Document Type : Original Article
Authors
1
pediateric dentistry departement,faculty of dentistry,suez canal university, Egypt
2
Lecturer of Pediatric and Preventive Dentistry and Dental Public Health, Faculty of Dentistry, Suez Canal University, Egypt.
3
Professor of Pediatric and Preventive Dentistry and Dental Public Health, Faculty of Dentistry, Suez Canal University,Egypt
Abstract
Introduction: One of the most difficult issues in paediatric dentistry is effectively
managing children, ensuring that our treatment is delivered in a calm and comfortable
atmosphere, while reducing any painful causes that may increase nervousness and fear.
Aim: To compare the effects of video game playing and the Tell-Show-Do technique on
anxiety and behavior in children during their first dental visit, using physiological (heart
rate, oxygen saturation) and behavioral (VAS, Venham’s scale) assessments. Materials
& Methods:Arandomized clinical trial was conducted on sixty children aged 6-8 years,
who required vital pulpotomies for their primary molars. The children were randomized
to two groups according to behavior management technique, where Group-I, the control
group, comprised of 30 children who were received the tell show-do (TSD) approach
and Group-II, referred to as the examined group, comprised of 30 children who were
provided with hand-held Video Games (VGs). Results: There was no statistically
significant difference regarding the mean heart rate and oxygen saturation readings
among different time points in both groups. There were no significant differences in
VisualAnalogue Pain Rating Scale (VAS) between TSD and VGs distraction techniques
after local anaesthesia administration, however, at end of procedure VGs group had
statistically lower child pain scores compared with TSD group. Regarding Venham’s
clinical anxiety and behavioral rating scale (VCARS), results showed that VGs group
had statistically very highly significant lower child anxiety levels than TSD group.
Conclusion: The use of video games distraction significantly reduces pain and anxiety
and has shown to be more effective compared with TSD distraction for redirecting
a patient’s attention away from pain, besides being more convenient because of its
increased practicality and widespread availability. Considering our results, video games
could be incorporated as an adjunct in routine dental practice during administration of
local anesthesia.
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