Dental Anxiety, Developmental Disability, Intellectual Disability
Conditions
Keywords
sensory adapted environment, pediatric dentistry, oral health, Developmental Disability, Intellectual Disability, dental anxiety, autism spectrum
Brief summary
Children with intellectual/developmental disabilities (ID/DD) will experience less dental anxiety and cooperate better in a Sensory Adapted Dental Environment (modified visual, sensory, and somatosensory stimuli in a regular dental setting) than in a regular dental environment (RDE).
Detailed description
The aim of this pilot study is to determine the effect of sensory adapted dental environment (SADE) on reducing dental anxiety of children with intellectual and/or developmental disabilities (ID/DD). With the growing number of children diagnosed with ID/DD and their inclusion in the community, there are more opportunities for dentists to encounter this population for their routine oral health care. If improvement in dental anxiety and behavior is evident from the study, as other pilot studies have suggested, it can be applied as one of clinical tools for treating children with ID/DDs. Furthermore, utilization of a SADE in clinical training of pediatric dentists or general dentists can improve clinicians' comfort level in managing behavior of individuals with ID/DD. This will encourage more clinicians to provide care and address the unmet oral health needs of this vulnerable population.
Interventions
BEHAVIORALSensory Adapted Dental Environment (SADE)
No fluorescent room lights, solar projector on ceiling, regular dental x-ray apron laying on patient, quiet music playing in background
Sponsors
Virginia Commonwealth University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 21 Years
Healthy volunteers
No
Inclusion criteria
* Children with intellectual and/or developmental disabilities
Exclusion criteria
* No specific diagnosis * Parents/guardians have limited English proficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Behavior during initial dental exam | Day 1 | Measured using Frankl Scale for pediatric dentistry, with 1=definitely negative and 5=definitely positive |
| Behavior during recall exam | 3 months | Measured using Frankl Scale for pediatric dentistry, with 1=definitely negative and 5= definitely positive |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physiologic outcomes (hearts rate) during initial exam | Day 1 | Measured every 5 minutes during the exam (up to one hour) |
| Physiologic outcomes (oxygen saturation) during initial exam | Day 1 | Measured every 5 minutes during the exam (up to one hour) |
| Patient cooperation during recall exam | 3 months | Assessed by parent/caregiver with post treatment written survey |
| Patient cooperation during initial exam | Day 1 | Assessed by parent/caregiver with post treatment written survey |
| Physiologic outcomes (oxygen saturation) during recall exam | 3 months | Measured every 5 minutes during the exam (up to one hour) |
Countries
United States
Outcome results
None listed