Effectiveness of audiovisual distractions in children on behavior, pain and anxiety control during dental procedures: a cross-sectional study
DOI:
https://doi.org/10.22456/2177-0018.122435Keywords:
Ansiedade. Comportamento infantil. Dor. Odontopediatria. Realidade virtual.Abstract
Aim: To assess whether audiovisual distractions in children are effective in managing behavior, pain and anxiety in pediatric dental care. Materials and Methods: This cross-sectional study was derived from a randomized clinical trial, carried out between March and December 2019 with 48 children aged 6 to 10 years who required restorative, endodontic or exodontic treatment, at the Children's Clinic of the Faculty of Dentistry of the Federal University of Pelotas (UFPEL). It was approved by the Research Ethics Committee at UFPel, under number 3700062. The children were allocated into two groups: control and intervention (virtual reality glasses and tablet). The child's behavior was assessed using the Brazilian Version of the Venham Scale and anxiety using the Venham Picture Test Modified (VPTM). Pain assessment was performed using the Face, Legs, Activity, Cry and Consolability (FLACC) and Faces Pain Scale-Revised (FPS-R) scales. Result: It was observed that the glasses group had better results than the tablet group, but without significant difference, since the two obtained better results compared to the control. Furthermore, the behavior showed a significant difference (p=0.035) in relation to the other variables. Discussion: A clinical trial that analyzed the use of glasses in children between 6 and 9 years old concluded that there was no significant statistical difference between the groups in relation to behavior. Thus, the present study showed more relevant results when compared to findings in the literature. Conclusion: The use of audiovisual distractions by children during dental procedures was effective in managing pain, behavior and anxiety.
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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(1):192–203.
Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc Pedod Prev Dent. 2007;25(4):177–82.
Arntz A, van Eck M, Heijmans M. Predictions of dental pain: the fear of any expected evil, is worse than the evil itself. Behav Res Ther. 1990;28(1):29–41.
Melwani AM, Srinivasan I, Setty JV, Krishna M, Pamnani S, Lalitya D. A clinical comparative study between conventional and camouflaged syringes to evaluate behavior and anxiety in 6–11-year-old children during local anesthesia administration—a novel approach. J Dent Anesth Pain Med. 2018;18(1):35–40.
Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17(6):391–406.
Singh KA, Moraes ABA de, Bovi Ambrosano GM. Medo, ansiedade e controle relacionados ao tratamento odontológico. Pesq Odont Bras. 2000;14(2):131–6.
Allen KD, Stanley RT, McPherson K. Evaluation of behavior management technology dissemination in pediatric dentistry. Pediatr Dent. 1990;12(2):79-82.
Sahithi V, Saikiran KV, Nunna M, Elicherla SR, Challa RR, Nuvvula S. Comparative evaluation of efficacy of external vibrating device and counterstimulation on child’s dental anxiety and pain perception during local anesthetic administration: a clinical trial. J Dent Anesth Pain Med. 2021;21(4):345–55.
Al-Khotani A, Bello LA, Christidis N. Effects of audiovisual distraction on children’s behaviour during dental treatment: a randomized controlled clinical trial. Acta Odontol Scand. 2016;74(6):494–501.
Delgado A, Ok SM, Ho D, Lynd T, Cheon K. Evaluation of children’s pain expression and behavior using audio visual distraction. Clin Exp Dent Res. 2021;7(5):795-802.
Barreiros D, De Oliveira DSB, De Queiroz AM, Da Silva RAB, De Paula-Silva FWG, Küchler EC. Audiovisual distraction methods for anxiety in children during dental treatment: a systematic review and meta-analysis. J Indian Soc of Pedod Prev Dent. 2018;36(1):2–8.
Buldur B, Candan M. Does virtual reality affect children’s dental anxiety, pain, and behaviour? a randomised, placebo-controlled, cross-over trial. Pesqui Bras Odontopediatria Clin Integr. 2021; 21:e0082.
Almeida FV. Uso de tecnologias para distração no atendimento odontopediátrico: ensaio Clinico Randomizado [Trabalho de Conclusão de Curso]. Pelotas (RS): Universidade Federal de Pelotas, Faculdade de Odontologia, 2020.
Custódio NB. Efeito do uso dos óculos de realidade virtual como técnica de distração audiovisual no comportamento da criança durante o atendimento odontológico [Dissertação]. Pelotas (RS): Universidade Federal de Pelotas, Faculdade de Odontologia, 2019.
Cademartori MG, Da Rosa DP, Oliveira LJC, Corrêa MB, Goettems ML. Validity of the Brazilian version of the Venham’s behavior rating scale. Int J Paediatr Dent. 2017;27(2):120–7.
Ramos-Jorge ML, Ramos-Jorge J, Vieira de Andrade RG, Marques LS. Impact of exposure to positive images on dental anxiety among children: a controlled trial. Eur Arch Paediatr Dent. 2011;12(4):195–9.
Ramos-Jorge ML, Marques LS, Pavia SM, Serra-Negra JM, Pordeus IA. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent. 2006;7(4):253–7.
American Thoracic Society. Guideline on behavior guidance for the pediatric dental patient: reference manual. American Academy of Pediatric Dentistry. 2015;37(6):180-93.
Da Silva FC, Thuler LCS. Cross-cultural adaptation and translation of two pain assessment tools in children and adolescents. J Pediatr (Rio J). 2008;84(4):344–9.
Willis MHW, Merkel SI, Voepel-Lewis T, Malviya S. FLACC Behavioral Pain Assessment Scale: a comparison with the child’s self-report. Pediatr Nurs. 2003;29(3):195–8.
Bieri D, Reeve RA, Champion DG, Addicoat L, Ziegler JB. The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminar investigation for ratio scale properties. Pain. 1990;41(2):139-150.
Hicks CL, Von Baeyer CL, Spafford PA, Van Korlaar I, Goodenough B. The Faces Pain Scale - Revised: toward a common metric in pediatric pain measurement. Pain. 2001;93(2):173–83.
Poveda CLEC. Análise da validade, interpretação e preferência da versão brasileira da Escala Facial de Dor - Revisada, em duas amostras clínicas [Tese]. Ribeirão Preto (SP): Universidade de São Paulo, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, 2012.
Mitchell AM, Crane PA, Kim Y. Perceived stress in survivors of suicide: Psychometric properties of the perceived stress scale. Res Nurs Heal. 2008;31(6):576–85.
Lipp MEN, Lucarelli MDM. Escala de Stress Infantil: ESI: Manual. 2ª ed. Casa do Psicólogo. São Paulo; 2005.
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.
Azher U, Srinath SK, Nayak M. Effectiveness of bubble breath play therapy in the dental management of anxious children: a pilot study. J Contemp Dent Pract. 2020;21(1):17–21.
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.
Custódio NB, Cademartori MG, Azevedo MS, Mendes MA, Schardozim LR, Da Costa LRRS, et al. Efficacy of audiovisual distraction using eyeglasses during dental care: a randomized clinical trial. Braz Oral Res. 2021;35:e26.
Asvanund Y, Mitrakul K, Juhong R, Arunakul M. Effect of audiovisual eyeglasses during local anesthesia injections in 5- to 8-year-old children. Quintessence Int. 2015;46(6):513–21.
Pande P, Rana V, Srivastava N, Kaushik N. Effectiveness of different behavior guidance techniques in managing children with negative behavior in a dental setting: a randomized control study. J Indian Soc Pedod Prev Dent. 2020;38(3):259–65.
Pourmand A, Davis S, Marchak A, Whiteside T, Sikka N. Virtual reality as a clinical tool for pain management. Curr Pain Headache Rep. 2018;22(8):53.
Aditya PVA, Prasad MG, Nagaradhakrishna A, Raju NS, Babu DN. Comparison of effectiveness of three distraction techniques to allay dental anxiety during inferior alveolar nerve block in children: a randomized controlled clinical trial. Heliyon. 2021;7(9):E08092.
Felemban O, Alshamrani R, Aljeddawi D, Bagher S. Effect of virtual reality distraction on pain and anxiety during infiltration anesthesia in pediatric patients: a randomized clinical trial. BMC Oral Health. 2021; 21:321.
Busato P, Garbín RR, Santos CN, Paranhos LR, Rigo L. Influence of maternal anxiety on child anxiety during dental care: cross-sectional study. Sao Paulo Med J. 2017;135(2):116–22.
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Copyright (c) 2022 Fernanda Almeida, Cristina Helena Sartori, Gabrielle Cardoso, João Luiz Dalmaso, Kamila Ramson, Marília Goettems
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