Dental anxiety and fear among children during dental treatment Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The patient requires routine dental treatment, specifically a pulpotomy of primary molars (first or second upper molar, or first lower molar) on both the right and left sides, under local anesthesia only 2. The patient has a moderate to high anxiety level according to the CFSS-DS scale 3. Parental and child consent is required
Exclusion criteria
Exclusion criteria: 1. Children with severe mental or physical disabilities that prevent communication or cooperation 2. Children with a history of severe psychological or neurological disorders 3. Children currently taking sedatives, anxiolytics, or anti-anxiety medications 4. Children who have had previous severe traumatic dental experiences within the last 6 months 5. Parents or children who refuse to provide a signed informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Behavioural response/cooperation during dental treatment measured using Frankl Scale at During anaesthesia, during tooth drilling;Dental fear and anxiety measured using Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) at Five minutes after the patient has been seated in the dental chair, before anaesthesia;Subjective distress level measured using Subjective Units of Distress Scale (SUDS) at Control group: immediately upon patient admission, immediately after anaesthesia, end of the treatment session; Experimental (EMDR) group: immediately upon patient admission, during the EMDR session, after the EMDR session, immediately after anaesthesia, during short bilateral stimulation cycles, after short bilateral stimulation cycles, end of the treatment session;Validity of cognition measured using Validity of Cognition (VOC) Scale at Experimental (EMDR) group only: after the patient is seated in the dental chair (after CFSS-DS assessment and before anaesthesia), immediately after anaesthesia, end of the treatment session; Control group: not recorded;Pulse and oxygen saturation measured using pulse oximeter at before and after anesthesia, and at the end of the session. | — |
Countries
Syria