Comparative evaluation of effectiveness among various sensory distractors for reducing dental anxiety in pediatric...

The aim is to evaluate and compare the efficacy of sensory distractors in the management of anxious pediatric patients during dental treatment aged between 6 and 9 years.

A total of 350 children were divided into five groups (70 each): Group A: Visual distraction using distraction cards, Group B: Olfactory distraction using lemongrass oil aromatherapy, Group C: Auditory distraction through music therapy, Group D: Tactile distraction using Hugo acupressure, and Group E: Gustatory distraction using honey for taste. Each group received one of the sensory distraction interventions during dental treatment. Anxiety levels were assessed using the Chota Bheem Chutki Scale, pulse rate, and oxygen saturation (SpO2) before and after the procedure. Statistical analysis was performed using SPSS version 24, employing paired t-tests and one-way ANOVA to compare pre- and postintervention data.

All sensory distraction methods significantly reduced anxiety levels and improved SPO2 readings (P < 0.001). The auditory distraction group showed the greatest reduction in anxiety (mean change = 1.10) and the largest increase in SPO2 levels (mean change = -4.98). Visual distraction also demonstrated significant efficacy, notably reducing posttreatment anxiety (mean = 1.04). Both the auditory and visual groups were more effective compared to gustatory and olfactory methods.

Auditory distraction, particularly music, was the most effective in managing pediatric dental anxiety, followed by visual distraction. Sensory distractions are valuable nonpharmacological tools for reducing anxiety and improving physiological comfort in children undergoing dental procedures.