ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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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 (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 22583875El-Sharkawi/201248 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."
#2) 23277857Asi Aminabadi/2012120 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/Discipline (Public Health) (General Dentistry) (Pediatric Dentistry) (Restorative Dentistry)
Keywords Pain, children, anxiety, dental treatment, distraction, audiovisual, local anesthetic
ID# 2724
Date of submission: 04/28/2014spacer
E-mail ragsdales@uthscsa.edu
Author Steve Ragsdale
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Charles Hermesch, DMD
Faculty mentor/Co-author 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?)
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Comments on the CAT
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