Citation Information :
Jamil F. Effectiveness of Audiovisual Distraction Technique and Filmed Modeling on Anxiety and Fear in Pediatric Dental Patients. Int J Clin Pediatr Dent 2023; 16 (4):598-602.
Aim: To evaluate the effectiveness of the audiovisual distraction (AVD) technique and filmed modeling (FM) on anxiety and fear in pediatric dental patients.
Materials and methods: This experimental in vivo study was conducted on 80 subjects of age-groups 5–8 years coming to the Department of Pediatric and Preventive Dentistry for their first dental visit. Study subjects were subjected to noninvasive restorative treatment under AVD in group I, FM in group II, and a combination of AVD and FM in groups III and IV (control 0). To assess the level of pre and postoperative anxiety and fear, various biological parameters like pulse rate, oxygen saturation, body temperature, respiratory rate, and salivary cortisol estimation along with facial image scale (FIS), and fear assessment picture scale (FAPS) were used.
Results: Group III (a combination of AVD and FM) came out to be better than other experimental groups and control groups in reducing dental anxiety and fear in pediatric dental patients.
Conclusion: A combination of AVD and FM techniques can be recommended to be used as an effective behavior management technique.
Clinical significance: A child's disruptive behavior due to dental anxiety causes difficulty in delivering effective dental treatment. Thus, a child's behavior management is of paramount importance in the pediatric dental setup. Nonpharmacological behavior management techniques, that is, a combination of AVD and FM techniques can be recommended to be used as an effective behavior management technique to reduce dental anxiety and fear in pediatric dental patients.
Wong HM, Zhang YY, Perfecto A, et al. Dental fear association between mothers and adolescents—a longitudinal study. Peer J 2020;8(1):e9154. DOI: 10.7717/peerj.9154
Prado IM, Carcavalli L, Abreu LG, et al. Use of distraction techniques for the management of anxiety and fear in paediatric dental practice: a systematic review of randomized controlled trials. Int J Paediatr Dent 2019;29(5):650–668. DOI: 10.1111/ipd.12499
Dahlander A, Soares F, Grindefjord M, et al. Factors associated with dental fear and anxiety in children aged 7 to 9 years. Dentistry Journal (Basel) 2019;7(3):68. DOI: 10.3390/dj7030068
Rajeswari SR, Chandrasekhar R, Vinay C, et al. Effectiveness of cognitive behavioural play therapy and audiovisual distraction for management of preoperative anxiety in children. Int J Clin Pediatr Dent 2019;12(5):419–422. DOI: 10.5005/jp-journals-10005-1661
Anthonappa RP, Ashley PF, Bonetti DL, et al. Non-pharmacological interventions for managing dental anxiety in children. Cochrane Database Syst Rev 2017;6:CD012676. DOI: 10.1002/14651858.CD012676
Barreiros D, de Oliveira DSB, de Queiroz AM, et al. Audiovisual distraction methods for anxiety in children during dental treatment: a systematic review and meta-analysis. J Indian Soc Pedodont Prev Dent 2018;36(1):2–8. DOI: 10.4103/JISPPD.JISPPD_188_16
Khandelwal D, Kalra N, Tyagi R, et al. Control of anxiety in paediatric patients using “Tell Show Do” and audiovisual distraction. J Contemp Dent Pract 2018;19(9):1058–1064. DOI: 10.5005/jp-journals-10024-2381
Prayab M, Arab Z. The effect of filmed modeling on the anxious and cooperative behavior of 4-6 years old children during dental treatment: a randomized clinical trial study. Dent Res J 2014;11(4):502–507. DOI: 10.4103/1735-3327.139426
Roshan NM, Virupaxi SG, Bharath KP, et al. A comparative study of filmed modeling and tell-show-do technique on anxiety in children undergoing dental treatment. J Oral Health Community Dent 2018;12(1):20–24. DOI: 10.5005/jp-journals-10062-0020
Delgado A, Ok SM, Donald D, et al. Evaluation of children's pain expression and behavior using audio visual distraction. Clin Exp Dent Res 2021;7(5):795–802. DOI: 10.1002/cre2.407
Shetty V, Suresh L R, Hegde AM. Effect of virtual reality distraction on pain and anxiety during dental treatment in 5 to 8 year old children. J Clin Pediatr Dent 2019;43(2):97–102. DOI: 10.17796/1053-4625-43.2.5
Karekar P, Bijle MNA, Walimbe H. Effect of three behaviour guidance techniques on anxiety indicators of children undergoing diagnosis and preventive dental care. J Clin Pediatr Dent 2019;43(3):167–172. DOI: 10.17796/1053-4625-43.3.4
Raseena KT, Jeeva PP, Kumar A, et al. A comparative study of tell-show-do technique with and without the aid of a virtual tool in the behavior management of 6–9-year-old children: a nonrandomized, clinical trial. J Indian Soc Pedodont Prev Dent 2020;38(4):393–399. DOI: 10.4103/JISPPD.JISPPD_280_20
Tiwari N, Tiwari S, Thakur R, et al. Evaluation of treatment related fear using a newly developed fear scale for children: “fear assessment picture scale” and its association with physiological response. Contemp Clin Dent 2015;6(3):327–331. DOI: 10.4103/0976-237X.161871
Aubry AV, Serrano PA, Burghardt NS. Molecular mechanisms of stress-induced increases in fear memory consolidation within the amygdala. Front Behav Neurosci 2016;10:191. DOI: 10.3389/fnbeh.2016.00191
Makovac E, Garfinkel SN, Bassi A, et al. Effect of parasympathetic stimulation on brain activity during appraisal of fearful expressions. Neuropsychopharmacology 2015;40(7):1649–1658. DOI: 10.1038/npp.2015.10
Shah HA, Nanjunda SKV, Kulkarni S, et al. Evaluation of dental anxiety and hemodynamic changes (sympatho-adrenal response) during various dental procedures using smartphone applications v/s traditional behaviour management techniques in pediatric patients. Int J Appl Res 2017;3(5):429–433.
James J, Retnakumari N, Vadakkepurayil K, et al. Effectiveness of aromatherapy and music distraction in managing pediatric dental anxiety: a comparative study. Int J Clin Pediatr Dent 2021;14(2):249–253. DOI: 10.5005/jp-journals-10005-1911
Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc Pedodont Prev Dent 2007;25(4):177–182. DOI: 10.4103/0970-4388.37014
Khandelwal M, Shetty RM, Rath S. Effectiveness of distraction techniques in managing pediatric dental patients. Int J Clin Pediat Dent 2019;12(1):18–24. DOI: 10.5005/jp-journals-10005-1582
Garfinkel SN. Neural correlates of fear: insights from neuroimaging. Neurosci Neuroeconom 2014;3:111–125. DOI: 10.2147/NAN.S35915
Ressler KJ. Amygdala activity, fear, and anxiety: modulation by stress. Biol Psychiatr 2010;67(12):1117–1119. DOI: 10.1016/j.biopsych.2010.04.027
Kharouba J, Peretz B, Blumer S. The effect of television distraction versus tell-show-do as behavioral management techniques in children undergoing dental treatments. Pediatr Dent 2020;51(6):486–494. DOI: 10.3290/j.qi.a44366
Venham LL, Goldstein M, Gaulin-Kreme E, et al. Effectiveness of a distraction technique in managing young dental patients. Pediatr Dent 1981;3(1):7–11.
