Ambient Science: Click the Volume and issue number for Complete Article

Location where to get the Complete Article --> Ambient Science: Vol 3, No Sp 1 (2016): 50-53

ISSN- 2348-5191 (Print version); 2348-8980 (Online)

Dental Anxiety and Pain Perception related the Appearance of Dental Injectors: A Randomized Clinical Trial



Maedeh Zarei, Samane Gharekhani, Vahid Abbasi, Leila Ghasemi, Soraya Khafri, Arash Porsatttar Bejehmir, Mitra Tabari

Abstract

In clinical issues, the syringe’s appearance always influences the level of anxiety. This study aims to evaluate the effect of a cartoon syringe on reducing the pain and dental anxiety in children. In the cross-over clinical trial, two groups with twenty-set each of cooperative healthy children aged 6-8 years were tested with two treatment sessions. At the beginning of appointments and following the display of the relevant syringe (metal or cartoon), the child’s dental anxiety was assessed by Children's Fear Survey Schedule-Dental Subscale (CFSS-DS),Venham Picture Test (VPT) and Facial Image Scale (FIS). A score of pain was evaluated by Face Scale at the end of injection. Statistical analysis of data was done using the T-test and paired T-test. Only based on FIS, a lower level of dental anxiety was shown by cartoon syringe comparing with metal injector significantly. We failed to found the pain perception associated with any type of syringe while it was increased by elevating the anxiety level. Within the study limitation, it seems the cartoon syringe might relatively effective in reducing the dental anxiety. Although the pain perception was not affected by different types of syringes, it was directly associated with anxiety level.



References

  • Altemus, M. (2006): Sex differences in depression and anxiety disorders: potential biological determinants. Horm. Behav., 50(4): 534-538.
  • Arapostathis, K.N., Coolidge, T., Emmanouil, D. & Kotsanos, N. (2008): Reliability and validity of the Greek version of the Children's Fear Survey Schedule Dental Subscale. Int. J. Pediatr. Dent., 18(5): 374-379.
  • Bonjar, A.H.S. (2011): Syringe micro vibrator (SMV) a new device being introduced in dentistry to alleviate pain and anxiety of intraoral injections, and a comparative study with a similar device. Ann. Surg. Inno. Res., 5(1).
  • Buchanan, H. & Niven, N. (2002): Validation of a Facial Image Scale to assess child dental anxiety. Int. J. Pediatr. Dent., 12(1): 47-52.
  • Campbell, W. & Lewis, S. (1990): Visual analog measurement of pain. Ulster Med. J., 59(2): 149.
  • Pinkham, J.R., Casamassimo, P.S. & Fields, H.W. (2013): Pediatric dentistry: infancy through adolescence, Pub. by: Elsevier Health Sciences.
  • Cohen, L.L., Lemanek, K., Blount, R.L., Dahlquist, L.M., Lim, C.S., Palermo, T.M., McKenna, J.D. & Weiss, K.E. (2007): Evidence-based assessment of pediatric pain. J. Pediatr. Psychol., 33(9): 939-955.
  • Gibson, R.S., Allen, K., Hutfless, S., Beiraghi, S. (2000): The Wand vs. traditional injection: a comparison of pain-related behaviors. Pediatr. Dent., 22(6): 458-462.
  • Gustafsson, A., Arnrup, K., Broberg A.G, Bodin, L., Berggren. U. (2007): Psychosocial concomitants to dental fear and behavior management problems. Int. J. Paediatr. Dent., 17(6): 449-459.
  • Javadi-nejad, S.H., Faraj zadegan, Z., Sherkat, S., Shokri mojdehi. M. (2014): Evaluation of validity and reliability of Persian version of MCDAS questionnaire compared with Corah and Venham questionnaires to assess the child anxiety during dental procedures. SRM J. Res. Dent. Sci., 11(2): 112-115.
  • Klaassen, M.A., Veerkamp, Hoogstraten, J. (2007): Dental fear, communication, and behavioural management problems in children referred for dental problems. Int. J.Paediatr. Dent., 17(6): 469-477.
  • Klinberg, G. & Broberg, A.G. (2007): Dental fear/anxiety and dental behavior management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int. J. Paediatr. Dent., 17(6): 391-406.
  • Kuscu, Ö.Ö. & Akyuz, S. (2006): Children's preferences concerning the physical appearance of dental injectors. J. Dentistr. Child., 73(2): 116-121.
  • Okawa, K., Ichinohe, T. & Kaneko, Y. (2005): Anxiety may enhance pain during dental treatment. Bull. Tokyo Dent. Coll., 46(3): 51-58.
  • Palm, A., Kirkegaard, U. & Poulsen S. (2004): The wand versus traditional injection for mandibular nerve block in children and adolescents: perceived pain and time of onset. Pediatr. Dent., 26(6): 481-484.
  • Sanikop, S., Agrawal, P. & Patil, S. (2011): Relationship between dental anxiety and pain perception during scaling. J. Oral Sci., 53(3): 341-348.
  • Sumer, M., Mésér, F. & Koyuturk, A.E. (2006): Comparison of the Wand with a conventional technique. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 101(6): e106-e109.

  • DOI:10.21276/ambi.2016.03.sp1.ra07


    Creative Commons License


    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
    Published by: National Cave Research and Protection Organization, India

    <Environmental Science+Zoology+Geology+Cave Science>AMBIENT SCIENCE