[A study of communication and behavior management in pediatric dentistry. Approach to the child using the fairy tales].
There were a total of 100 subjects, of which 50 were children and 50 were mothers. The first time, the doctor lends the child the fairy tale book. The second time, the child is treated under the audio-analgesia with the same fairy tale book and the child borrows on other fairy tale book. The third time, the child is also treated under the audio-analgesia. The child, the mother and the doctor answered the questionnaires. Changes in internal behavior were observed by polygraph system. The subjects comprised a total 13 children (4 to 6 years), of which 6 were males and 7 were females. The first time, the emotional reactions were observed when the subjects were stimulated by the engine, the turbine and the crying for 10 seconds each. The Second and third time, the emotional reactions were also observed under the audio-analgesia. The change ratios were analyzed with respect to Plethysmogram, Respiration Curve and Galvanic Skin Reflex. The results are summarized as follows: 1. 91.8% of the parents answered "I would like my children to be treated under the audio-analgesia using fairy tales." 2. 73.5% (2nd time) and 80% (3rd time) of the children answered "The treatment has been pleasant." 3. 61.2% (2nd time) and 64% (3rd time) of the doctors answered "The anxiety and fear was reduced by the approach." 4. With the engine stimulation, the emotional reaction decreased in the order, of the 1st time greater than 3rd time greater than 2nd time. There were significant differences between the 1st time and the 2nd time, and also between the 1st time and the 3rd time.(ABSTRACT TRUNCATED AT 250 WORDS)
Ishikawa
T
T
Department of Pedodontics, Hiroshima University School of Dentistry.
Miyazaki
S
S
Ichikawa
H
H
Nagasaka
N
N
D001297:Audioanalgesia / Q000379:methods*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D016854:Dental Anxiety / Q000517:prevention & control*; D003729:Dental Care / Q000523:psychology; D005260:Female; D005712:Galvanic Skin Response; D006801:Humans; D008297:Male; D010991:Plethysmography; D011932:Reading; D012119:Respiration