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[PDF] Stress Ball - dticmil

stress balls as a distraction technique and how it affects stress levels of patients undergoing routine scaling and root planning procedures under local

[PDF] Stress Balls - RIROE

movement, I thought it might be fun to share with you a stress ball activity that See Chart Below Discuss ways stress can be reduced: • Get Enough Sleep

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[PDF] Stress Ball - dticmil 28624_3AD1104334.pdf

ABSTRACT #

Management of Dental Anxiety via Distraction Technique Torres-Gomez J, Hoopes W, Arnason S, Vandewalle K

USAF, JBSA-Lackland, TX, USA

TheviewsexpressedinthisposterarethoseoftheauthorsanddonotreflecttheofficialpolicyoftheDepartmentofDefenseorotherdepartmentsoftheUnitedStatesGovernmentorUSUHS.Theauthorsdonothaveanyfinancialinterestinthecompanieswhosematerialsarediscussedinthisposter.

INTRODUCTION

MATERIALS and METHODS

OBJECTIVE

CONCLUSIONS

RESULTS

Onepersistentchallengethatremainsforboththepatientand practitionerindeliveringdentalcareisdentalanxiety.Itcanevenperpetuatea cyclewheredentalcareisonlysoughtoutineffortstoresolvedentalpain, furthercreatingtraumaticexperiencesthatreinforcepatientsdentalanxiety. Theuseofmusicandvideodistractiontechniqueshavebeendemonstratedto bestatisticallysignificantinreducingdentalanxiety.Attemptstoteach patientstorestructurehowtheyperceivenegativethoughtsthroughcognitive refocusinghavealsobeensuccessful.Yetasimplermethodofdistraction, suchastheuseofstressballs,isaneurocognitive-theory-basedapproach wherepainperceptionismoderatedbythedemandsofanunrelatedpain-free task.However,theapplicationofstressballsasatouchdistractionmethod hasyettobestudiedinadentalsetting. Thepurposeofthisrandomizedhumanstudywastoevaluatetheuseof stressballsasadistractiontechniqueandhowitaffectsstresslevelsof patientsundergoingroutinescalingandrootplanningproceduresunderlocal anesthesia.Painreductionduringdentaltreatmentcouldpotentiallyincrease dentalreadinessbyreducingfearofdentalpain,leadingtofewer appointmentcancellations.Thenullhypothesistobetestedwasthatthere wouldbenosignificantdifferenceinpainscalesandgalvanicskinresponse withscalingandrootplaningwithlocalanesthesiawithorwithouttheuseof stressballs. Theresultsofthisstudyfoundthattheuseofastressballasa distractiontechniquedidnotresultinanysignificantreductioninstresslevels insubjectsundergoingscalingandrootplaningwithlocalanesthetic. NosignificantdifferenceinGSR(p=0.12)wasfoundduringtreatmentwith orwithouttheuseofthestressballWithorwithouttheuseofastressball,no differenceinSTAIorMDASscoreswasfoundbeforeandaftertreatment.

The use of music and video distraction techniques have been demonstrated to be statistically significant in reducing dental anxiety. Attempts to teach patients to restructure how they perceive negative thoughts through cognitive refocusing have also been successful. [25-28] Yet a simpler method of distraction, such as the use of stress balls, is a neurocognitive-theory-based approach where pain perception is moderated by the demands of an unrelated pain-free task.

Arandomized,split-mouthdesignwasconductedusing20adultsubjects requiringscalingandrootplaning(Sc/RP)inallfourquadrants.Eachsideofthe mouth(maxillary/mandibular)receivedSc/RPwithlocalanestheticwithor withouttheuseofastress-balldistractionovertwoseparatesessions. Subjectscompletedtwopre-proceduralquestionnaires(SpielbergerState-Trait AnxietyInventory,STAI;ModifiedDentalAnxietyScale,MDAS)beforeandafter ateachtreatmentsession.

Galvanic Skin Response (µS) (mean, stdev)

No Stress BallStress BallP value

GSR1.03 (0.78)0.89 (0.62)0.12

SpielbergerState-Trait Anxiety Inventory

and Modified Dental Anxiety Scale (median, IQR)

No Stress BallP

value

Stress BallP

valueBeforeAfterBeforeAfter STAI28.3 (28.2)30.0 (23.0)0.1330.0 (12.6)25.0 (19.2)0.33 MDAS11.0 (6.0)10.0 (5.5)0.1611.0 (4.5)10.5 (5.8)0.72

MATERIALS and METHODS (cont.)

AGalvanicSkinResponse(GSR)sensor(Neulog)wasusedthroughout eachsessiontomeasureskinconductanceorsweat,withVelcroconnectors wrappedaroundtwodifferentfingersonthehandoppositethehandusingthe stressball.GSRscoreswereevaluatedusingaPairedT-testandSTAIand MDASscoreswereevaluatedusingaWilcoxonSignedRankTest(alpha=0.05).

Seefigurebelow.


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