The Use of Audiovisual Distraction Tools in the Dental Setting for Pediatric Subjects with Special Healthcare Needs: A Review and Proposal of a Multi-Session Model for Behavioral Management.

Background: A Special Health Care Need (SHCN) is characterized by any type of physical, mental, sensorial, cognitive, emotional, or developmental condition that requires medical treatment, specialized services, or healthcare interventions. These conditions can negatively impact oral health as SHCN c...

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Publicado en:Children Vol. 11; no. 9; pp. 1077 - 1098
Autores principales: Pisano, Massimo, Bramanti, Alessia, De Benedetto, Giuseppina, Martin Carreras-Presas, Carmen, Di Spirito, Federica
Formato: algorithm research systematic review tables/charts Journal Article
Publicado: MDPI Sep2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2024
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      pub: MDPI
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        atl: The Use of Audiovisual Distraction Tools in the Dental Setting for Pediatric Subjects with Special Healthcare Needs: A Review and Proposal of a Multi-Session Model for Behavioral Management.
      aug:
        au:
          Pisano, Massimo
          Bramanti, Alessia
          De Benedetto, Giuseppina
          Martin Carreras-Presas, Carmen
          Di Spirito, Federica
        affil: Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Via Salvador Allende, 84081 Baronissi, Italy
      sug:
        subj:
          Dental Anxiety Prevention and Control
          Children with Disabilities Psychosocial Factors
          Distraction
          Audiovisuals Utilization
          Patient Attitudes Evaluation
          Caregiver Attitudes Evaluation
          Dentist Attitudes Evaluation
          Behavior Therapy
          Dental Care for Disabled
          Dental Care for Children
          Human
          Child, Preschool
          Child
          Adolescence
          Systematic Review
          Medline
          PubMed
          Teledentistry
          Cerebral Palsy
          Down Syndrome
          Attention Deficit Hyperactivity Disorder
          Autism Spectrum Disorder
          Hearing Disorders
          Oral Health
          Dental Hygiene
          Dentists Psychosocial Factors
          Computer Simulation
          Models, Structural
          Pit and Fissure Sealants
          Pain Management
          Dental Restoration, Permanent
          Descriptive Statistics
          Virtual Reality
          Eye Protective Devices
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Background: A Special Health Care Need (SHCN) is characterized by any type of physical, mental, sensorial, cognitive, emotional, or developmental condition that requires medical treatment, specialized services, or healthcare interventions. These conditions can negatively impact oral health as SHCN children can hardly cooperate or communicate and experience higher levels of dental fear/anxiety, which interfere with regular appointments. The present narrative review aims to analyze the use of audiovisual (AV) tools in dental setting for the management of SHCN children during dental treatment and to evaluate their effectiveness in anxiety/behavior control from the child, dentist, and care-giver perspectives. This analysis leads to the proposal of a new multi-session model for the behavioral management of SHCN pediatric subjects. Methods: An electronic search on the MEDLINE/Pubmed, Scopus, and Web of Science databases was carried out and through this analysis, a new model was proposed, the "UNISA-Virtual Stepwise Distraction model", a multi-session workflow combining traditional behavior management and the progressive introduction of AV media to familiarize the SHCN child with dental setting and manage behavior. Results: AV tools helped in most cases to manage SHCN behavior and decreased stress in both the dentist and child during dental treatments. Care-givers also welcomed AV distractors, reporting positive feedback in using them during future treatments. Conclusions: The present narrative review found increasing evidence of the use of AV media for SHCN pediatric subjects as distraction tools during dental treatment. In the majority of the studies, AV tools proved to be effective for the management of anxiety, dental fear, and behavior in dental setting.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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