Publication: Effect of audiovisual eyeglasses during local anesthesia injections in 5-to 8-year-old children
Issued Date
2015-01-01
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00336572
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2-s2.0-84958941518
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Mahidol University
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SCOPUS
Bibliographic Citation
Quintessence International. Vol.46, No.6 (2015), 513-521
Suggested Citation
Yuwadee Asvanund, Kemthong Mitrakul, Ratana on Juhong, Malee Arunakul Effect of audiovisual eyeglasses during local anesthesia injections in 5-to 8-year-old children. Quintessence International. Vol.46, No.6 (2015), 513-521. doi:10.3290/j.qi.a33932 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36622
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Title
Effect of audiovisual eyeglasses during local anesthesia injections in 5-to 8-year-old children
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Abstract
© Quintessence. All rights reserved. Objective: To evaluate the effectiveness of audiovisual (AV) eyeglasses on pain reduction during local anesthetic injection in children who are 5 to 8 years old. Method and Materials: Forty-nine healthy, cooperative children with bilateral carious molars requiring treatment under local anesthesia were recruited in this crossover study. Treatments were done in two visits, 1 to 4 weeks apart. Subjects were randomly divided into two groups according to the sequence of AV eyeglasses used. Group I received the injection without wearing AV eyeglasses in the first visit and then wearing AV eyeglasses in a second visit. Group II was vice versa. Self-reporting pain using the Faces Pain Scale-Revised (FPS-R), face, legs, activity, crying, and consolability scale (FLACC), and heart rate (HR), were measured to assess the injection pain. Results: No significant differences in sex (P =.132) and treatment arch (P =.779) were observed between the two groups using a chi-square test at P <.05. There were no significant differences in age (P =.341, t test at P ≤.05) and previous dental experience (P =.19, Fisher's exact test at P ≤.05) between the two groups. Pain scores were lower when the patients had their injection while wearing AV eyeglasses in both groups. No subject reported a maximum score on the pain rating scale when wearing AV eyeglasses, while 14% of the subjects reported so when not wearing the eyeglasses. AV eyeglasses significantly reduced FLACC scores (P =.03) and HR (P =.005) when compared with not wearing the eyeglasses (Mann-Whitney U test at P ≤.05). Conclusion: AV eyeglasses successfully reduced pain, physical distress, and HR during local anesthesia injection.