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    Dental Anxiety Literature Review

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    This document summarizes three studies on techniques to reduce dental anxiety in pediatric patients: eye movement distraction, virtual reality, and music interventions. The eye movement distraction study showed lower pain ratings in children who were instructed to move their eyes while getting local anesthesia. The virtual reality study found lower anxiety and pain scores in children who used VR during local anesthesia compared to no distraction. And the music intervention study concluded that playing music decreased anxiety levels more than no distraction, as measured by pulse rate, blood pressure and surveys. While some techniques may be more practical or effective than others depending on the office, distraction methods show promise for improving dental experiences for children.

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    Dental Anxiety Literature Review

    Uploaded by

    api-612910286
    128 views5 pages
    This document summarizes three studies on techniques to reduce dental anxiety in pediatric patients: eye movement distraction, virtual reality, and music interventions. The eye movement distraction study showed lower pain ratings in children who were instructed to move their eyes while getting local anesthesia. The virtual reality study found lower anxiety and pain scores in children who used VR during local anesthesia compared to no distraction. And the music intervention study concluded that playing music decreased anxiety levels more than no distraction, as measured by pulse rate, blood pressure and surveys. While some techniques may be more practical or effective than others depending on the office, distraction methods show promise for improving dental experiences for children.

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    This document summarizes three studies on techniques to reduce dental anxiety in pediatric patients: eye movement distraction, virtual reality, and music interventions. The eye movement distraction study showed lower pain ratings in children who were instructed to move their eyes while getting local anesthesia. The virtual reality study found lower anxiety and pain scores in children who used VR during local anesthesia compared to no distraction. And the music intervention study concluded that playing music decreased anxiety levels more than no distraction, as measured by pulse rate, blood pressure and surveys. While some techniques may be more practical or effective than others depending on the office, distraction methods show promise for improving dental experiences for children.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    128 views5 pages

    Dental Anxiety Literature Review

    Uploaded by

    api-612910286
    This document summarizes three studies on techniques to reduce dental anxiety in pediatric patients: eye movement distraction, virtual reality, and music interventions. The eye movement distraction study showed lower pain ratings in children who were instructed to move their eyes while getting local anesthesia. The virtual reality study found lower anxiety and pain scores in children who used VR during local anesthesia compared to no distraction. And the music intervention study concluded that playing music decreased anxiety levels more than no distraction, as measured by pulse rate, blood pressure and surveys. While some techniques may be more practical or effective than others depending on the office, distraction methods show promise for improving dental experiences for children.

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    1

    Hibbeler

    Reducing Dental Anxiety in Pediatric Patients

    Brenna Hibbeler

    Dental Hygiene Department, South College Nashville

    RDH 1430: Pain Management/Anxiety Control and Medical Emergencies

    Mrs. McKinney

    August 17, 2021


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    Hibbeler
    Reducing Dental Anxiety in Pediatric Patients

    Anxiety in relation to dental care is a significant issue in children. In result of this

    anxiety, the likelihood of children getting the dental treatment they need is very low. For the

    pediatric patients that do get the needed treatment, they tend to grow up having extreme fear and

    anxiety in the dental office. Research has been ongoing to try to find any proof of techniques that

    can be performed to enhance these patients’ experience. This article focuses of three different

    techniques that have been studied and reviewed: eye movement distraction, virtual reality, and

    music interventions.

    The first study to be discussed is the efficiency of eye movement distraction (EMD) to

    reduce anxiety during the administration of local anesthetic for children. This study was done on

    228 children, ages 8 to 13 years old, that were divided into two groups, one group having the eye

    movement distraction and the other group being the control. The children in the EMD group

    were told before the procedure “that if at any point they stop performing EMD, then there are

    chances of increase in the pain” (Tirupathi et al., 2017). Eye movement distraction consisted of

    the children having their eyes closed and deep breathing while rotating their eyes in alternating

    clockwise and counterclockwise directions while counting the rotations on their fingers. The

    children from the EMD and control group all expressed their level of discomfort by selecting a

    facial expression on the face pain scale. The results concluded that the children in the EMD

    group had overall significantly lower face pain scale rates. Therefore, it was concluded from this

    study that the EMD distraction method was successful and effective in reducing anxiety with

    intraoral needles in a dental setting.

    The second study to be evaluated is the virtual reality distraction method. This study was

    done on 76 children, ages 7 to 11 years old. They were treated in two dental visits, one visit with
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    Hibbeler
    no distraction methods and one visit with virtual reality. The measurements that were recorded

    were objective measurements, heart rate score, and self-administered questionnaires. Only 70

    children were evaluated due to the other six children having to drop out of the study for personal

    reasons. “Dental pain and anxiety scores were lower during local anesthesia in the VR group”

    than they were in the group without distraction (Buldur and Candan, 2020). Therefore, it was

    concluded that virtual reality caused a decline in anxiety and pain in local anesthesia, so it can be

    recommended in school-aged children.

    Lastly, the third study was focused on music interventions as a distraction method. This

    study was done on a total of 60 children, ages 6 to 12 years old. These children were divided in

    half into Group A and Group B. Group A was the control group and Group B was the music

    group. During an extraction for each child, the music group (Group B) was “allowed to hear

    audio presentation throughout the treatment procedure” (Singh et al., 2014). Each child was

    allowed to choose their selection of music audio. Anxiety levels of the children were then

    measured through Venham's picture test, pulse rate, blood pressure and oxygen saturation. Based

    on the observations from the study, the pulse rate and blood pressure in the control group was

    higher than the music group. It was concluded that the “audio distraction did decrease the anxiety

    in pediatric patients to a significant extent” (Singh et al., 2014).

    In comparison of these three distraction method articles, it is evident that some

    interventions may work better for certain offices than others. For example, according to the

    music intervention article, there have been some studies that conclude that there was no

    significant effect of music as a distraction on pediatric patients. On the other hand, other offices

    may not have the funds for virtual reality in their office. With the eye movement distraction

    method, this intervention is free and easy to teach to the child while chairside. The music
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    Hibbeler
    distraction method may work well for select patients and it is efficient because you do not have

    to spend money on extra equipment or spend time teaching it to patients. It appears that

    distraction methods work on a case-by-case basis; however, as technology advances, we may

    develop better distraction methods that work for a larger target group of patients.
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    Hibbeler

    References

    Buldur B, Candan M. (2020). Does virtual reality affect children’s dental anxiety, pain, and

    behavior? A randomized, placebo-controlled, cross-over trial. Pesqui Bras

    Odontopediatria Clín Integr. 2021; 21: e0082. https://doi.org/10.1590/pboci.2021.002

    Singh, D., Samadi, F., Jaiswal, J., & Tripathi, A. M. (2014). Stress Reduction through Audio

    Distraction in Anxious Pediatric Dental Patients: An Adjunctive Clinical Study.

    International journal of clinical pediatric dentistry, 7(3), 149–152.

    https://doi.org/10.5005/jp-journals-10005-1254

    Tirupathi, S., Krishna, N., Rajasekhar, S., & Nuvvula, S. (2019). Eye Movement Distraction: A

    New Distraction Technique for Management of Dental Anxiety during Intraoral Local

    Anesthesia Administration in Children. International journal of clinical pediatric

    dentistry, 12(6), 507–509. https://doi.org/10.5005/jp-journals-10005-1690

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