Eye Movement Distraction: A New Distraction Technique for Management of Dental Anxiety during Intraoral Local Anesthesia Administration in Children
Nirmala Krishna
Citation Information :
Krishna N. Eye Movement Distraction: A New Distraction Technique for Management of Dental Anxiety during Intraoral Local Anesthesia Administration in Children. Int J Clin Pediatr Dent 2019; 12 (6):507-509.
Background: To evaluate the efficacy of eye movement distraction (EMD) in reducing anxiety during intraoral local anesthetic administration in needle-phobic children. Materials and methods: A total of 228 children aged 8–13 years were divided into two groups: group I (EMD) and group II (control), and subjective feelings of each child were recorded with a faces pain scale-revised (FPS-R) score. Both the groups (I and II) were compared using the Chi-square test. Results: Children in the EMD group showed low FPS-R scores, which is statistically significant when compared to the control group (p < 0.0001). Conclusion: Eye movement distraction can be used as an effective distraction modality to reduce anxiety during local anesthesia administration in needle-phobic children.
Kaur R, Jindal R, Dua R, et al. Comparative evaluation of the effectiveness of audio and audiovisual distraction aids in the management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2015;33(3):192–203. DOI: 10.4103/0970-4388.160357.
Nuvvula S, Alahari S, Kamatham R, et al. Effect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: a randomised clinical trial. Eur Arch Paediatr Dent 2015;16(1):43–50. DOI: 10.1007/s40368-014-0145-9.
Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2007;25(4):177–182. DOI: 10.4103/0970-4388.37014.
Peretz B, Gluck GM. Assessing an active distracting technique for local anesthetic injection in pediatric dental patients: repeated deep breathing and blowing out air. J Clin Pediatr Dent 1999;24(1):5–8.
Bradt J, Teague A. Music interventions for dental anxiety. Oral Dis 2018;24(3):300–306. DOI: 10.1111/odi.12615.
Kamath PS. A novel distraction technique for pain management during local anesthesia administration in pediatric patients. J Clin Pediatr Dent 2013;38(1):45–47. DOI: 10.17796/jcpd.38.1.265807t236570hx7.
Avisa P, Kamatham R, Vanjari K, et al. Effectiveness of acupressure on dental anxiety in children. Pediatr Dent 2018;40(3):177–183.
Lee GK, Beaton RD, Ensign J. Eye movement desensitization and reprocessing. A brief and effective treatment for stress. J Psychosoc Nurs Ment Health Serv 2003;41(6):22–31.
Shapiro F. The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine: addressing the psychological and physical symptoms stemming from adverse life experiences. Perm J 2014;18(1):71–77. DOI: 10.7812/TPP/13-098.
Khan AM, Dar S, Ahmed R, et al. Cognitive behavioral therapy versus eye movement desensitization and reprocessing in patients with post-traumatic stress disorder: systematic review and meta-analysis of randomized clinical trials. Cureus 2018;10(9):e3250. DOI: 10.7759/cureus.3250.
Lu DP. Using alternating bilateral stimulation of eye movement desensitization for treatment of fearful patients. Gen Dent 2010;58(3):e140–e147.
De Jongh A, van den Oord HJ, ten Broeke E. Efficacy of eye movement desensitization and reprocessing in the treatment of specific phobias: four single-case studies on dental phobia. J Clin Psychol 2002;58(12):1489–1503. DOI: 10.1002/jclp.10100.
Landin-Romero R, Moreno-Alcazar A, Pagani M, et al. How does eye movement desensitization and reprocessing therapy work. A systematic review on suggested mechanisms of action. Front Psychol 2018;9:1395. DOI: 10.3389/fpsyg.2018.01395.
MacCulloch MJ, Feldman P. Eye movement desensitisation treatment utilises the positive visceral element of the investigatory reflex to inhibit the memories of post-traumatic stress disorder: a theoretical analysis. Br J Psychiatry 1996;169(5):571–579. DOI: 10.1192/bjp.169.5.571.