29th International Congress of Turkish Society of Paediatric Dentistry, Ankara, Türkiye, 12 - 15 Ekim 2023, ss.264-269
ABSTRACT
AİM: It was aimed to evaluate the effect of the mobile patient-physician communication system, which was developed based on the perceived
control principle, on dental fear in children with salivary cortisol level, pulse and oxygen saturation (SpO2).
METHODS: The study was performed on children aged 7-9 years with an indication for extraction of their upper primary second molars. Forty-four
patients with a score of 38 or higher on the Fear of Dentistry in Children (CFSS-DS) were randomly divided into two groups. The experimental
group was asked to use the mobile patient-physician communication system called ‘Dental Anxiety’ downloaded to the tablet when they needed
it during the treatment. Venham Picture Test was applied to all patients before and after treatment. To evaluate the salivary cortisol levels, saliva
samples were taken from patients at five stages and analyzed by ELISA test. SpO2 and heart rate values were recorded at the same stages. After
the measurements, the data were analyzed using Chi-square and Independent Two Sample t tests.
RESULTS: Statistically significant difference was found between the patients’ VPT values, heart rate according to time, mean cortisol values and
heart rate values according to the groups after the treatment (p<0.001). However, no significant difference was found between the SpO2 values
between the groups (p>0.05).
CONCLUSION: The results of the study showed that the mobile patient-physician communication system based on perceived control is effective
in the management of anxiety in children aged 7-9 years.
KEY WORDS: Perceived control, Dental anxiety, Salivary cortisol, Pulse rate