Nowadays, various novel techniques have been documented to modify behaviour of the child and reduce dental anxiety in paediatric patients. Recently developed distraction methods have advancements that involve intellectual distraction games. This approach enables the clinicians to treat children with minimal resources and is readily accessible in the market. Several studies have also evaluated the productiveness of virtual reality (VR) as an audio-visual distraction aid in guiding anxious children. The aim of the present study was to compare and evaluate the effectiveness of virtual reality eyeglasses vs intellectual colored game as a distraction aid to reduce anxiety of children undergoing dental procedure.This was an in vivo interventional comparative study. A total sample of 90 children was selected aged between 4-7 years. They were randomly divided by chit method into three different groups with 30 children in each group: Group I (Control), Group II (VR) and Group III (ICG). Child’s anxiety level was assessed using a combination of physiological parameter (pulse rate and oxygen saturation) and behavioral measures including subjective assessment (Venham’s anxiety rating scale) and objective assessmemt (Facial Image Scale). Data was analysed using Statistical Package for Social Sciences (SPSS) version 21, IBM Inc.The study displayed a high statistically significant reduction in anxiety with VR & ICG Group when compared to Control group (p<0.001)Mental distraction (Intellectual coloured game) was proven to be a more promising distraction aid due to certain limitations of Virtual reality distraction.
Due to dental anxiety & fear, young children tend to be more anxious even at the times of basic clinical examination and investigative procedures such as taking IOPAs, however, with the advent of RVGs, taking X-rays have become less cumbersome. A study was planned for comparison and evaluation of olfactory distraction utilizing aromatherapy, taste distraction and conventional method (Tell-Show-Do) in managing fearful children aged 4-7 years during radiovisiography (RVG). A total of 45 children (4-7 years old) were included and 3 groups (15 each) were formed and radiographs were taken with the help of RVG (radiovisigraphy) under aromatherapy, with taste distraction and using control- Tell Show Do technique. Pre- and Post- anxiety scores were measured using physiological measures- pulse and respiratory rate, oxygen saturation and Venham’s picture test. Statistical Package for Social Sciences (SPSS) version 21, IBM Inc, was used for statistical analysis.Both the test groups (aromatherapy and taste distraction group) when compared with control group, exhibited noteworthy post-treatment variation in anxiety level scores. No statistical significance was seen amongst taste distraction and aromatherapy group, although aromatherapy exhibited superior results in comparison to taste distraction. Both taste distraction using lollipop/candy and aromatherapy employing lavender essential oil are efficacious in management of anxiety among children, however aromatherapy unveils a better result in comparison. To conclude, a combination or individual use of less invasive techniques may be executed effectively in handling pediatric dental patients.
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