Disruptive Global Behavior During Previous Treatment Visits
Conditions
Keywords
Audiovisual distraction, Pediatric dentistry
Brief summary
The aim of the study was to assess whether the behavior, anxiety, and pain of pediatric patients during dental treatment improves when a cartoon film is viewed or a videogame is played as methods of distraction.
Detailed description
Each patient required a minimum of 2 visits for restorative treatment in a mandibular quadrant and had undergone a previous restorative dental experience. All parents or guardians of the children who participated in the study were informed about the study before enrolment, and gave their voluntary consent. Each visit lasted approximately 35 minutes and involved restorative treatment in a mandibular quadrant with an alveolar nerve block. The parents were not present in the operating room during the treatment. The maximum time between the 2 treatment sessions was 2 weeks. Before the start of each treatment session, as a part of the standard process of a paediatric dental visit, the child was given an explanation as to what the visit would comprise, with the aim of interrupting the treatment as little as possible. The children knew at the beginning of the first appointment (control) that they would be able to watch a movie or play a videogame during their next visit.
Interventions
BEHAVIORALNo distraction method
Patients with conventional treatment. No distraction method during the treatment visits.
BEHAVIORALDistraction method
Patients will see a cartoon film in a screen attached to the ceiling, just above the dental chair during the second treatment visit.
Sponsors
Universitat Internacional de Catalunya
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
4 Years to 9 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients aged 4-9 years. * Patients who required a minimum of 2 visits for restorative treatment. * Patients who had previously shown disruptive behavior (Frankl Behavior Rating Scale 1 or 2) during dental restorative treatment or pulp therapy.
Exclusion criteria
* Patients with reduced audiovisual capabilities. * Patients with psychological disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Global behavior during the treatment | 14 days |
Secondary
| Measure | Time frame |
|---|---|
| Parental perception of patients' anxiety | 14 days |
| Self-reported anxiety during the treatment | 14 days |
| Pain during the treatment | 14 days |
| Heart rate during the treatment measures in different time points | 14 days |
| Degree of acceptance of the distraction method by the pediatric patient | 14 days |
Countries
Spain
Outcome results
None listed