Effects of Pretreatment Exposure to Dental Practice Using a Smartphone Dental Simulation Game on Children’ s Pain and Anxiety: A Preliminary Double-Blind Randomized Clinical Trial

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MESHKI RAZIEH; BASIR LEILA; Alidadi Fateme; Behbudi Azam; RAKHSHAN VAHID

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Journal Paper

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Journal: Frontiers in Dentistry Year:2018 | Volume:15 | Issue:4 Page(s): 250-258

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Title

Effects of Pretreatment Exposure to Dental Practice Using a Smartphone Dental Simulation Game on Children’ s Pain and Anxiety: A Preliminary Double-Blind Randomized Clinical Trial

Author(s)

Keywords

Anxiety

Pain

Pediatric Dentistry

Computer Simulation

Abstract

Objectives: Studies on modeling a pre-exposure technique for the prevention of Anxiety in children are rare, and there is no study on interactive modeling using computer games. We assessed the effect of playing a dental simulation game before operation on Pain and Anxiety in 4-to 7-year-old children during their first dental treatment session. Materials and Methods: In this double-blind randomized clinical trial, 50 children needing unilateral pulpotomy and placement of stainless-steel crowns (SSC) on mandibular primary first molars were enrolled and randomly divided into experimental (a simulation game) and control (no intervention) groups. The experimental group played the game twice a day for two weeks before the scheduled visit. At the dental session, their pre-and post-operative Pains were recorded using the Wong-Baker Facial Rating Scale (W-BFRS). Also, heart rate (HR; as an indicator of Anxiety) was measured using a finger pulse oximeter at six treatment stages: (1) baseline (at the initial session, two weeks before treatment) and (2-6) during different stages of treatment. Effects of playing the simulation on Pain and HR were analyzed using t-test and repeated-measures two-way analysis of covariance (ANCOVA). Results: Game playing significantly reduced the HR (P=0. 031). The interaction of playing with the treatment period was also significant (P=0. 004). When the groups were compared in each of the six time points, the experimental group showed reduced HR during anesthetic injection and cavity preparation using a high-speed handpiece (P<0. 003). Conclusions: Based on the results, playing certain dental simulation games before the first dental visit might reduce the Anxiety felt during anesthetic injections and drilling.

Cites

Relationship between Parents’ Parenting Style and Level of Fear and Cooperation of 4-8 Years Old Children Referring to Dental Clinics of Qom City, (Iran)

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APA: Copy

MESHKI, RAZIEH, BASIR, LEILA, Alidadi, Fateme, Behbudi, Azam, & RAKHSHAN, VAHID. (2018). Effects of Pretreatment Exposure to Dental Practice Using a Smartphone Dental Simulation Game on Children’ s Pain and Anxiety: A Preliminary Double-Blind Randomized Clinical Trial. FRONTIERS IN DENTISTRY (JOURNAL OF DENTISTRY OF TEHRAN UNIVERSITY OF MEDICAL SCIENCES), 15(4), 250-258. SID. https://sid.ir/paper/298154/en

Vancouver: Copy

MESHKI RAZIEH, BASIR LEILA, Alidadi Fateme, Behbudi Azam, RAKHSHAN VAHID. Effects of Pretreatment Exposure to Dental Practice Using a Smartphone Dental Simulation Game on Children’ s Pain and Anxiety: A Preliminary Double-Blind Randomized Clinical Trial. FRONTIERS IN DENTISTRY (JOURNAL OF DENTISTRY OF TEHRAN UNIVERSITY OF MEDICAL SCIENCES)[Internet]. 2018;15(4):250-258. Available from: https://sid.ir/paper/298154/en

IEEE: Copy

RAZIEH MESHKI, LEILA BASIR, Fateme Alidadi, Azam Behbudi, and VAHID RAKHSHAN, “Effects of Pretreatment Exposure to Dental Practice Using a Smartphone Dental Simulation Game on Children’ s Pain and Anxiety: A Preliminary Double-Blind Randomized Clinical Trial,” FRONTIERS IN DENTISTRY (JOURNAL OF DENTISTRY OF TEHRAN UNIVERSITY OF MEDICAL SCIENCES), vol. 15, no. 4, pp. 250–258, 2018, [Online]. Available: https://sid.ir/paper/298154/en

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