Elsevier

Dental Abstracts

Volume 59, Issue 6, November–December 2014, Pages 318-319
Dental Abstracts

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Video modelling

https://doi.org/10.1016/j.denabs.2014.08.040Get rights and content

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Background

Dental anxiety develops over time and is influenced by several variables. It most likely begins in childhood and is relatively common in children. The most cited reason for dental anxiety is fear of the dental injection, followed by extraction and drilling tooth tissue. Dental anxiety is usually associated with a high rate of caries and a need for oral rehabilitation. Thus dental anxiety is a barrier to carrying out dental treatment safely and simply in a dental practice. General dental

Methods

The 180 children were between ages 6 and 12 years and were scheduled to have dental treatments under local anesthesia (LA). They were randomly assigned to view a modelling video or control video, which showed oral hygiene instruction, and the level of anxiety was recorded before and after watching the video. The Abeer Children Dental Anxiety Scale (ACDAS) was used to evaluate anxiety level. The child’s ability to cope with the subsequent procedure was then assessed using a visual analogue scale

Results

Total scores on the dental portion of the ACDAS were between 13 and 39. A significant difference was noted in the ACDAS score from the first to the second visit between the test group and the control group regarding how they felt about having a pinch feeling in their gum. The summary of the VAS scores over the clinical stages (Fig 2) indicated the children who saw the behavior-modifying video had significantly less anxiety than the children in the control group throughout the procedure they

Discussion

The test group was more successful in managing dental anxiety and dealing with fear of the unknown than the control group. A significant difference between the two groups was found on the VAS throughout the rest of the dental treatment process.

Clinical Significance

Video modelling offers a potentially effective way to diminish dental anxiety, particularly for the administration of LA. In addition, the participants believed the video was well done and of high quality.

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Al-Namankany A, Petrie A, Ashley P: Video modelling and reducing anxiety related to dental injections—a randomized clinical trial. Br Dent J 216:675-679, 2014.

Reprints available from A Al-Namankany; e-mail: [email protected]

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