Effect of the Case for Carpule as a Visual Passive Distraction Tool on Dental Fear and Anxiety: A Pilot Study

Nayara Bertoldo Barbosa, Bárbara Rocha Rodrigues, Isabela Ribeiro Madalena, Fernando Carlos Hueb de Menezes, César Penazzo Lepri, Maria Beatriz Carvalho Ribeiro de Oliveira, Michelle Gomides Dumont Campos and Maria Angélica Hueb de Menezes Oliveira ()
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Nayara Bertoldo Barbosa: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
Bárbara Rocha Rodrigues: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
Isabela Ribeiro Madalena: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
Fernando Carlos Hueb de Menezes: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
César Penazzo Lepri: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
Maria Beatriz Carvalho Ribeiro de Oliveira: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
Michelle Gomides Dumont Campos: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
Maria Angélica Hueb de Menezes Oliveira: Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil

IJERPH, 2023, vol. 20, issue 3, 1-8

Abstract: The present cross-over study aimed to evaluate the effect of a visual passive distraction tool, a case for carpule, in the management of fear and anxiety during invasive dental treatment. Children between the ages of 4 and 8 years that need at least two treatments with inferior alveolar nerve block were selected. All the included children received two treatments at different moments: in one treatment, local anesthesia was performed with a visual passive distraction tool, the crocodile case, for carpule (experimental); in the other treatment, local anesthesia was performed without the device (control). An evaluation of the anxiety levels was performed by measuring the heart rate and salivary cortisol levels. Wilcoxon’s nonparametric test was used for a data analysis ( p < 0.05). The mean heart rate with the visual passive distraction device fell from 81.8 to 78.1, while the control rose from 91.4 to 100 ( p < 0.05). The mean salivary cortisol levels with the visual passive distraction device fell from 2.0 to 1.6, while in the control, they rose from 2.1 to 2.4 ( p < 0.05). In conclusion, the crocodile case for carpule as a visual passive distraction device contributed positively to the management of fear and anxiety during inferior alveolar nerve block in children.

Keywords: dental anxiety; local anesthesia; visual distraction; child management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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