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Effect of the Case for Carpule as a Visual Passive Distraction Tool on Dental Fear and Anxiety: A Pilot Study

Author

Listed:
  • Nayara Bertoldo Barbosa

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

  • Bárbara Rocha Rodrigues

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

  • Isabela Ribeiro Madalena

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
    Department of Dentistry, University of Joinville Region-UNIVILLE, Joinville 89219-710, SC, Brazil
    School of Dentistry, Presidente Tancredo de Almeida Neves University Center-UNIPTAN, São João del Rei 36307-251, MG, Brazil)

  • Fernando Carlos Hueb de Menezes

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

  • César Penazzo Lepri

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

  • Maria Beatriz Carvalho Ribeiro de Oliveira

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

  • Michelle Gomides Dumont Campos

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

  • Maria Angélica Hueb de Menezes Oliveira

    (Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil)

Abstract

The present cross-over study aimed to evaluate the effect of a visual passive distraction tool, a case for carpule, in the management of fear and anxiety during invasive dental treatment. Children between the ages of 4 and 8 years that need at least two treatments with inferior alveolar nerve block were selected. All the included children received two treatments at different moments: in one treatment, local anesthesia was performed with a visual passive distraction tool, the crocodile case, for carpule (experimental); in the other treatment, local anesthesia was performed without the device (control). An evaluation of the anxiety levels was performed by measuring the heart rate and salivary cortisol levels. Wilcoxon’s nonparametric test was used for a data analysis ( p < 0.05). The mean heart rate with the visual passive distraction device fell from 81.8 to 78.1, while the control rose from 91.4 to 100 ( p < 0.05). The mean salivary cortisol levels with the visual passive distraction device fell from 2.0 to 1.6, while in the control, they rose from 2.1 to 2.4 ( p < 0.05). In conclusion, the crocodile case for carpule as a visual passive distraction device contributed positively to the management of fear and anxiety during inferior alveolar nerve block in children.

Suggested Citation

  • Nayara Bertoldo Barbosa & Bárbara Rocha Rodrigues & Isabela Ribeiro Madalena & Fernando Carlos Hueb de Menezes & César Penazzo Lepri & Maria Beatriz Carvalho Ribeiro de Oliveira & Michelle Gomides Dum, 2023. "Effect of the Case for Carpule as a Visual Passive Distraction Tool on Dental Fear and Anxiety: A Pilot Study," IJERPH, MDPI, vol. 20(3), pages 1-8, January.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:1793-:d:1040296
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