Hypnosis in reducing fear and anxiety in Pediatric Dentistry
Hypnosis, Dental; Behavior Control; Child Behavior; Dental Anxiety; Pain Perception.
“Introduction: Anxiety is a common emotional response in children who need to undergo invasive dental procedures. Fear of the unknown, pain, and the clinical environment can contribute to increased anxiety. This can make it difficult for the child to cooperate during treatment and increase discomfort. Hypnosis is a complementary technique that can be used to reduce anxiety in procedures such as tooth extraction. It involves inducing a state of deep relaxation and focus, where the child can become more receptive to positive suggestions, such as feeling less fear. However, the effectiveness may vary according to the child's age and receptiveness to the technique. Objective: To evaluate the effectiveness of hypnosis in controlling anxiety and pain in children during dental treatment. Methodology: This is a mixed study of Sequential Exploratory Strategy with a QUALI/quantitative perspective. The experimental group will undergo hypnosis and the control group will receive conventional management techniques in pediatric dentistry, including children of both sexes, aged between six and twelve years old, who require dental treatment with the use of local anesthetic. For the qualitative approach, a pre- and post-intervention focus group will be held with the participation of parents/guardians in an unstructured interview. Pain and anxiety will be assessed using scales validated in the literature. The application of the induction protocol for experiences of pleasant situations in hypnosis will be carried out following the Ericksonian approach. In the intervention phase, hypnotic suggestions will be intended to modify the perception of pain. Results: a sample size of 18 children per group was obtained, with a total number of 36 participants. The tests were calculated using the Stata 14.2 program (StataCorp Texas). Conclusion: a reduction in the proportion of participants with anxiety by at least 50%, measured using the mYPass scale, is expected in the experimental group (hypnosis) and a change in pain intensity in children undergoing local dental anesthesia with a threshold ≥ 4 on the numerical pain scale._”