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.
摘要：
本交叉研究旨在评估视觉被动分心工具的效果，一个卡普勒的案例，在侵入性牙科治疗过程中对恐惧和焦虑的管理。选择需要至少两种下牙槽神经阻滞治疗的4至8岁儿童。所有包括在内的儿童在不同的时刻接受了两种治疗：一种治疗，使用视觉被动分散工具进行局部麻醉，鳄鱼的案子,对于carpule（实验性）；在其他治疗中，在没有装置的情况下进行局部麻醉（对照）。通过测量心率和唾液皮质醇水平来评估焦虑水平。使用Wilcoxon的非参数检验进行数据分析(p<0.05)。使用视觉被动牵引装置的平均心率从81.8下降到78.1，而对照组从91.4上升到100（p<0.05）。使用视觉被动分散装置的平均唾液皮质醇水平从2.0降至1.6，而在对照组中，他们从2.1上升到2.4(p<0.05)。总之,以卡普耳作为视觉被动分散装置的鳄鱼案例为儿童下牙槽神经阻滞期间的恐惧和焦虑的管理做出了积极贡献。
