Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety

被引：12
作者：
Kebriaee F. [1 ]
Sarraf Shirazi A. [2 ]
Fani K. [3 ]
Moharreri F. [4 ]
Soltanifar A. [4 ]
Khaksar Y. [1 ]
Mazhari F. [2 ]
机构：
[1] Department of Paediatric Dentistry, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd
[2] Dental Material Research Center, Mashhad University of Medical Sciences, Mashhad
[3] Anaesthesiology Department, Shahid Beheshti University of Medical Sciences, Tehran
[4] Department of Psychiatry, Mashhad University of Medical Sciences, Mashhad
来源：
European Archives of Paediatric Dentistry | 2015年 / 16卷 / 2期
关键词：
Child; Cognitive behavioural therapy; Conscious sedation; Dental anxiety; Nitrous oxide; Preschool;
D O I：
10.1007/s40368-014-0152-x
中图分类号：
学科分类号：
摘要：
Aim: To compare the effectiveness of inhalation sedation with nitrous oxide/oxygen (N2O/O2) and cognitive behavioural therapy (CBT) in reducing dental anxiety in preschool children. Study design: Randomised controlled clinical trial. Methods: This study was conducted on 45 preschoolers with moderate to severe dental anxiety (determined by the Children’s Fear Survey Schedule Dental Subscale), who required pulp treatment of at least one primary mandibular molar. Baseline anxiety and cooperation levels were determined using Venham Clinical Anxiety and Cooperation Scales (VCAS and VCCS) and Venham Picture Test (VPT) at the first dental visit (dental prophylaxis and fluoride treatment). Before the second dental visit (pulp treatment), the children were randomly assigned to one of three groups—1: control, 2: N2O/O2 and 3: CBT. In group 1, the usual behaviour management techniques were used, in group 2, nitrous oxide/oxygen gas was used and in group 3, unrelated play, Benson’s breathing and positive self-talk and modelling were used. Anxiety and cooperation levels were determined at three periods: injection, rubber dam placement and the application of a high-speed handpiece with VCAS and VCCS and VPT. Finally, anxiety and cooperation differences between the two dental visits were compared within the three groups. Statistics: Chi square, ANOVA and Kruskal–Wallis and Mann–Whitney U tests were used. Results: N2O/O2 and CBT significantly resulted in lower anxiety and higher cooperation in the second visit (at all three periods) compared to the control, although there was no significant difference between these two treatment methods. Conclusion: Both test methods were effective in reducing dental anxiety in preschoolers. Considering the adverse effects and necessity of equipment and trained personnel when using nitrous oxide and oxygen inhalation sedation, cognitive behavioural therapy is preferable because of its better applicability. © 2014, European Academy of Paediatric Dentistry.
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页码：173 / 179
页数：6
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