IntroductionDental anxiety is one of the most common types of anxiety amongst the population in the world, including Malaysia. According to JM Armfield et. al., a normal fear is a physiological, behavioural, and emotional response to a feared object or situation. (1) Meanwhile, the pathological anxiety is characterized by the nervousness of impending actual or imagined threat, susceptibility or doubt and may be associated with restlessness, stress, tachycardia and dyspnea unattached to a lucid identifiable reason. (2)Studies have seen relation to the dental anxiety and its nature. 4) Dental anxiety can affect both adults and children, especially the younger children of preschool age. (5) A study has been reported that the high levels of dental anxiety strongly associated with the bad experience and traumatic dental setting, such as dental extraction and needle injection, during delivering the treatment. (6) According to Vassend et. al. and AlSarheed M., the carpule syringe contributes more in increasing the dental anxiety level, may due to the association with the placement of anaesthetic solution which is recognized as the most painful moment in dental care. (7) The placement of anaesthetic solution done by the local injection also known as local anaesthesia. Local anaesthesia is part of pharmacological behaviour management where it can cause temporary loss of sensation including pain in one part of the body produced by a topically-applied or injected agent without depressing the level of consciousness. Pain control is fundamentally vital for the successful treatment and fosters the relationship between the
methods of treatment such as Acupuncture, herbal medicine and massage therapy. The complementary and alternative medicine is a widespread phenomenon, In Europe, complementary therapies are used by 20-50% of the population. Among pediatric populations, Acupuncture is considered the backbone of the CAM modalities. Methods we applied the acupuncture sessions for 30 cases of children who suffering from asthma on their conventional medical treatment on certain points according to Traditional Chinese Medicine for 12 sessions in one month and measuring of Pulmonary functions including (VC%, FVC%, FEV1%, FEF25-75%, FEF25%, FEF50%, FEF75%, PEF%), IL-6, IgE, Eosinophilic count before and after the sessions. Clinical grading and medications used before and after the acupuncture sessions measured. Results There were significant improvement in Pulmonary functions: VC% (p<0.001), FVC% (p<0.001), FEV1% (p<0.001), FEF25-75% (p<0.001), PEF% (p<0.001), FEF25% (p<0.001) FEF50% (p<0.001), FEF75% (p<0.001). There were significant decrease in Eosinophilic count (p<0.001). More over there were improvement in IL-6 and IgE levels in the blood. However there were improvements in clinical conditions of the patients (symptoms, signs, grade of asthma) also there was decrease in their medications used. Conclusions Acupuncture improves pulmonary functions of the children with bronchial asthma however it decreases the serum levels of Eosinophilic count, IL-6 and IgE with decrease all medications used by children before needle sessions.
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