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Randomized Controlled Trial
. 2024 Oct;25(5):685-693.
doi: 10.1007/s40368-024-00927-1. Epub 2024 Sep 15.

The impact of animated video cartoons as a distraction technique on anticipatory anxiety levels among children during class I GIC restoration procedures

S A Pamungkas  1   2 , C Effendy  3 , E Hartami  3 , L A Istifiani  4 , Z S Ulhaq  5
Affiliations
Randomized Controlled Trial

The impact of animated video cartoons as a distraction technique on anticipatory anxiety levels among children during class I GIC restoration procedures

S A Pamungkas et al. Eur Arch Paediatr Dent. 2024 Oct.

Abstract

Purpose: Investigating the effect of visual distraction using animated video cartoons (AVCs) on anxiety of children during class I class I glass-ionomer cement (GIC) restoration procedures.

Patients and methods: This randomized clinical trial, 42 children between the ages of 5-6 years were enrolled. These participants were divided into two groups: Group 1, consisting of 21 individuals (AVCs), who were exposed to a cartoon as a visual distraction tool, and Group 2, a control group with 21 participants who did not receive any form of distraction during their first visit. Both groups underwent class I GIC restoration procedures that were conducted in a consistent manner. To evaluate the anxiety levels of the children, measurements of their pulse rate (PR) were taken at the beginning and end of the treatment. Additionally, patient behavior was assessed using the Frankl behavior rating scale (FBRS) as well as validated self-reported dental anxiety scale, the Visual Analog Scale - Anxiety (VAS-A) score.

Results: In the control group, postoperative PR increased significantly, while the AVC group experienced a decrease compared to their preoperative PR levels. Additionally, audio-visual distraction had a notable impact on FBRS scores compared to the standard approach. Similarly, the VAS-A score displayed a significant reduction when patients received audio-visual distraction compared to the control condition. Subgroup analysis by gender showed that girls tended to be more responsive to AVCs than boys when evaluated by PR and FBRS, but such findings were not observed using VAS-A. Patients with deeper caries had higher VAS-A scores than those with shallower ones. Despite the caries depth, those who received AVC seemed to be calmer, especially to those with deeper lesions, as indicated lower postoperative VAS-A scores compared to their preoperative levels, unlike the control group.

Conclusion: Our study suggests that the use of AVCs can be an effective method for reducing anxiety in children undergoing class I GIC restoration procedures.

Keywords: Behavior; Child management; Dental anxiety; Dental treatment; Visual distraction.

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References

    1. Abanto J, Vidigal EA, Carvalho TS, de Sá SNC, Bönecker M. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res. 2017;31:e13. https://doi.org/10.1590/1807-3107BOR-2017.vol31.0013 . - DOI - PubMed
    1. Al-Namankany A, de Souza M, Ashley P. Evidence-based dentistry: analysis of dental anxiety scales for children. Br Dent J. 2012;212:219–22. https://doi.org/10.1038/sj.bdj.2012.174 . - DOI - PubMed
    1. Alsadat FA, El-Housseiny AA, Alamoudi NM, Elderwi DA, Ainosa AM, Dardeer FM. Dental fear in primary school children and its relation to dental caries. Niger J Clin Pract. 2018;21:1454–60. https://doi.org/10.4103/njcp.njcp_160_18 . - DOI - PubMed
    1. AmorimJúnior LAD, Rodrigues VBM, Costa LR, Corrêa-Faria P. Is dental anxiety associated with the behavior of sedated children? Braz Oral Res. 2021;35:e088. https://doi.org/10.1590/1807-3107bor-2021.vol35.0088 . - DOI
    1. Anthonappa RP, Ashley PF, Bonetti DL, Lombardo G, Riley P. Non-pharmacological interventions for managing dental anxiety in children. Cochrane Database Syst Rev. 2017. https://doi.org/10.1002/14651858.CD012676 . - DOI

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