The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 19 , ISSUE 9 ( 2018 ) > List of Articles

ORIGINAL RESEARCH

Control of Anxiety in Pediatric Patients using “Tell Show Do” Method and Audiovisual Distraction

Rishi Tyagi, Komal Gupta, Amit Khatri, Deepak Khandelwal, Namita Kalra

Keywords : Anxiety, Audiovisual distraction, First dental visit

Citation Information : Tyagi R, Gupta K, Khatri A, Khandelwal D, Kalra N. Control of Anxiety in Pediatric Patients using “Tell Show Do” Method and Audiovisual Distraction. J Contemp Dent Pract 2018; 19 (9):1058-1064.

DOI: 10.5005/jp-journals-10024-2381

License: CC BY-NC 3.0

Published Online: 00-09-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Visiting a dentist can easily evoke strong fear reactions and acute anxiety in children. It is one of the most basic reasons for avoidance and neglect of dental care. It may obstruct delivery of dental care, as the child may be unwilling to accept the treatment being provided by the dentist. Aim: To evaluate and compare reduction in anxiety level in patients undergoing dental treatment at first dental visit. Technique: The study was conducted on 400 patients coming to the Department of Pedodontics and Preventive Dentistry, Guru Teg Bahadur Hospital, University College of Medical Sciences, New Delhi, for their first dental visit. Anxiety was recorded using facial image scale (FIS), Venham\'s picture test (VPT), blood pressure, pulse rate (PR), and oxygen saturation (SpO2) at different stages of the visit. Patients coming for the first dental visit were subjected to restorative treatment under Tell show do (TSD) method and audiovisual distraction (AVD). The data collected were tabulated and subjected to statistical analysis. Conclusion: The AVD was found to be more capable in reducing anxiety than TSD. Combination of TSD and AVD had an additive effect in reduction of anxiety level and it proved to be more beneficiary. Clinical significance: If a child\'s behavior in the dental office cannot be managed, then it is difficult to hold out any dental treatment that is needed. Bringing positivity in the child\'s behavior would not only increase efficiency of work but would also make the experience for child undergoing treatment more pleasant.


PDF Share
  1. 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 Oct-Dec;25(4):177-182.
  2. Christophorou SC, Lee GT, Humphris GM. The reliability and validity of modified child dental anxiety scale. Eur J Paediatr Dent 2000 Jun;1:75-81.
  3. Hakeberg M, Berggren U, Grondahl HG. A radiographic study of dental health in adult patients with dental anxiety. Community Dent Oral Epidemiol 1993 Feb;21(1):27-30.
  4. 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 Aug;74(6):494-501.
  5. 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 Jul-Sep;33(3):192-203.
  6. Vishwakarma AP, Bondarde PA, Patil SB, Dodamani AS, Vishwakarma PY, Mujawar SA. Effectiveness of two different behavioral modification techniques among 5-7-year-old children: a randomized controlled trial. J Indian Soc Pedod Prev Dent 2017 Apr-Jun;35(2):143-149.
  7. Rayen R, Muthu MS, Chandrasekhar Rao R, Sivakumar N. Evaluation of physiological and behavioral measures in relation to dental anxiety during sequential dental visits in children. Indian J Dent Res 2006 Jan-Mar;17(1):27-34.
  8. Ram D, Shapira J, Holan G, Magora F, Cohen S, Davidovich E. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int 2010 Sep;41(8):673-679.
  9. Wilson S, Cody WE. An analysis of behavior management papers published in the pediatric dental literature. Pediatr Dent 2005 Jul-Aug;27(4):331-338.
  10. Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent 2002 Jan;12(1):47-52.
  11. Venham L, Bengston D, Cipes M. Children's response to sequential dental visits. J Dent Res 1977 May;56(5):454-459.
  12. Fakhruddin KS, El Batawi H, 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 Oct-Dec;9(4):470-475.
  13. Wright, GZ. Children's behavior in the dental office. In: Behavior management in dentistry for children. Philadelphia (PA): WB Saunders Co; 1975. pp. 55-72.
  14. Bonk VA, France CR, Taylor BK. Distraction reduces selfreported physiological reactions to blood donation in novice donors with a blunting coping style. Psychosom Med 2001 May-Jun;63(3):447-452.
  15. Seyrek SK, Corah NL, Pace LF. Comparison of three distraction techniques in reducing stress in dental patients. J Am Dent Assoc 1984 Mar;108(3):327-329.
  16. Carlin S, Ward WD, Gershon A, Ingraham R. Sound stimulation and its effect on dental sensation threshold. Science 1962 Dec;138(3546):1258-1259.
  17. Weisenberg M, Tepper I, Schwarzwald J. Humor as a cognitive technique for increasing pain tolerance. Pain 1995 Nov;63(2):207-212.
  18. Stark LJ, Allen KD, Hurst M, Nash DA, Rigney B, Stokes TF. Distraction: its utilization and efficacy with children undergoing dental treatment. J Appl Behav Anal 1989 Fall;22(3): 297-307.
  19. Fox C, Newton JT. A controlled trial of the impact of exposure to positive images of dentistry on anticipatory dental fear in children. Community Dent Oral Epidemiol 2006 Dec;34(6):455-459.
  20. Magora F, Cohen S, Ram RD. Audiovisual iatrosedation with video eyeglasses distraction method in pediatric dentistry: case history. J Int Dent Med Res 2010 Jan;3(3):133-136.
  21. Baghdadi ZD. Evaluation of audio analgesia for restorative care in children treated using electronic dental anesthesia. J Clin Pediatr Dent 2000 Fall;25(1):9-12.
  22. Wismeijer AA, Vingerhoets AJ. The use of virtual reality and audiovisual eyeglass systems as adjunct analgesic techniques: a review of the literature. Ann Behav Med 2005 Dec;30(3):268-278.
  23. Melamed BG, Weinstein D, Katin-Borland M, Hawes R. Reduction of fear-related dental management problems with use of filmed modeling. J Am Dent Assoc 1975 Apr;90(4):822-826.
  24. Messer JG. Stress in dental patients undergoing routine procedures. J Dent Res 1977 Apr;56(4):362-367.
  25. Kudo T, Mishima R, Yamamura K, Mostafeezur R, Zakir HM, Kurose M, Yamada Y. Difference in physiological responses to sound stimulation in subjects with and without fear of dental treatments. Odontology 2008 Jul;96(1):44-49.
  26. Sanadhya YK, Sanadhya S, Jalihal S, Nagarajappa R, Ramesh G, Tak M. Hemodynamic, ventilator, and ECG changes in pediatric patients undergoing extraction. J Indian Soc Pedod Prev Dent 2013 Jan-Mar;31(1):10-17.
  27. Farhat-McHayleh N, Harfouche A, Souaid P. Techniques for managing behaviour in pediatric dentistry: comparative study of live modelling and tell-show-do based on children's heart rates during treatment. J Can Dent Assoc 2009 May;75(4):283.
  28. Yelderman M, New W Jr. Evaluation of pulse oximetry. Anesthesiology 1983 Oct;59(4):349-352.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.