Experience of Animal Assisted Therapy in Pediatric Dentistry Unit
Main Article Content
Abstract
Children and youth with special health care needs, belongs to a group of individuals presenting several health issues of variable complexity and special care needs in health, one of them a successful dental treatment. The high prevalence of oral pathologies is not the only complication we found in dental attention; there are also behaviour and communication disorders, affecting the cooperation level in dental treatment. In spite of the limitations previously mentioned, different adaptations and techniques have surged in order to achieve a successful dental treatment. In this article we describe animal assisted therapy as a useful complementary method for pediatric dental treatment. Objective: Describe the experience of animal assisted therapy in pediatric dentistry treatment of children and youth with special health care needs. Methods: Descriptive-retrospective study performed in 2019, revision of 32 clinical digital records of Hospital, of children and youth with special health care needs, ages between 4-13 years old, and their pediatric dentistry treatment records with animal assisted therapy. Results: 32 patients with dental treatment, in 26 patients (81.25%) dental treatment was successful; 36 dental procedures were performed, 19 invasive and 17 non invasive. Conclusion: The implementation of animal assisted therapy as a complement of pediatric dentistry treatment had a high acceptance and allowed successful invasive and non invasive dental procedures in children and youth with special health care needs.
References
Acevedo, A., Fuentes, K. & Silva, N., 2017 (2018). Efectividad de la canoterapia como intervención en preescolares que presenten un retraso en el desarrollo psicomotor atendidos en los CESFAM de Temuco en el año 2018. Tesis para obtención de grado. Universidad de la Frontera, Facultad de Medicina. Disponible en:
http://bibliotecadigital.ufro.cl/?a=view&item=1488 Datos de acceso:20.09.2020
Alkhabuli, J., Essa, E., Al-Zuhair, A. & Jaber, A. (2019). Oral Health status and treatment needs for children with special needs: A cross-sectional study. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 19: e4877.
http://doi.org/10.4034/PBOCI.2019.191.127
Berry, A., Borgi, M., Francia, N., Alleva, E. & Cirulli, F. (2013). Use of Assistance and Therapy Dogs for Children with Autism Spectrum Disorders: A Critical Review of the Current Evidence. The Journal of Alternative and Complementary Medicine, 19 (2): 73-80. https://doi.org/10.1089/acm.2011.0835
Cajares, C., Rutledge, C. & Haney, T. (2016). Animal Assisted Therapy in a Special Needs Dental Practice: An Interprofessional Model for Anxiety Reduction. Journal of Intellectual Disability -Diagnosis and Treatment, 4: 25-28. http://dx.doi.org/10.6000/2292-2598.2016.04.01.3
Calcaterra, V., Veggiotti, P., Palestrini, C., De Giorgis, V., Raschetti, R., Tumminelli, M., Mencherini, S., Papotti, F., Klersy, C., Albertini, R., Ostuni, S. & Pelizzo, G. (2015) Post-Operative Benefits of Animal-Assisted Therapy in Pediatric Surgery: A Randomised Study. PLOS ONE 10(6): e0125813. https://doi.org/10.1371/journal.pone.0125813
Castro, A., Espinosa, R., Pereira, C., Castro, T., Santos, M., Santos, D. & Oliveira, F. (2016). Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 16(1): 113-121. http://dx.doi.org/10.4034/PBOCI.2016.161.12
Crowley, M. J. (2001). Patient and therapist pre-treatment characteristics as predictors of the therapeutic alliance. Tesis doctoral no publicada. Ohio University.
Cruz-Fierro, N., Vanegas-Farfano, M., & González-Ramírez, M. T. (2019). Dog-Assisted Therapy and Dental Anxiety: A Pilot Study. Animals, 9 (8): 512. https://doi.org/10.3390/ani9080512
Duan, C. & Kivlighan, D. (2002). Relationships among Therapist Presession Mood, Therapist Empathy, and Session Evaluation. Psychotherapy Research, 12 (1): 23-37. https://doi.org/10.1080/713869615
Fernández, J., Roldán, M., Alfageme, M., Vargas, M. & Lahera, G. (2012) Aplicabilidad y efectividad de la terapia asistida con animales en personas con trastorno mental grave y duradero: un ensayo piloto aleatorizado. Rehabilitación, 10 (1): 18-24. Disponible en: https://www.researchgate.net/publication/257983805_Aplicabilidad_y_efectividad_de_la_terapia_asistida_con_animales_en_personas_con_trastorno_mental_grave_y_duradero_un_ensayo_piloto_aleatorizado Datos deacceso: 20.09.2020
Flores, J.C., Lizama, M., Rodríguez, N., Ávalos, M., Galanti, M., Barja, S., Becerra, C., Sanhueza, C., Cabezas, A., Orellana, J., Zillmann, G., Antilef, R., Cox, A., Valle, M., Vargas, N. (2016). Modelo de atención y clasificación de «Niños y adolescentes con necesidades especiales de atención en salud-NANEAS»: recomendaciones del Comité NANEAS de la Sociedad Chilena de Pediatría.Rev. chil. pediatr., 87 (3): 224-232. http://dx.doi.org/10.1016/j.rchipe.2016.03.005.
Folch, A., Torrente, M., Heredia, L. & Vicens, P.(2016). Estudio preliminar de la efectividad de la terapia asistida con perros en personas de la tercera edad. Rev Esp Geriatr Gerontol. 51 (4): 210- 216. https://doi.org/10.1016/j.regg.2015.12.001
Gudiño, L., (2013). Mejora en la calidad de vida en niños con Síndrome de Down a través de los animales. Tesis para obtención de grado. Universidad de Valladolid, E.U de educación de Palencia. Disponible en: http://uvadoc.uva.es/handle/10324/4250 Datos de acceso: 20.09.2020
Gupta, N. & Yadav, T. (2018). Parents’ acceptance and their children’s choice of pet for animal‐assisted therapy (A.A.T.) in 3‐ to 12‐year‐old children in the dental operatory –A questionnaire‐based pilot study. International Journal of Paediatric Dentistry, 28 (4): 373– 379. https://doi.org/10.1111/ipd.12362
Gussgard, A.M., Weese, J.S., Hensten, A. & Jokstad, A. (2019). Dog‐assisted therapy in the dental clinic: Part A—Hazards and assessment of potential risks to the health and safety of humans. Clin Exp Dent Res, 5 (6): 691– 699. https://doi.org/10.1002/cre2.240
Henry, W.P., Schacht, T.E. & Strupp, H.H. (1990). Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. Journal of Consulting and Clinical Psychology, 58 (6): 768-774.
https://doi.org/10.1037//0022-006x.58.6.768
Hill, J., Ziviani, J., Driscoll, C. Teoh, A., Chua, J. & Cawdell-Smith, J. (2020). Canine Assisted Occupational Therapy for Children on the Autism Spectrum: A Pilot Randomised Control Trial. J Autism Dev Disord. https://doi.org/10.1007/s10803-020-04483-7
Jofré, L. (2005).Visita terapéutica de mascotas en hospitales. Rec Chil Infect, 22 (3): 257-263.
http://dx.doi.org/10.4067/S0716-10182005000300007
Kalyoncu, I. Ö. & Tamboga, I. (2017). Oral Health Status of Children with Autistic Spectrum Disorder Compared with Non-authentic Peers. Iran J Public Health, 46 (11): 1591-1593, Disponible en:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696703/pdf/IJPH-46-1591.pdf Datos de acceso: 20.09.2020
Kaminski, M., Pellino, T. & Wish, J. (2002). Play and Pets: The Physical and Emotional Impact of Child-Life and Pet Therapy on Hospitalized Children. Journal Children’s Health Care, 31 (4): 321-335. https://doi.org/10.1207/S15326888CHC3104_5
Lindström Nilsson, M., Funkquist, E. L., Edner, A., & Engvall, G. (2020) Children report positive experiences of animal-assisted therapy in paediatric hospital care. Acta paediatrica, 109 (5): 1049–1056. https://doi.org/10.1111/apa.15047
Mandić, J., Jovanović, S., Mandinić, Z., Ivanović,M., Kosanović, D., Miličić, B. & ŽivojinovićToumba, V. (2018). Oral health in children with special needs. Vojnosanitetski pregled, 75(7): 675–681. https://doi.org/10.2298/VSP160707372M
Mohd Mokhtar, S., Abd Jalil L., Muhd Noor, N., Tan, B., Shamdol, Z. & Ali Hanafiah, H. (2016). Dental Status and Treatment Needs of Special Needs Children in Negeri Sembilan, Malaysia. World Journal of Research and Review (WJRR), 2 (6): 64-70, Disponible en: https://www.wjrr.org/download_data/WJRR0206030.pdf
Muñoz Lasa, S., Máximo Bocanegra, N., Valero Alcaide, R., Atín Arratibel, M.A, Varela Donoso, E.& Ferriero, G. (2015) Intervenciones asistidas por animales en neurorrehabilitación: una revisión de la literatura más reciente. Neurología, 30 (1): 1-7. https://doi.org/10.1016/j.nrl.2013.01.012
Nagengast, S. L., Baun, M. M., Megel, M., & Leibowitz, J. M. (1997). The effects of the presence of a companion animal on physiological arousal and behavioral distress in children during a physical examination. Journal of pediatric nursing, 12(6): 323–330. https://doi.org/10.1016/s0882-5963(97)80058-9
Nammalwar, R. B., & Rangeeth, P. (2018). A bite out of anxiety: Evaluation of animal-assisted activity on anxiety in children attending a pediatric dental outpatient unit. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 36(2): 181–184. https://doi.org/10.4103/JISPPD.JISPPD_54_18
Ningrum, V., Wang, W. & Liao, H., Bakar, A. & Shih, Y. (2020) A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia. Sci Rep, 10:153. https://doi.org/10.1038/s41598-019-56865-2
Oropesa, P., García, I., Puente, V. & Matute, Y. (2009).Terapia asistida con animales como fuente de recurso en el tratamiento rehabilitador. Medisan, 13(6). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S102930192009000600015&lng=es
Pedrosa, S., Aguado, D., Canfrán, D., Torres, J. & Miró, J.(2017). La terapia asistida con perros en el tratamiento de las personas con dolor crónico: una revisión sistemática. Rev Soc Esp Dolor, 24(1):11-18. http://dx.doi.org/10.20986/resed.2016.3461/2016
Peter, H.K. (1997). Developmental Psychology and the Biophilia Hypothesis: Children’s Affiliation with Nature. Developmental Review, 17 (1): 1–61, 1. https://doi.org/10.1006/drev.1996.0430
Pini, D., Fröhlich, P. & Rigo, L. (2017). Oral health evaluation in special needs individuals. Einstein, 14(4): 501-507. https://doi.org/10.1590/s1679-45082016ao3712
Polli, A., Sordi, M., Lisboa, M., Andrade, E., & Rodrigues, A. (2016). Dental Management of Special Needs Patients: A Literature Review. Global Journal of Oral Science, 2: 33-45. https://doi.org/10.21616/2414-2050.2016.02.6
Sobo, E. J., Eng, B., & Kassity-Krich, N. (2006). Canine visitation (pet) therapy: pilot data on decreases in child pain perception. Journal of holistic nursing, 24(1): 51–57. https://doi.org/10.1177/0898010105280112
Tsai, C., Friedmann, E. & Thomas, S. (2010). The Effect of Animal-Assisted Therapy on Stress Responses in Hospitalized Children. Anthrozoös, 23 (3): 245-258. https://doi.org/10.2752/175303710X12750451258977
Viau, R., Arsenault-Lapierre, G., Fecteau, Champagne, N., Walker, C. & Lupien, S. (2010). Effect of service dogs on salivary cortisol secretion in autistic children. Psychoneuroendocrinology, 35 (8):1187-1193. https://doi.org/10.1016/j.psyneuen.2010.02.004
Vincent, A., Easton, S., Sterman, J., Farkas, K. & Heima, M. (2020). Acceptability and Demand of Therapy Dog Support Among Oral Health Care Providers and Caregivers of Pediatric Patients.Pediatr Dent, 42(1):16-21 Disponible en: https://www.ingentaconnect.com/content/aapd/pd/2020/00000042/00000001/art00005;jsessionid=axs2a6y3gtsq.x-ic-live-02 Datos de acceso:20.09.2020
Wilson, E.O.(1993). Biophilia and the conservation ethic. En S.R. Kellert & E.O. Wilson, The biophilia hypothesis (pp. 31–41). Washington, D.C.: Island Press. World Health Organization, WHO. Autism spectrum disorders (2019, November) disponible en: https://www.who.int/en/news-room/fact-sheets/detail/autism-spectrum-disorders