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Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety.
Eur Arch Paediatr Dent. 2015 Apr; 16(2):173-9.EA

Abstract

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: N(2)O/O(2) 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

N(2)O/O(2) 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.

Authors+Show Affiliations

Department of Paediatric Dentistry, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25523492

Citation

Kebriaee, F, et al. "Comparison of the Effects of Cognitive Behavioural Therapy and Inhalation Sedation On Child Dental Anxiety." European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry, vol. 16, no. 2, 2015, pp. 173-9.
Kebriaee F, Sarraf Shirazi A, Fani K, et al. Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety. Eur Arch Paediatr Dent. 2015;16(2):173-9.
Kebriaee, F., Sarraf Shirazi, A., Fani, K., Moharreri, F., Soltanifar, A., Khaksar, Y., & Mazhari, F. (2015). Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety. European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry, 16(2), 173-9. https://doi.org/10.1007/s40368-014-0152-x
Kebriaee F, et al. Comparison of the Effects of Cognitive Behavioural Therapy and Inhalation Sedation On Child Dental Anxiety. Eur Arch Paediatr Dent. 2015;16(2):173-9. PubMed PMID: 25523492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety. AU - Kebriaee,F, AU - Sarraf Shirazi,A, AU - Fani,K, AU - Moharreri,F, AU - Soltanifar,A, AU - Khaksar,Y, AU - Mazhari,F, Y1 - 2014/12/19/ PY - 2014/05/30/received PY - 2014/09/18/accepted PY - 2014/12/20/entrez PY - 2014/12/20/pubmed PY - 2016/1/15/medline SP - 173 EP - 9 JF - European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry JO - Eur Arch Paediatr Dent VL - 16 IS - 2 N2 - 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: N(2)O/O(2) 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: N(2)O/O(2) 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. SN - 1818-6300 UR - https://www.unboundmedicine.com/medline/citation/25523492/Comparison_of_the_effects_of_cognitive_behavioural_therapy_and_inhalation_sedation_on_child_dental_anxiety_ L2 - https://dx.doi.org/10.1007/s40368-014-0152-x DB - PRIME DP - Unbound Medicine ER -