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Anxiety and fear management in paediatric dentistry using distraction techniques.
Evidence-Based Dentistry Pub Date : 2019-06-01 , DOI: 10.1038/s41432-019-0020-y Mark Robertson 1 , Mariana Araujo 2 , Nicola Innes 1
Evidence-Based Dentistry Pub Date : 2019-06-01 , DOI: 10.1038/s41432-019-0020-y Mark Robertson 1 , Mariana Araujo 2 , Nicola Innes 1
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Data sources PubMed, Web of Science, Scopus, Cochrane Library, Latin American and Caribbean Health Sciences Literature (Lilacs), US National Library of Medicine and Google Scholar. There were no limits on language or publication dates.Study selection Two independent reviewers performed the study selection of randomised controlled trials (RCT) investigating distraction techniques to manage dental anxiety & fear in patients under 18 years old compared to no interventionData extraction and synthesis Data were extracted by two independent reviewers using standardised data tables. Risk of bias was assessed using Cochrane Collaboration's Risk of Bias Tool. Study heterogeneity precluded meta-analysis. Qualitative analyses were performed.Results Twenty-one RCTs were included in this systematic review. Participant ages ranged from 4 to 16 years old. Distraction techniques included use of audio and audio-visual techniques, instrument camouflage, biofeedback therapy, dental operating microscope and toys. Data were collected pre- and post-dental procedures including: dental examination; prophylaxis; local anaesthetic administration; restoration placement; exodontia; and placement of rubber dam. Within studies, between one and six instruments were used to measure children's anxiety and dental fear. Objective measures with pulse oximeters and blood pressure cuffs were used most frequently.Conclusions The studies included in this systematic review suggest that distraction techniques might be useful to control children's anxiety and fear during dental appointments, however, the certainty of evidence is very low. There are no contraindications for the use of distraction techniques during children's and adolescents' dental appointments.
中文翻译：
使用分散技术在儿科牙科中的焦虑和恐惧管理。
数据来源PubMed，Web of Science，Scopus，Cochrane图书馆，拉丁美洲和加勒比海健康科学文献（丁香），美国国家医学图书馆和Google Scholar。没有语言或出版日期的限制。研究选择两名独立的评论者进行了研究的随机对照试验（RCT）的研究选择，研究了分散注意力技术以控制18岁以下患者的牙齿焦虑和恐惧，相比之下，没有干预措施。由两名独立审阅者使用标准化数据表提取。使用Cochrane Collaboration的“偏见风险”工具评估了偏见风险。研究异质性无法进行荟萃分析。结果进行了定性分析。结果本系统评价包括21个RCT。参加者的年龄为4至16岁。分散注意力的技术包括使用音频和视听技术，伪装仪器，生物反馈疗法，牙科手术显微镜和玩具。收集牙前和牙后程序的数据，包括：牙科检查；预防; 局部麻醉剂管理；恢复安置；牙外膜 和橡胶坝的位置。在研究中，使用了一到六种仪器来测量儿童的焦虑和牙齿恐惧。结论脉搏血氧仪和血压袖套的客观测量方法是最常用的。结论本系统综述中的研究表明，分心技术可能有助于控制儿童在就诊期间的焦虑和恐惧，但是，证据的确定性很低。
更新日期：2019-06-28
中文翻译：
使用分散技术在儿科牙科中的焦虑和恐惧管理。
数据来源PubMed，Web of Science，Scopus，Cochrane图书馆，拉丁美洲和加勒比海健康科学文献（丁香），美国国家医学图书馆和Google Scholar。没有语言或出版日期的限制。研究选择两名独立的评论者进行了研究的随机对照试验（RCT）的研究选择，研究了分散注意力技术以控制18岁以下患者的牙齿焦虑和恐惧，相比之下，没有干预措施。由两名独立审阅者使用标准化数据表提取。使用Cochrane Collaboration的“偏见风险”工具评估了偏见风险。研究异质性无法进行荟萃分析。结果进行了定性分析。结果本系统评价包括21个RCT。参加者的年龄为4至16岁。分散注意力的技术包括使用音频和视听技术，伪装仪器，生物反馈疗法，牙科手术显微镜和玩具。收集牙前和牙后程序的数据，包括：牙科检查；预防; 局部麻醉剂管理；恢复安置；牙外膜 和橡胶坝的位置。在研究中，使用了一到六种仪器来测量儿童的焦虑和牙齿恐惧。结论脉搏血氧仪和血压袖套的客观测量方法是最常用的。结论本系统综述中的研究表明，分心技术可能有助于控制儿童在就诊期间的焦虑和恐惧，但是，证据的确定性很低。
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