Journal of Isfahan Dental School

Effects of Using Music Methods, 3D Glasses and Behavioral Control on Children’s Anxiety during Dental Treatment

Document Type : مقاله‌های پژوهشی

Authors

1 Dentist, Isfahan, Iran

2 Department of Pediatric Dentistry, School of Dentistry, Islamic Aazad University of Isfahan (Khorasgan) Branch, Isfahan, Iran

3 Postgraduate Student, Department of Pediatric Dentistry, School of Dentistry, Islamic Azad University of Isfahan (Khorasgan) Branch, Isfahan, Iran

Abstract

Introduction: Dental anxiety in children is a challenge in managing patients. The effect of this anxiety may continue until adolescence and be a reason for avoiding dental treatments. The aim of this study was compare the effectiveness of using music, 3D glasses and behavioral control methods on children’s anxiety during dental treatments.
Materials and Method: This Experimental cross sectional study carried out on 96 children aged between 5-8 years without any systemic. The children were divided into three groups; control (basic behavior guidance techniques without distraction), audio (basic techniques plus music) and AV (basic techniques plus 3D AV) distraction groups. The anxiety score was assessed by using MCDASf method, before local anesthesia, after LA and after restoration. Pain rate measured with VAS and the behavior of children during dental treatment measured with Houpt index. Data were analyzed by one-way ANOVA with the 0.05 level of significance.
Results: The mean of anxiety in different stages before starting work, after anesthesia and after repair, was significantly different in the 3D glasses group (p value = 0.004), using music (p value = 0.018) and behavioral control (p value = 0.002). The lowest anxiety level in the 3D glasses group and the highest anxiety in the control group was. The best group in reducing the amount of pain after anesthesia and cooperation was the 3D glasses group.
Conclusion: Use of 3D glasses in dental treatment can decrease dental anxiety in children. And children cooperation with 3D glasses was better than other methods.
Keywords: Dental anxiety, Music therapy, Behavioral control.

1- Aitken JC, Wilson S, Coury D, Moursi AM. The effect of music distraction on pain, anxiety and behavior in pediatric dental patients. Pediatr Dent 2002; 24(2): 114-8.
2- Farokhgisour E, Hashemipour M, jdari H. The influence of music on pain sensation and fear in children during dental treatments. Shiraz Univ Dent J 2008; 9(1): 93-100.
3- Navit S, Johri N, Khan SA, Singh RK, Chadha D, Navit P, et al. Effectiveness and comparison of various audio distraction aids in management of anxious dental paediatric patients. J Clin Diagn Res 2015; 9(12): ZC05-ZC09.
4- Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: A review. Aust Dent J 2013; 58(4): 390-407.
5- Peretz B, Gluck GM. Assessing an active distracting technique for local anesthetic injection in pediatric dental patients: repeated deep breathing and blowing out air. J Clin Pediatr Dent 1999; 24(1): 5-8.
6- Patel A, Schieble T, Davidson M, Tran MC, Schoenberg C, Delphin E, et al. Distraction with a hand-held video game reduces pediatric preoperative anxiety. Paediatr Anaesth 2006; 16(10): 1019-27.
7- Weydert JA, Shapiro DE, Acra SA, Monheim CJ, Chambers AS, Ball TM. Evaluation of guided imagery as treatment for recurrent abdominal pain in children: a randomized controlled trial. BMC Pediatr 2006; 6: 29.
8- Marwah N, Prabhakar AR, Raju OS. Music distraction--its efficacy in management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2005; 23(4): 168-70.
9- Hoge MA, Howard MR, Wallace DP, Allen KD. Use of video eyewear to manage distress in children during restorative dental treatment. Pediatr Dent 2012; 34(5): 378-82.
10- Ram D, Shapira J, Holan G, Magora F, Cohen S, Davidovich E. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int 2010; 41(8): 673-9.
11- Barreiros D, de Oliveira DSB, de Queiroz AM, da Silva RAB, de Paula-Silva FWG, Kuchler EC. Audiovisual distraction methods for anxiety in children during dental treatment: A systematic review and meta-analysis. J Indian Soc Pedod Prev Dent 2018; 36(1): 2-8.
12- Atzori B, Lauro GR, Giugni A, Calabro M, Alhalabi W, Hoffman HG. Virtual reality analgesia for pediatric dental patients. Front Psychol 2018; 9: 2265.
13- Panda A. Effect of virtual reality distraction on pain perception during dental treatment in children. Int J oral care res 2017; 5(4): 278-81.
14- Skaret E, Raadal M, Berg E, Kvale G. Dental anxiety and dental avoidance among 12 to 18 year olds in Norway. Eur J Oral Sci 1999; 107(6): 422-8.
15- Javadinejad S, Farajzadegan Z, Madahain M. Iranian version of a face version of the Modified Child Dental Anxiety Scale: Transcultural adaptation and reliability analysis. J Res Med Sci 2011; 16(7): 872-7.
16- Pisalchaiyong T, Trairatvorakul C, Jirakijja J, Yuktarnonda W. Comparison of the effectiveness of oral diazepam and midazolam for the sedation of autistic patients during dental treatment. Pediatr Dent 2005; 27(3): 198-206.
17- Sharifi M, Karimaghaee A, Iranmanesh F, Sheikhfathalahi M. Comparison of the anesthetic efficacy of articaine infiltration versus lidocaine inferior alveolar nerve block in pulp therapy of lower primary molars. J Mashhad Dent Sch 2017; 41(4): 305-16.
18- Khandelwal D, Kalra N, Tyagi R, Khatri A, Gupta K. Control of anxiety in pediatric patients using "Tell Show Do" method and audiovisual distraction. J Contemp Dent Pract 2018; 19(9): 1058-64.
19- Fakhruddin KS, Hisham EB, Gorduysus MO. Effectiveness of audiovisual distraction eyewear and computerized delivery of anesthesia during pulp therapy of primary molars in phobic child patients. Eur J Dent 2015; 9(4): 470-5.
20- Florella M, Cohen SE, Ram RD. Audiovisual iatrosedation with video eyeglasses distraction method in pediatric dentistry: Case history. J Int Dent Med Res 2010; 3(3): 133-6.
21- El-Sharkawi HF, El-Housseiny AA, Aly AM. Effectiveness of new distraction technique on pain associated with injection of local anesthesia for children. Pediatr Dent 2012; 34(2): e35-e38.
22- Nuvvula S, Alahari S, Kamatham R, Challa RR. Effect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: A randomised clinical trial. Eur Arch Paediatr Dent 2015; 16(1): 43-50.
23- Paul D, Peedikayil FC, Soni K, Dhanesh N. Comparison of brief relaxation and music distraction in the treatment of dental anxiety - a randomized controlled clinical trial. J Res Dent 2018; 6(5): 109-17.
24- Kaur R, Jindal R, Dua R, Mahajan S, Sethi K, Garg S. Comparative evaluation of the effectiveness of audio and audiovisual distraction aids in the management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2015; 33(3): 192-203.
25- Shetty V, Suresh LR, Hegde AM. Effect of virtual reality distraction on pain and anxiety during dental treatment in 5 to 8 year old children. J Clin Pediatr Dent 2019; 43(2): 97-102.
26- Jafarzadeh M, Eshghi A, Attarzadeh H. Effect of audiovisual distraction on child anxiety during dental treatment. J Isfahan Dent Sch 2011; 6(6): 726-32.
Journal of Isfahan Dental School
Volume 17, Issue 1 - Serial Number 1
March 2021
Pages 40-48