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. 2022 Nov;32(6):801-811.
doi: 10.1111/ipd.12958. Epub 2022 Apr 22.

Breathing out dental fear: A feasibility crossover study on the effectiveness of diaphragmatic breathing in children sitting on the dentist's chair

Martina Levi  1 , Maurizio Bossù  2 , Valeria Luzzi  2 , Federica Semprini  2 , Andrea Salaris  1 , Cristina Ottaviani  1   3 , Cristiano Violani  1 , Antonella Polimeni  2
Affiliations

Breathing out dental fear: A feasibility crossover study on the effectiveness of diaphragmatic breathing in children sitting on the dentist's chair

Martina Levi et al. Int J Paediatr Dent. 2022 Nov.

Abstract

Background: Anxiety related to the dental context is a clinically significant challenge. In children, dental fear is often accompanied by disruptive and uncooperative behaviours that can render treatment difficult. Although techniques to reduce children's anxiety exist, many have not been formally evaluated.

Design: Diaphragmatic breathing has been shown to reduce fear and anxiety, but few investigations have evaluated whether it can reduce dental anxiety in children. This crossover study tested the effectiveness and feasibility of diaphragmatic breathing in twenty children undergoing dental care.

Results: Compared with the treatment as usual, such a simple technique had significant benefits on mood, self-reported pain and autonomic balance, thus reducing sympathetic activation.

Conclusion: Diaphragmatic breathing is a low-cost, easy-to-implement technique suitable for daily dental practice, and is a promising tool for reducing negative effect and physiological distress in children with dental anxiety that results in more cooperative behaviours and reduced visit time.

Keywords: children; deep breathing; dental fear; diaphragmatic breathing; heart rate variability.

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Conflict of interest statement

The authors have no conflict of interests with respect to their authorship or the publication of this article.

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