| Title |
Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children |
| Clinical Question |
In dental restorative procedures on children ages 4 to 7, how effective is an audiovisual video eyeglass distraction technique during dental treatment compared to no attempted distraction in alleviating an unpleasant or distressing stimulus arising during dental restorative procedures? |
| Clinical Bottom Line |
There is a significant advantage to utilizing an audiovisual video eyeglass distraction technique to reduce pain associated with injections of local anesthetic compared to no therapy at all when working with pediatric patients ages 4 to 7 with baseline levels of anxiety. |
| Best Evidence |
|
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| 22583875 | El-Sharkawi/2012 | 48 healthy, cooperative 5- to 7-year-olds. | Randomized Controlled Trial | | Key results | "Kappa values ranged from 0.89 to 1.00. The pain scores in both scales were significantly lower when the A/V glasses were used." | | 23277857 | Asi Aminabadi/2012 | 120 healthy children aged 4 to 6 years with baseline anxiety. | Randomized Controlled Trial | | Key results | "There was a significant decrease in pain perception (P < .001) and state anxiety scores (P < 0.001) with the use of virtual reality eyeglasses during dental treatment." | |
| Evidence Search |
(("pain"[MeSH Terms] OR "pain"[All Fields]) AND distraction[All Fields] AND ("child"[MeSH Terms] OR "child"[All Fields] OR "children"[All Fields]) AND ("dental clinics"[MeSH Terms] OR ("dental"[All Fields] AND "clinics"[All Fields]) OR "dental clinics"[All Fields] OR "dental"[All Fields])) AND Clinical Trial[ptyp] |
Comments on
The Evidence |
Validity: Both study designs included groups that were initially similar with greater than 80% completion rates and adequate follow-up. Both of the studies are crossover trials where patients were treated with the A/V glasses at one appointment and treated without A/V glasses at another appointment. Neither study used double-blind randomization and had little to no recall bias or competing interests. |
| Applicability |
Both studies are applicable to pediatric patients who are recipients of audiovisual distraction techniques during routine inferior alveolar injection of local anesthetic prior to dental restorative treatment. A factor that would limit applicability is the cost of the A/V glasses. |
| Specialty |
(Public Health) (General Dentistry) (Pediatric Dentistry) (Restorative Dentistry) (Dental Hygiene) (Behavioral Science) |
| Keywords |
Pain, children, anxiety, dental treatment, distraction, audiovisual, local anesthetic
|
| ID# |
2724 |
| Date of submission |
04/28/2014 |
| E-mail |
ragsdales@uthscsa.edu |
| Author |
Steve Ragsdale |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor |
Charles Hermesch, DMD |
| Faculty mentor e-mail |
hermesch@uthscsa.edu |
| |
|
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
| None available | |
 |
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
| None available | |