A bstract Background Managing a child's anxiety is most critical for the success of treatment in the pediatric dental setup. Present trend advocates the use of non-aversive behavior management techniques. Aim and objective To compare and evaluate the efficacy of aromatherapy using orange essential oil with that of music distraction in the management of anxious pediatric dental patients. Design One hundred and fifty children of the age 6–8 years were divided into three groups of 50 each and performed restorative treatment under aromatherapy, with music distraction, without aromatherapy, or music distraction, respectively. Venham's picture test and facial image scale (FIS), pulse rate, respiratory rate, and oxygen saturation were recorded before and after the procedure. Results Compared with controls, both the aromatherapy group and music distraction group showed significant posttreatment change in anxiety levels with respect to Venham's picture test and FIS, along with the reduction in pulse rate and respiratory rate. When compared between music distraction and aromatherapy, it did not yield statistical significance, though music distraction showed better results compared to aromatherapy. Conclusion Both music distraction and aromatherapy using orange essential oil are effective in anxiety management of which music distraction presents a comparatively better result. Either these non-invasive techniques alone or a combination of both may be employed in the dental setup of pediatric dentists for molding cooperative patients. How to cite this article James J, Retnakumari N, Vadakkepurayil K, e t a l. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent 2021;14(2):249–253.
A 12-year-old boy was referred to the Department of Pedodontics, with the chief complaint of multiple decayed teeth. Detailed physical examination by the Paediatrician revealed numerous skin abscesses and pruritic dermatitis on scalp, face, limbs and trunk. The nails were showing definitive koilonychia with no evidence of icterus, cyanosis, lymphadenopathy and pedal oedema.Medical history revealed episodes of recurrent abscesses in different parts of the body, associated with recurrent fever, cough and episodes of haemoptysis with the pus culture showing positivity for Staphylococcus aureus. Computed Tomography (CT) scan report of thorax showed thick walled bronchiectatic cavities with air fluid level in outer segments of right upper lobe and post-basal segment of right lower lobe. Haematological examination revealed that the white blood cell count was 19240 cells/µL with 71% neutrophils, and an elevated eosinophils level at 12%. Haemoglobin level was at 8.9 gram% with haematocrit at 28.9%. The serum Immunoglobulin E (IgE) level showed elevation to 16,025 IU/ml with the other immunoglobulins at normal range except for the reduction in IgM level.Facial and intra-oral examination revealed the characteristic coarse facial form, prominent forehead, rough facial skin, deep set wide spaced eyes, broad nasal bridge, wide fleshy nasal tip, Class III skeletal pattern, mild facial asymmetry with an old man appearance [Table/ Fig-1]. Mild cervical lymphadenopathy, angular cheilitis, depapillation and fissuring of the tongue [Table/ Fig-2], high arched palate, multiple keratotic/erosive areas on tongue and buccal mucosa, multiple non-specific ulcers on gingiva and poor oral hygiene were also noted. Dental examination revealed multiple carious lesions and root stumps of teeth # 52, 62, 71, 72, 81 and 82 with poor oral hygiene. Orthopantomogram (OPG) revealed absence of permanent tooth buds of teeth # 12, 22, 31, 32, 41, 42 and a supernumerary tooth in relation to tooth # 34 [Table/ Fig-3]. Extraction of root stumps and necessary restorations were done to eliminate all infectious foci. The patient was referred back to the Department of Paediatrics for further evaluation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.