128 - The use of diaphragmatic breathing to reduce dental anxiety during operative procedures in pediatric patients.

Abstract: Many children experience dental anxiety upon entering the dental office, leading to activation of the sympathetic nervous system, which prepares them to confront, escape, or avoid perceived threats. Diaphragmatic breathing, also known as deep belly breathing, has been shown to alleviate fear and anxiety by activating the parasympathetic nervous system. Additionally, listening to binaural beats has demonstrated efficacy in reducing anxiety and enhancing mood. However, no behavioral management studies have explored the combined effects of binaural beats and diaphragmatic breathing on alleviating dental anxiety in children prior to operative procedures.

It is hypothesized that pediatric patients aged 5 to 13 who listen to binaural beats while practicing diaphragmatic breathing before dental procedures will demonstrate both subjective and objective reductions in dental anxiety. Physiological responses such as heart rate (HR) and heart rate variability (HRV) will be assessed, along with subjective evaluations using the Venham Picture Scale (VPS) and the Wong Baker Pain Scale, before and after the intervention and procedure.

Before dental treatment, children will watch a 5-minute AI-generated video featuring calming binaural beats and a cartoon character demonstrating diaphragmatic breathing techniques for children to mimic. This behavioral management approach aims to create a soothing environment by activating the parasympathetic nervous system and improving the overall dental experience.

The objective of this study is to assess whether combining binaural beats with diaphragmatic breathing prior to dental procedures can significantly reduce dental anxiety in children.

Identify Supporting Agency and Grant Number: