‘I Would Rather Be Having My Leg Cut off Than a Little Needle’: A Supplementary Qualitative Analysis of Dentally Anxious Children’s Experiences of Needle Fear

Noble, Fiona; Kettle, Jennifer; Hulin, Joe; Morgan, Annie; Marshman, Zoe

doi:10.3390/dj8020050

Cited by 5 publications

(7 citation statements)

References 31 publications

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“…30 The IANB was used, in this study, as it is the most profound dental anesthesia, especially in treating inflamed pulp, but it is considered as a painful anesthetic technique when compared with buccal infiltration. 22,31,32 This study included preschool children, aged 4 to 6 years, as they are the most difficult to treat and usually show more disruptive behavior. 33 Patients, who had never received dental anesthesia, were chosen to avoid any previous psychological dental trauma.…”

Section: Discussionmentioning

confidence: 99%

Enhancing Pediatric Dental Care: The Influence of Virtual Reality

Hamdy,

Farag,

Helmy

et al. 2024

Eur J Dent

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Objective The purpose of this study was to assess the effects of virtual reality (VR) in reducing pain and anxiety levels in children. The study also compared active and passive distraction methods using VR during the delivery of inferior alveolar nerve blocks (IANBs) in dental procedures in children. Material and Methods The study comprised 45 preschool patients, aged between 4 and 6 years, with no prior dental anesthetic experience. The participants were randomly assigned to three groups based on the sort of management style: Group A used the tell-show-do technique, Group B engaged in passive distraction by watching cartoons using a VR headset, and Group C participated in active distraction by playing games using a controller with the VR headset. Pain and anxiety were evaluated using physiological measurements, namely by analyzing the variations in blood pressure, heart rate, and oxygen saturation before and after the administration of IANB. Psychological assessments were conducted using the Wong–Baker faces scale, Modified Dental Anxiety scale questionnaires, and Revised Face, Legs, Activity, Cry and Consolability scale after administering IANB. Results The physiological outcomes revealed no statistically significant differences in blood pressure and oxygen saturation. However, there was a statistically significant increase in the heart rate in group A compared with groups B and C. In terms of psychological measurements, groups B and C exhibited a significant improvement in pain experience and a decrease in anxiety. Conclusion This study concluded that VR reduced pain and anxiety levels in its passive and active forms.

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Section: Discussionmentioning

confidence: 99%

Enhancing Pediatric Dental Care: The Influence of Virtual Reality

Hamdy,

Farag,

Helmy

et al. 2024

Eur J Dent

View full text Add to dashboard Cite

show abstract

“…Additionally, some of these measures are outdated and thus of limited relevance in today’s current clinical practices as well as societal norms [ 23 ]. In an effort ot address these limitations, qualitative approaches have been used to explore the complex, subjective, and multidimensional nature of DFA in children [ 23 , 26 , 27 , 28 , 29 , 30 ]. Qualitative studies utilize in-depth interviews to gain perspective on the child’s experiences through their own words [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…Specific aspects of DFA assessed in this manner include unhelpful thoughts of catastrophizing, emotive distress, anxiety, and heightened autonomic arousal in response to external stimuli (provider attitude, setting design, etc.) [ 23 , 27 , 28 , 29 , 30 , 31 ]. Qualitative studies highlight the role of social interactions and the child’s level of cognitive development in influencing the degree of DFA.…”

Section: Introductionmentioning

confidence: 99%

Children’s Perceptions of Dental Experiences and Ways to Improve Them

et al. 2022

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This qualitative study explored children’s perceptions of their dental experiences and their acceptability of the CARD™ (Comfort, Ask, Relax, Distract) system, adapted for the dental setting as a means to mitigate dental fear and anxiety (DFA). A purposive sample of 12 participants (7 males) aged 8-12 years receiving dental care at the Paediatric Dental Clinic, University of Toronto, was recruited. Virtual one-on-one interviews were augmented with visual aids. Participants were oriented to and asked about their perceptions of various dental procedures. Data were deductively analyzed, according to the Person-Centered Care framework (PCC). Four themes were identified: establishing a therapeutic relationship, shared power and responsibility, getting to know the person and empowering the person. Children emphasized the importance of clinic staff attributes and communication skills. They expressed a desire to engage more actively in their own care and highlighted the positive influence of pre-operative education and preparation. Participants found the CARD™ system to facilitate opportunities for self-advocacy in their dental care.

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“…Needle phobia is more common among children than adults, with fifty to sixty percent of children reporting fear of needles (8)(9)(10). Needle phobia is associated with treatment avoidance, nonadherence with vaccine schedules, and anticipatory unpleasant side effects (6,11,12).…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality Reduces Pediatric Anxiety During Food Allergy Clinical Trials: A Pilot Randomized, Pragmatic Study

et al. 2022

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Phlebotomy procedures required in food allergy (FA) diagnosis and clinical trials often induce fear and anxiety for pediatric patients. The primary aim of this study was to determine whether virtual reality (VR) applications were effective in reducing anxiety for pediatric FA patients undergoing phlebotomy during FA clinical trials. Secondary aims assessed fear, pain, procedural compliance, and adverse events. Participants undergoing phlebotomy were enrolled and randomized to a VR group or standard of care (SOC) group for this prospective pilot randomized, pragmatic study. Participants in the VR group played interactive applications on a customized Samsung Gear VR headset and those in the SOC group received the standard of care. Participants' anxiety, fear, and pain were assessed with the Children's Anxiety Meter, Children's Fear Scale, and FACES pain scale pre, during, and post phlebotomy procedure. Compliance was assessed using the modified Induction Compliance Checklist during the procedure and compared between two groups. Forty-nine participants were randomized to VR (n = 26) and SOC (n = 23) groups. Although both the VR and SOC groups experienced a decrease in anxiety and fear from pre- to post-procedure, those in the VR group experienced less anxiety and fear during the procedure than SOC participants. Similarly, both groups experienced an increase in pain from pre- to post-procedure; however, the VR group reported less pain during the procedure than SOC. Fewer symptoms of procedural non-compliance were reported in the VR group. Interactive VR applications may be an effective tool for reducing fear, anxiety, and pain during phlebotomy for FA clinical trials.

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‘I Would Rather Be Having My Leg Cut off Than a Little Needle’: A Supplementary Qualitative Analysis of Dentally Anxious Children’s Experiences of Needle Fear

Cited by 5 publications

References 31 publications

Enhancing Pediatric Dental Care: The Influence of Virtual Reality

Enhancing Pediatric Dental Care: The Influence of Virtual Reality

Children’s Perceptions of Dental Experiences and Ways to Improve Them

Virtual Reality Reduces Pediatric Anxiety During Food Allergy Clinical Trials: A Pilot Randomized, Pragmatic Study

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