Effect of the Case for Carpule as a Visual Passive Distraction Tool on Dental Fear and Anxiety: A Pilot Study

Effect of the Case for Carpule as a Visual Passive Distraction Tool on Dental Fear and Anxiety: A Pilot Study

The present cross-over study aimed to evaluate the effect of a visual passive distraction tool, a case for carpule, in the management of fear and anxiety during invasive dental treatment. Children between the ages of 4 and 8 years that need at least two treatments with inferior alveolar nerve block...

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Bibliographic Details
Published in:International journal of environmental research and public health Vol. 20; no. 3; p. 1793
Main Authors: Barbosa, Nayara Bertoldo, Rodrigues, Bárbara Rocha, Madalena, Isabela Ribeiro, de Menezes, Fernando Carlos Hueb, Lepri, César Penazzo, de Oliveira, Maria Beatriz Carvalho Ribeiro, Campos, Michelle Gomides Dumont, Oliveira, Maria Angélica Hueb de Menezes
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 18-01-2023
MDPI
Subjects:
Alveoli
Anesthesia
Anxiety
Anxiety Disorders
Aquatic reptiles
Behavior
Child
Child, Preschool
Children
Children & youth
Cortisol
Crocodiles
Cross-Over Studies
Dental Anxiety
Dentistry
Dentists
Evaluation
Fear
Heart rate
Hormones
Humans
Hydrocortisone
Hypotheses
Local anesthesia
Pediatrics
Physiology
Pilot Projects
Positive reinforcement
Statistical analysis
Visual effects
Brazil
United States > US
local anesthesia
child management
visual distraction
dental anxiety
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Summary:The present cross-over study aimed to evaluate the effect of a visual passive distraction tool, a case for carpule, in the management of fear and anxiety during invasive dental treatment. Children between the ages of 4 and 8 years that need at least two treatments with inferior alveolar nerve block were selected. All the included children received two treatments at different moments: in one treatment, local anesthesia was performed with a visual passive distraction tool, the crocodile case, for carpule (experimental); in the other treatment, local anesthesia was performed without the device (control). An evaluation of the anxiety levels was performed by measuring the heart rate and salivary cortisol levels. Wilcoxon's nonparametric test was used for a data analysis ( < 0.05). The mean heart rate with the visual passive distraction device fell from 81.8 to 78.1, while the control rose from 91.4 to 100 ( < 0.05). The mean salivary cortisol levels with the visual passive distraction device fell from 2.0 to 1.6, while in the control, they rose from 2.1 to 2.4 ( < 0.05). In conclusion, the crocodile case for carpule as a visual passive distraction device contributed positively to the management of fear and anxiety during inferior alveolar nerve block in children.
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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph20031793