The effect of needle demonstration during local anaesthesia on the child's dental fear, pain perception and behaviour: a randomised controlled trial.

IF 1.9 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

European Archives of Paediatric Dentistry Pub Date : 2025-10-01 Epub Date: 2025-04-22 DOI:10.1007/s40368-025-01034-5

D Balli, P Lambrou, P Athanasiadou, A E Zarkadi, A Arhakis, V Boka, K Arapostathis

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引用次数: 0

Abstract

Purpose: The aim of the current study is to evaluate the possible effects of the sight of the dental needle as part of the "Tell-Show-Do" technique on children's fear, pain perception and behaviour, during anaesthesia administration.

Methods: A total of 60 4-8 year-old children with no previous experience of local anaesthesia (LA), in need of restorations under LA, were randomly assigned in G1:Hiding-Needle-Technique (HN-T) and G2:Showing-Needle-Technique (SN-T). Children's Fear Survey Schedule-Dental Subscale, Wong-Baker Faces Pain Rating Scale (WBFPS), Frankl Behaviour Scale and heart rate (HR) were used.

Results: Objective evaluation of fear, using heart rate, was significantly higher for G1:(HN-T) compared to G2:(SN-T) during demonstration at the first appointment (p value = 0.013) and needle insertion at both appointments (p value = 0.08, p value = 0.04 respectively). No statistically significant relationship was found between the two groups regarding WBFPS questionnaire and Frankl Behaviour Rating Scale.

Conclusions: The sight of the needle was not found to affect reported fear. Statistical increases in HR were observed in children, independent of age and gender. Changes in HR indicated that not viewing the needle elicited greater fear than seeing it, for children aged 4 to 8 years when "Tell-Show-Do" is used. Pain perception and behaviour were not affected.

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局部麻醉期间针头示范对儿童牙科恐惧、疼痛感知和行为的影响：一项随机对照试验。

目的：本研究的目的是评估在麻醉过程中，作为“告诉-展示-做”技术的一部分，牙科针的视觉对儿童恐惧、疼痛感知和行为的可能影响。方法：选取60例4 ~ 8岁无局部麻醉（LA）经验，在LA下需要修复的儿童，随机分为G1组：隐针法（HN-T）和G2组：显针法（SN-T）。采用儿童恐惧量表-牙科量表、Wong-Baker面部疼痛评定量表（WBFPS）、Frankl行为量表和心率（HR）。结果：G1:（HN-T）和G2:（SN-T）的恐惧客观评价在第一次预约时（p值= 0.013）和两次预约时（p值= 0.08，p值= 0.04）均显著高于G2:（SN-T）。WBFPS问卷与Frankl行为评定量表两组间无统计学差异。结论：针头的视线没有发现影响报告的恐惧。在儿童中观察到有统计学意义的HR增加，与年龄和性别无关。人力资源的变化表明，对于4到8岁的儿童来说，当使用“告诉-展示-做”时，不看针比看到针更容易引起恐惧。疼痛感知和行为不受影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.40

自引率

9.10%

发文量

期刊介绍： The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.