Turning Nerves Into Nirvana- A Review On Distraction Techniques In Pediatric Dentistry
Main Article Content
Abstract
Children with dental fear and anxiety try all means to avoid or delay dental treatment, and it results in the deterioration of their oral health. Distraction is the technique of diverting the patient's attention from what may be perceived as an unpleasant procedure. The available studies show that the distraction techniques can be very effective during dental treatment for the management of dental fear and anxiety in children, including those with special abilities. However, the evidence of their efficacy is very low, so more future studies and research comparing the different distraction techniques among children of different age groups is recommended in order to have a more accurate knowledge of them and thus be able to implement them in the dental office. This review article throws light on the different distraction techniques that can be utilised by a Pediatric dentist to make the child patient cooperate for dental treatment.
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References
Mallineni S. K., Yiu C. K. Y. A retrospective audit of dental treatment provided to special needs patients under general anesthesia during a ten-year period. Journal of Clinical Pediatric Dentistry . 2018;42(2):155–160. doi: 10.17796/1053-4628-42.2.13. [PubMed] [CrossRef] [Google Scholar]
Prado I. M., Carcavalli L., Abreu L. G., Serra‐Negra J. M., Paiva S. M., Martins C. C. Use of distraction techniques for the management of anxiety and fear in paediatric dental practice: a systematic review of randomized controlled trials. International Journal of Paediatric Dentistry . 2019;29(5):650–668. doi: 10.1111/ipd.12499. [PubMed] [CrossRef] [Google Scholar]
Dahlan M, Alsaywed R, Alamoudi R, et al. (July 24, 2023) Assessment of Different Distraction Behavioral Methods in Pediatric Dental Clinic: A Systematic Review. Cureus 15(7): e42366. doi:10.7759/cureus.42366
Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S. Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial. JAMA Pediatr. 2013 Sep;167(9):826-35. doi: 10.1001/jamapediatrics.2013.200. PMID: 23857075.
Gupta N, Gupta H, Gupta P, et al.: Evaluation of the role of music as a nonpharmacological technique in management of child patients. J Contemp Dent Pract. 2017, 18:194-7.
Suleiman-Martos N, García-Lara RA, Membrive-Jiménez MJ, Pradas-Hernández L, Romero-Béjar JL, Dominguez-Vías G, Gómez-Urquiza JL. Effect of a game-based intervention on preoperative pain and anxiety in children: A systematic review and meta-analysis. J Clin Nurs. 2022 Dec;31(23-24):3350-3367. doi: 10.1111/jocn.16227. Epub 2022 Jan 24. PMID: 35075716; PMCID: PMC9787560.
Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S. Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial. JAMA Pediatr. 2013 Sep;167(9):826-35. doi: 10.1001/jamapediatrics.2013.200. PMID: 23857075.
Guinot F, Mercadé M, Oprysnyk L, Veloso A, Boj JR: Comparison of active versus passive audiovisual distraction tools on children's behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial. Eur J Paediatr Dent. 2021, 22:230-6. 10.23804/ejpd.2021.22.03.10
Miller K, Tan X, Hobson AD, Khan A, Ziviani J, OʼBrien E, Barua K, McBride CA, Kimble RM. A Prospective Randomized Controlled Trial of Nonpharmacological Pain Management During Intravenous Cannulation in a Pediatric Emergency Department. Pediatr Emerg Care. 2016 Jul;32(7):444-51. doi: 10.1097/PEC.000000000000 0778. PMID: 27380603.
Wang E, Thomas JJ, Rodriguez ST, Kennedy KM, Caruso TJ. Virtual reality for pediatric periprocedural care. Curr Opin Anaesthesiol. 2021 Jun 1;34(3):284-291. doi:
Felemban OM, Alshamrani RM, Aljeddawi DH, Bagher SM: 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. 10.1186/s12903-021-01678-x
Brown NJ, Kimble RM, Rodger S, Ware RS, Cuttle L. Play and heal: randomized controlled trial of Ditto™ intervention efficacy on improving re-epithelialization in pediatric burns. Burns. 2014 Mar;40(2):204-13. doi: 10.1016/j.burns.2013.11.024. Epub 2013 Dec 19. PMID: 24360745.
Chrishantha Joybell : Bait The Hook-Let the Fish Take a Bite Out of Anxiety. J. Pharm. Sci. & Res. Vol. 15(10), 2023, 1233-1240.
Dr. C. Chrishantha Joybell M.D.S: Toys+ Dentistry= Winning Smiles-Combining The Magic Of Play With The Importance Of Oral Health For A Lifetime Of Happy Grins. Journal for Re Attach Therapy and Developmental Diversities. 2024 Febuary 7(2): 90-103.
Thosar NR, Bane SP, Deulkar PV, Deshpande MA, Gupta S: Effectiveness of two different behavior modification techniques for anxiety reduction in children. Cureus. 2022, 14:e28141. 10.7759/cureus.28141
James J, Retnakumari N, Vadakkepurayil K, Thekkeveetil AK, Tom A: Effectiveness of aromatherapy and music distraction in managing pediatric dental anxiety: a comparative study. Int J Clin Pediatr Dent. 2021, 14:249-53. 10.5005/jp-journals-10005-1911
Hegde KM, R N, Srinivasan I, D R MK, Melwani A, Radhakrishna S: Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6-11 years: a crossover split-mouth study. J Dent Anesth Pain Med. 2019, 19:143-9. 10.17245/jdapm.2019.19.3.143
Aditya PV, 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:e08092. 10.1016/j.heliyon.2021.e08092
Bahrololoomi Z, Sadeghiyeh T, Rezaei M, Maghsoudi N: The effect of breathing exercise using bubble blower on anxiety and pain during inferior alveolar nerve block in children aged 7 to 10 years: a crossover randomized clinical trial. Pain Res Manag. 2022, 2022:7817267. 10.1155/2022/7817267