere with the effective delivery of dental care and compromise the quality of treatment provided. Injection of local anesthesia is one of the most anxiety-inducing stimuli in pediatric dentistry. This study aimed to compare the efficacy of a child-friendly device, having a combined effect of vibration and distraction, with the conventional method of injection on pain, anxiety, and behavior of pediatric patients aged 6–11 years. Methods This randomized, crossover, split-mouth study included 30 children requiring a bilateral inferior alveolar nerve block. The children were equally divided into two groups: group 1, aged 6–8 and group 2, aged 9–11 years. All children were injected with anesthesia using the conventional and device method in two separate sessions. They were assessed for anxiety by measuring the pulse rate before and during the administration of local anesthesia. Behavior was assessed using Faces, Legs, Activity, Cry, Consolability (FLACC) scale, and the child's experience while receiving anesthesia was assessed using the Wong Bakers Pain Rating Scale. Results Results showed that the children who received local anesthesia using the device method had a lower mean pulse rate, FLACC scores, and pain rating scores than those who received local anesthesia using the conventional method. Conclusion The device method was more effective than the conventional method in managing pain, anxiety, and behavior of patients aged 6–11 years. The device is a cost effective, simple, and child-friendly product for administrating local anesthesia in pediatric patients.

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Section: Discussionmentioning

confidence: 94%

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: A crossover split-mouth study

Hegde

Neeraja

Srinivasan

et al. 2019

J Dent Anesth Pain Med

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“…9 Audiovisual distraction is a passive form with involvement of hearing and seeing sensations, whereas playing game is an active distraction method involving kinesthetic sensation (physical movements) in addition to hearing and seeing. 10 The study population is children of age 6-10 years visiting a dentist for the first time with higher dental anxiety due to social fear, fear of injury, or exposure to a new environment. Anxiety is a multi-dimensional phenomenon consisting of behavioral, psychological, and physiological components.…”

Section: Discussionmentioning

confidence: 99%

“…Similar observations were made by Allani et al, where they reported that an active distraction with mobile phone video gaming is more effective compared to passive distraction with audiovisual aids. 10 Identification and management of preoperative anxiety in children is the most critical aspect in delivering successful dental treatment. Usually children are more anxious during waiting period prior to treatment and this time can be utilized for behavioral management to minimize anxiety.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children

Chandrasekhar

Vinay

et al. 2019

International Journal of Clinical Pediatric Dentistry

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Background: Children with high level of preoperative anxiety during their visit to dental office are more likely to develop maladaptive behavior postoperatively. First dental experience is always critical in molding child's attitude toward dentistry. Various behavior management methods are being employed during dental treatment to complete anticipated treatment in children. Aim: The aim of the study was to evaluate the effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children. Materials and methods: A total of 45 children of age 6-10 years with moderate-to-severe anxiety were allocated into three groups: group Icognitive behavioral play therapy (CBT), group II-audiovisual (AV) distraction, and group III-tell-show-do technique (control group). Children in the CBT group were allowed to play with building blocks, asked to draw a picture and then showed a modeling video of co-operative child undergoing dental treatment. Children in group II were subjected to passive distraction with audiovisual aids, whereas group III (control) children were managed with the conventional TSD technique. Baseline and postintervention objective and subjective anxiety scores were measured with a pulse oximeter and facial image scale (FIS), respectively. Results: A statistically significant reduction in the subjective and objective anxiety scores is observed in all the three groups (p = 0.001) in both intragroup and intergroup comparisons. On intergroup comparison, the reduction in subjective and objective anxiety scores was higher in CBT (p = 0.0) than in AV distraction and TSD groups (p = 0.05). Conclusion:Active distraction with cognitive behavioral play therapy is found to be more effective in reducing the preoperative anxiety in children compared to audiovisual distraction and tell-show-do technique. Clinical significance: Identification and management of preoperative anxiety in children is most critical for successful dental treatment. Active distraction is an effective psychological approach for behavior management in anxious children.

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“…Studies evaluating communication techniques, especially distraction techniques, have incorporated new technologies, mainly because of the relevance they have to children and adolescents. Distractions using tablets, 20,22 playing of video games 26 or music 27 on mobile phones, and AVE 24,28,29,30 have been suggested. AVE completely block children's visual fields, which may be beneficial compared to other techniques.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of audiovisual distraction using eyeglasses during dental care: a randomized clinical trial

et al. 2021

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Effectiveness of Distraction Techniques in The Management of Anxious Children in the Dental Operatory

Cited by 21 publications

References 22 publications

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: A crossover split-mouth study

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: A crossover split-mouth study

Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children

Efficacy of audiovisual distraction using eyeglasses during dental care: a randomized clinical trial

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