Comparative Evaluation of Efficacy of Hypnosis, Acupressure and Audiovisual Aids in Reducing the Anxiety of Children During Administration of Local Anesthesia

Overview

Journal Int J Clin Pediatr Dent

Specialty Pediatrics

Date 2022 Jun 1

PMID 35645487

Authors

Umadevi Erappa

Sapna Konde

Manisha Agarwal

Preetha Peethambar

V Devi

Suryoday Ghosh

Affiliations

Soon will be listed here.

Abstract

Aim: The present study aimed to assess and compare the efficacy of acupressure, hypnosis and audiovisual aids in reducing anxiety in children during the administration of local anesthesia (LA).

Methodology: Two hundred apparently healthy children were selected randomly between 6 and 10 years of age and were divided into 4 groups with 50 children in each group. Group I: children were subjected to hypnosis, group II: acupressure, group III: AV aids i.e., VPT, and group IV: children were the control group where no anxiety-reducing techniques were used during administration of LA. The anxiety scores were recorded at three different time intervals by recording the pulse rate (PR), respiratory rate (RR) and anxiety rate (AR) and subjected to statistical analysis.

Results: The results showed that, all the three distraction techniques showed a significant reduction in PR, RR and AR at all time intervals, when compared to the control group. A significant reduction in PR, RR and AR was seen in the hypnosis group when compared to acupressure and only PR in comparison to AV aids. There was no significant difference between group II and III in reducing anxiety.

Conclusion: The present study indicates that all the three distraction techniques were effective in reducing anxiety in children. Hypnosis was most promising, followed by audiovisual aids and acupressure.

Clinical Significance: The techniques can be utilized in a day-to-day practice to manage patients with anxiety.

How To Cite This Article: Erappa U, Konde S, Agarwal M, Comparative Evaluation of Efficacy of Hypnosis, Acupressure and Audiovisual Aids in Reducing the Anxiety of Children during Administration of Local Anesthesia. Int J Clin Pediatr Dent 2021;14(S-2):S186-S192.

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References

Avisa P, Kamatham R, Vanjari K, Nuvvula S . Effectiveness of Acupressure on Dental Anxiety in Children. Pediatr Dent. 2018; 40(3):177-183. View

Lambert S . The effects of hypnosis/guided imagery on the postoperative course of children. J Dev Behav Pediatr. 1996; 17(5):307-10. DOI: 10.1097/00004703-199610000-00003. View

Nuvvula S, Alahari S, Kamatham R, Challa R . Effect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: a randomised clinical trial. Eur Arch Paediatr Dent. 2014; 16(1):43-50. DOI: 10.1007/s40368-014-0145-9. View

Kaur R, Jindal R, Dua R, Mahajan S, Sethi K, Garg S . Comparative evaluation of the effectiveness of audio and audiovisual distraction aids in the management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent. 2015; 33(3):192-203. DOI: 10.4103/0970-4388.160357. View

Hofbauer R, Rainville P, Duncan G, Bushnell M . Cortical representation of the sensory dimension of pain. J Neurophysiol. 2001; 86(1):402-11. DOI: 10.1152/jn.2001.86.1.402. View

Gupta D, Dalai D, Swapnadeep , Mehta P, Indra B, Rastogi S . Acupuncture ( zhēn jiǔ) - an emerging adjunct in routine oral care. J Tradit Complement Med. 2014; 4(4):218-23. PMC: 4220498. DOI: 10.4103/2225-4110.139113. View

Fassoulaki A, Paraskeva A, Kostopanagiotou G, Tsakalozou E, Markantonis S . Acupressure on the extra 1 acupoint: the effect on bispectral index, serum melatonin, plasma beta-endorphin, and stress. Anesth Analg. 2007; 104(2):312-7. DOI: 10.1213/01.ane.0000250911.43942.4e. View

Araujo Ferreira D, de Rossi A, Torres C, Galo R, Paula-Silva F, Queiroz A . Effect of laser acupuncture and auricular acupressure in a child with trismus as a sequela of medulloblastoma. Acupunct Med. 2014; 32(2):190-3. DOI: 10.1136/acupmed-2013-010484. View

Edelstein B . Public and clinical policy considerations in maximizing children's oral health. Pediatr Clin North Am. 2000; 47(5):1177-89, vii. DOI: 10.1016/s0031-3955(05)70263-7. View

10.

Wang S, Gaal D, Maranets I, Caldwell-Andrews A, Kain Z . Acupressure and preoperative parental anxiety: a pilot study. Anesth Analg. 2005; 101(3):666-669. DOI: 10.1213/01.ANE.0000175212.17642.45. View

11.

Fassoulaki A, Paraskeva A, Patris K, Pourgiezi T, Kostopanagiotou G . Pressure applied on the extra 1 acupuncture point reduces bispectral index values and stress in volunteers. Anesth Analg. 2003; 96(3):885-890. DOI: 10.1213/01.ANE.0000048713.41657.D3. View

12.

Grembowski D, Milgrom P . Increasing access to dental care for medicaid preschool children: the Access to Baby and Child Dentistry (ABCD) program. Public Health Rep. 2001; 115(5):448-59. PMC: 1308601. DOI: 10.1093/phr/115.5.448. View

13.

Mitrakul K, Asvanund Y, Arunakul M, Paka-Akekaphat S . Effect of audiovisual eyeglasses during dental treatment in 5-8 year-old children. Eur J Paediatr Dent. 2015; 16(3):239-45. View

14.

Schlager A, Boehler M, Puhringer F . Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery. Br J Anaesth. 2000; 85(2):267-70. DOI: 10.1093/bja/85.2.267. View

15.

Appukuttan D . Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016; 8:35-50. PMC: 4790493. DOI: 10.2147/CCIDE.S63626. View

16.

Al-Harasi S, Ashley P, Moles D, Parekh S, Walters V . Hypnosis for children undergoing dental treatment. Cochrane Database Syst Rev. 2010; (8):CD007154. DOI: 10.1002/14651858.CD007154.pub2. View

17.

Huet A, Lucas-Polomeni M, Robert J, Sixou J, Wodey E . Hypnosis and dental anesthesia in children: a prospective controlled study. Int J Clin Exp Hypn. 2011; 59(4):424-40. DOI: 10.1080/00207144.2011.594740. View

18.

Folayan M, Ufomata D, Adekoya-Sofowora C, Otuyemi O, Idehen E . The effect of psychological management on dental anxiety in children. J Clin Pediatr Dent. 2003; 27(4):365-70. DOI: 10.17796/jcpd.27.4.m97882243p3474hn. View

19.

Al-Harasi S, Ashley P, Moles D, Parekh S, Walters V . WITHDRAWN: Hypnosis for children undergoing dental treatment. Cochrane Database Syst Rev. 2017; 6:CD007154. PMC: 6481482. DOI: 10.1002/14651858.CD007154.pub3. View

20.

Guinot Jimeno F, Mercade Bellido M, Cuadros Fernandez C, Lorente Rodriguez A, Llopis Perez J, Boj Quesada J . Effect of audiovisual distraction on children's behaviour, anxiety and pain in the dental setting. Eur J Paediatr Dent. 2014; 15(3):297-302. View