Eye movement desensitization and reprocessing therapy as an adjunct to pain management during dental extraction in children – a randomized control trial
This study aimed to assess the trends in pain in pediatric dental patients with and without EMDR therapy during local anesthesia (LA) and extraction.
Article Abstract
“Background: Dental treatment is challenging for children experiencing pain and anxiety. Effective administration of local anesthesia (LA) is crucial for most pediatric dentistry treatments. Eye Movement Desensitization and Reprocessing (EMDR) therapy has emerged primarily to manage post-traumatic stress disorder (PTSD) and a wide variety of anxiety- and pain-related conditions. However, the use of this therapy to manage pain in pediatric dentistry has not yet been reported. This study aimed to assess the trends in pain in pediatric dental patients with and without EMDR therapy during LA and extraction. The need for analgesic consumption within 24 hr post extraction and the overall dental experience were also evaluated.
Methods: Sixty children aged 8-12 years participated in a randomized controlled clinical trial with the goal of extracting the primary mandibular first or second molar on the right or left side and were stratified into: group I: EMDR therapy; group II: Tender Love and Care. Pain was measured at three different time intervals. An unpaired t-test was performed for intergroup comparison of continuous data, and the repeated measures ANOVA was applied for intergroup comparison between the groups.
Results: Pain was significantly lower in group I (pain after topical LA gel application, P = 0.229; pain after LA administration, P = 0.036; pain after extraction, P < 0.001). The need for analgesic consumption was lower in this group (P = 0.072), and the overall dental experience was rated better (P < 0.0001).
Conclusion: Research has shown that EMDR therapy effectively reduces pain in children, making it a recommended practice for pediatric dentists trained in this technique.”
—Description from publisher
Article Access
Open Access
Rathore, A., Kalra, N., Tyagi, R., Khatri, A., Srivastava, S., & Khandelwal, D. (2024). Eye movement desensitization and reprocessing therapy as an adjunct to pain management during dental extraction in children – a randomized control trial. Journal of Dental Anesthesia and Pain Medicine, 24(5), 329-340. Open access: https://doi.org/10.17245/jdapm.2024.24.5.329
Date
September 26, 2024
Creator(s)
Apoorva Rathore, Namita Kalra, Rishi Tyagi
Contributor(s)
Amit Khatri, Shruti Srivastava, Deepak Khandelwal
Topics
Pain/Chronic Pain
Client Population
Children
Extent
11 pages
Publisher
The Korean Dental Society of Anesthesiology
Rights
Copyright © 2024 Journal of Dental Anesthesia and Pain Medicine
APA Citation
Rathore, A., Kalra, N., Tyagi, R., Khatri, A., Srivastava, S., & Khandelwal, D. (2024). Eye movement desensitization and reprocessing therapy as an adjunct to pain management during dental extraction in children - a randomized control trial. Journal of Dental Anesthesia and Pain Medicine, 24(5), 329-340. Open access: https://doi.org/10.17245/jdapm.2024.24.5.329
Audience
EMDR Therapists
Language
English
Content Type
Article, Peer-Reviewed, RCT
Access Type
External Resource