Effect of Acupressure on Dental Anxiety in Children: a Pilot Study for a Randomized Clinical Trial.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Maria Eliza Consolação Soares, Alessandra de Souza Araújo, Isabela Carvalhaes Lagares Pinto, Luiza Silveira Araújo Barbosa, Maria Cristina Borsatto, Rodrigo Galo
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引用次数: 1

Abstract

Background: Anxiety is an important problem in children in dental clinics. Acupressure may be a useful tool to assist in dental procedures in anxious children.

Objectives: This pilot study was performed to examine the effects of acupressure on dental anxiety in children undergoing restorative procedures.

Methods: Fourteen children aged 7-10 years and with at least one primary molar with caries on the dentine were included in the study. The participants also needed to score at least one point on the modified Venham Picture Test (VPTm) for the determination of anxiety. The children were randomly allocated to two groups: group A - non-documented points for the reduction of anxiety and induction of relaxation; group B - documented points (EX-HN3, Shen Men of auricular acupuncture). The anxiety scale was administered on three occasions: prior to the application of acupressure; immediately after sitting in the dental chair to undergo restorative treatment; and after removal of acupressure at the end of the restorative procedure. Heart rate (HR) was measured when each child sat in the dental chair, after the removal of carious tissue, and after the removal of acupressure.

Results: After the procedure, HR (as an indicator of anxiety) was statistically significantly lower in group B than group A (p = 0.02). However, there was no significant difference between the groups regarding anxiety before and during the restorative procedure (VPTm and HR: p > 0.05).

Conclusion: The children who received acupressure on documented points for the reduction of anxiety had a significantly lower HR after the restorative procedure. No significant between-group difference was found regarding anxiety measured using a psychometric evaluation (VPTm).

穴位按压对儿童牙齿焦虑的影响:一项随机临床试验的初步研究。
背景:焦虑是牙科门诊儿童的一个重要问题。穴位按压可能是一个有用的工具,以协助牙科程序在焦虑的儿童。目的:本初步研究是为了检查指压对接受修复手术的儿童牙齿焦虑的影响。方法:选取14例年龄在7 ~ 10岁之间且至少有一颗一磨牙有牙本质龋的儿童作为研究对象。参与者还需要在修正的Venham图片测试(VPTm)中至少得一分,以确定焦虑程度。儿童被随机分为两组:A组-无记录点,用于减少焦虑和诱导放松;B组记录穴(EX-HN3、耳穴沈门)。焦虑量表在三种情况下进行:在穴位按压前;坐在牙科椅上后立即接受修复治疗;在修复过程结束时去除指压后。测量每个儿童坐在牙科椅上、去除龋齿组织和去除指压后的心率(HR)。结果:术后B组HR(焦虑指标)低于A组,差异有统计学意义(p = 0.02)。然而,两组患者在修复手术前和修复过程中的焦虑水平差异无统计学意义(VPTm和HR: p > 0.05)。结论:接受穴位按压以减轻焦虑的儿童在恢复性手术后的HR显著降低。在使用心理测量评估(VPTm)测量焦虑方面,组间无显著差异。
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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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