Zeitoun, S., Khalil, A., Wahba, N., Sayed, M. (2021). The Use of a Respiratory Biofeedback Device to Reduce Dental Anxiety in Children: A Randomized Controlled Clinical Trial. Alexandria Dental Journal, 46(Issue 1), 179-184. doi: 10.21608/adjalexu.2020.25911.1054
Sarah Zeitoun; Amani Khalil; Nadia Wahba; Mohammed Sayed. "The Use of a Respiratory Biofeedback Device to Reduce Dental Anxiety in Children: A Randomized Controlled Clinical Trial". Alexandria Dental Journal, 46, Issue 1, 2021, 179-184. doi: 10.21608/adjalexu.2020.25911.1054
Zeitoun, S., Khalil, A., Wahba, N., Sayed, M. (2021). 'The Use of a Respiratory Biofeedback Device to Reduce Dental Anxiety in Children: A Randomized Controlled Clinical Trial', Alexandria Dental Journal, 46(Issue 1), pp. 179-184. doi: 10.21608/adjalexu.2020.25911.1054
Zeitoun, S., Khalil, A., Wahba, N., Sayed, M. The Use of a Respiratory Biofeedback Device to Reduce Dental Anxiety in Children: A Randomized Controlled Clinical Trial. Alexandria Dental Journal, 2021; 46(Issue 1): 179-184. doi: 10.21608/adjalexu.2020.25911.1054
The Use of a Respiratory Biofeedback Device to Reduce Dental Anxiety in Children: A Randomized Controlled Clinical Trial
1Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt
2Professor, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt
3Professor, Department of Clinical Pathology, Faculty of Medicine, Alexandria University, Egypt
Abstract
Introduction: Dental anxiety occurs when the patient presents to the dentist with the anticipation of dental treatment. Many children react to dental stressful situations through uncooperative behaviors. Objectives: Investigate the effect of a respiratory biofeedback device (RESPeRATETM) in reduction of preoperative anxiety in children undergoing dental procedures under local anesthesia. Materials and methods: A randomized controlled clinical trial comprising 110 healthy children, of age range 7-12 years, were selected. Their scores were 19 or more according to the Faces version of Modified Child Dental Anxiety Scale. Participants were randomly allocated into two groups: Study and Control group. For both groups, heart rate was recorded prior to local anesthesia administration and a salivary sample was collected to measure the salivary amylase. The study group was submitted to a session of respiratory biofeedback “RESPeRATETM”. The control group was managed by a routine behavioral management technique “Tell, Show and Do”. Infiltration or block local anesthesia injections were administered, after which heart rate measurement and salivary sample was repeated. T and paired T tests were used for statistical analysis. Results: Heart rate decreased significantly in the study group (P=0.001), and increased significantly in the control group (P=0.002). There were non-significant changes among both groups regarding salivary amylase. A weak correlation was found between heart rate and salivary amylase. Conclusions: “RESPeRATETM” group showed a decrease in dental anxiety, as evidenced by decreased heart rate. “RESPeRATETM” can be used effectively before dental procedures for anxious children. Salivary alpha amylase was a poor stress biomarker.
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