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| Id | 582 | |
| Author | Khandelwal D., Kalra N., Tyagi R., Khatri A., Gupta K. | |
| Title | Control of anxiety in pediatric patients using tell show do method and audiovisual distraction | |
| Reference | Khandelwal D., Kalra N., Tyagi R., Khatri A., Gupta K.; Control of anxiety in pediatric patients using tell show do method and audiovisual distraction ;Journal of Contemporary Dental Practice vol:19 issue: 9.0 page:1058.0 |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054458537&doi=10.5005%2fJP-JOURNALS-10024-2381&partnerID=40&md5=0025cd5cff4d1d84484d314f22666a7d |
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| 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), Venhams picture test (VPT), blood pressure, pulse rate (PR), and oxygen saturation (SpO 2 ) 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 childs 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 childs behavior would not only increase efficiency of work but would also make the experience for child undergoing treatment more pleasant. © The Journal Of The Contemporary Dental Practice. |
Technique: The study was conducted on 4,0 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. Child seeing the audiovisual presentation has mul-tisensory distraction as he/she tends to concentrate on the TV screen thereby screening out the sight of dental treatment and the sound of the program helps the child to eliminate the unpleasant dental sounds such as the sound of handpiece. The impressions of distress left by the first dental visit build memories that effect conduct on upcoming appoint-ments. Heart rate and blood pressure can be used as reliable indicators of measuring anxiety. The probable limitation of this study was that cognitive development of -year-old patient will not be the same as that of an -year-old patient
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