Süt molar diş çekimi sırasında 3D video gözlük kullanımının çocuklarda ağrı ve anksiyete üzerine etkisi
Amaç: Çocuk diş hekimleri, dental tedaviler sırasında hastalarının ağrı ve anksiyetesini kontrol altına almak için pek çok yöntem kullanmaktadır. Dikkat dağıtma yöntemi, çocuk hastalarda bu amaçla sık kullanılan davranış yönlendirme tekniklerinden biridir. Bu çalışmanın amacı, görsel ve işitsel dikkat dağıtma sağlayan 3D video gözlüğün 6-10 yaş arası çocuklarda süt molar dişlerin çekimi sırasında kullanımının anksiyete ve ağrı üzerine olan etkinliğinin değerlendirilmesidir. Gereç ve Yöntem: 6-10 yaş aralığındaki 60 çocuk, her grupta 15 kız, 15 erkek olacak şekilde rastgele 2 gruba ayrıldı. 1. grupta bulunan 30 hastaya “Anlat-göster-uygula” yöntemi uygulanarak; 2. grupta bulunan 30 hastaya ise 3D video gözlük ile çizgi film izletilerek diş çekimi yapıldı. Çocukların anksiyete değerlendirmeleri tedaviye başlamadan önce, lokal anestezi sırasında ve lokal anestezi yapıldıktan sonra nabız ve oksijen saturasyon ölçümleri ve MCDAS (Modified Child Dental Anxiety Scale) skorları ile yapıldı. Ağrı algısı, hem lokal anestezi sonrası hem de diş çekimi sonrasında Wong-Baker (W-B) skalası ile kaydedildi. Bulgular: “Anlat-göster-uygula” ve “3D video gözlük” grupları karşılaştırıldığında nabız ve MCDAS skala değerleri bakımından aralarında anlamlı farklılık bulunmadı. Tüm zamanlarda yapılan ölçümlerde “3D video gözlük” grubunun saturasyon değerleri, “Anlat-göster-uygula” grubuna göre anlamlı derecede daha düşük bulundu. “3D video gözlük” grubunda diş çekimden sonra kaydedilen W-B değerlerinin “Anlat-göster-uygula” grubuna göre anlamlı derecede düşük olduğu görüldü. “3D video gözlük” grubunda diş çekiminden sonra ölçülen W-B değerinin lokal anestezi sonrasındaki değere göre düşük olduğu gözlendi. Sonuç: Çocuklarda diş çekimi sırasında “3D video gözlük” kullanımının anksiyete değerlerinde beklenen azalmayı sağlamadığı; ağrı algısını ise başarılı bir biçimde azalttığı görülmüştür.
Anahtar Kelimeler:
ağrı algısı, dental anksiyete, çocuk diş hekimliği, sanal gerçeklik
The effect of 3D video glasses on pain and anxiety during primary molar teeth extraction in children
Objective: Pediatric dentists have many methods to control anxiety and pain in children, and distracting the children appears to be the one of the most commonly used behavior management technique during dental procedures. The aim of this study was to evaluate the effectiveness of 3D video glasses that provide visual and auditory distraction during the extraction of molar teeth in children aged 6-10 years on anxiety and pain perception. Materials and Method: Sixty children between the ages of 6-10 years were randomly divided into two groups. Tooth extraction was performed by using tell-show-apply method to 30 patients in the first group. In the second group, 30 patients underwent tooth extraction while watching cartoons with 3D video glasses. Anxiety assessments of the children were performed with pulse and oxygen saturation measurements and MCDAS (Modified Child Dental Anxiety Scale) scores before the treatment, during local anesthesia and after local anesthesia. Pain perception was recorded with Wong-Baker (W-B) scale both after local anesthesia and after tooth extraction. Results: No significant difference was found in pulse and MCDAS scale values when tell show do and 3D video glasses groups were compared. All saturation measurements of the 3D video glasses group were found to be significantly lower than the tell show do group. In 3D video glasses group, after tooth extraction the recorded W-B values recorded significantly lower than the tell show do group. Conclusion: Although the use of 3D video glasses during tooth extraction in children did not provide the expected reduction in anxiety values; pain perception was found to decrease successfully.
Keywords:
dental anxiety, pain perception, pediatric dentistry, virtual reality,
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- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 1984
- Yayıncı: Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi
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