The Use of Audiovisual Distraction as a Behavior Management Technique

OBJECTIVES: The aim of this survey study was to investigate and describe the use and effects of audiovisual distraction as a behavior management technique by pediatric dentists. METHODS: An electronic survey was sent to the American Academy of Pediatric Dentistry (AAPD) member list via email inquiring about their use of televisions, iPads, and virtual reality playing audiovisuals as a behavior management technique during treatment. The survey queried providers about parent acceptance, patient individualization, clinical procedures and other behavior management techniques in which audiovisuals were used in conjunction, and the observed effects on patient behavior and quality of dentistry delivered. RESULTS: Of the 326 respondents, 80% utilize TVs/iPads while only 4.4% utilize virtual reality in clinical practice. The greatest effect was observed in the patient age range of 6 to 8 years old. Observed effects included improved compliance, reduction in anxiety, decreased restlessness, and decreased attention to provider. Parents strongly accept the use of audiovisual distraction to complete treatment. CONCLUSIONS: Audiovisual distraction is an effective behavior management technique employed widely by pediatric dentists in conjunction with other behavior management techniques for a variety of clinical procedures. Practitioners with less years of clinical experience are more likely to employ the use of audiovisual distraction in clinical practice. IMPLICATIONS: Further use of audiovisual distraction could include potential improvements in the overall patient experience through reduction in anxiety during dental procedures and improved cooperation for pediatric patients.