Evidence map›Paper›PMID 35152506›Full record

ArticleInternational journal of paediatric dentistry2022

Breathing out dental fear: A feasibility crossover study on the effectiveness of diaphragmatic breathing in children sitting on the dentist's chair.

Martina Levi, Maurizio Bossù, Valeria Luzzi, Federica Semprini, Andrea Salaris, Cristina Ottaviani, Cristiano Violani, Antonella Polimeni

Open access · hybridAbstract read
In one paragraph

Article in International journal of paediatric dentistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Clinical effectiveness of diaphragmatic breathing for dental anxiety in 7- to 13-year-old children.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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  6. Observational
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  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Martina LeviDepartment of Psychology, Sapienza University of Rome, Rome, Italy.
Maurizio BossùDepartment of Oral and Maxillofacial Science, Sapienza University of Rome, Rome, Italy.
Valeria LuzziDepartment of Oral and Maxillofacial Science, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-2502-6077
Federica SempriniDepartment of Oral and Maxillofacial Science, Sapienza University of Rome, Rome, Italy.
Andrea SalarisDepartment of Psychology, Sapienza University of Rome, Rome, Italy.
Cristina OttavianiDepartment of Psychology, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-5240-4387
Cristiano ViolaniDepartment of Psychology, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-6755-2585
Antonella PolimeniDepartment of Oral and Maxillofacial Science, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-2679-7607
Sapienza University of Rome · ITFondazione Santa Lucia · IT

Funding

Prot. RP118164366631FDSapienza Università di Roma
6 · The paper itself

Abstract

backgroundAnxiety related to the dental context is a clinically significant challenge. In children, dental fear is often accompanied by disruptive and uncooperative behaviours that can render treatment difficult. Although techniques to reduce children's anxiety exist, many have not been formally evaluated.

designDiaphragmatic breathing has been shown to reduce fear and anxiety, but few investigations have evaluated whether it can reduce dental anxiety in children. This crossover study tested the effectiveness and feasibility of diaphragmatic breathing in twenty children undergoing dental care.

resultsCompared with the treatment as usual, such a simple technique had significant benefits on mood, self-reported pain and autonomic balance, thus reducing sympathetic activation.

conclusionDiaphragmatic breathing is a low-cost, easy-to-implement technique suitable for daily dental practice, and is a promising tool for reducing negative effect and physiological distress in children with dental anxiety that results in more cooperative behaviours and reduced visit time.

Indexed as

Dental AnxietyDentistsChildCross-Over StudiesFeasibility StudiesHumansRespirationSelf Reportchildrendeep breathingdental feardiaphragmatic breathingheart rate variability

Identifiers

PMID35152506
PMCPMC9790220
OpenAlexW4213074035

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.