Anesthesia, Local, Behavior, Child, Dental Anxiety
Conditions
Keywords
Dental attire, Behavior management, Children fear
Brief summary
The aim of this study is to evaluate the effect of friendly attire on dental anxiety among children visiting dental office in comparison with conventional attire. All of the children who will be experienced maxillary dental anesthesia with/without distraction will be assessed by using a combination of measures: Wong-Baker faces and the Children's Fear Scale (self-report), heart pulse rate, and behavior (using Anxiety levels using Face - Legs - Activity - Cry - Consolability FLACC scale external evaluator) Acceptance will be measured using a two-point Likert scale.
Detailed description
This study will evaluate the effect of dental attire on children's acceptance of different dental treatments that include dental anesthesia. pain and anxiety will be evaluated during buccal and palatal infiltration using five behavioral scales, Wong-Baker pain scale, Children's Fear Scale and Children's Anxiety Questionnaire (self-report), pulse rate (physiological) and behavior (using FLACC behavior rating scale external evaluator. Heart pulse rate measurement will be recorded firstly when the patient is seated comfortably in the reception area, on dental chair prior to the injection, and finally after the procedure is done and the child patients will be asked to choose a face that describe their status from one of both Wong Baker faces scale, Children's Fear Scale and Children's Anxiety Questionnaire. Body responses of all child patients will be recorded during the whole procedure and then will be evaluated by an external evaluator to determine the children behavioral score according to FLACC scale.
Interventions
BEHAVIORALEvaluation the effectiveness of distraction in the reception area in the management of anxious pediatric patients during dental local anesthesia
Buccal and palatal infiltration will be administrated with basic behavior guidance techniques while the dentist wearing conventional attire in the treatment room after meeting the child in the reception area while wearing the friendly attire.
BEHAVIORALEvaluation the effectiveness of distraction in the treatment area in the management of anxious pediatric patients during dental local anesthesia
Buccal and palatal infiltration will be administrated with basic behavior guidance techniques while the dentist wearing friendly attire in the treatment room after meeting the child in the reception area while wearing the conventional attire.
BEHAVIORALEvaluation the effectiveness of distraction in both reception and treatment areas in the management of anxious pediatric patients during dental local anesthesia
Buccal and palatal infiltration will be administrated with basic behavior guidance techniques while the dentist wearing friendly attire in the reception area and treatment room.
BEHAVIORALEvaluation of the effectiveness of basic behavior guidance techniques without using any type of distraction aids in the management of anxious pediatric patients during dental local anesthesia
Buccal and palatal infiltration will be administrated with basic behavior guidance techniques while the dentist wearing conventional attire in the reception area and treatment room.
Sponsors
Damascus University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age between 6 and 10 years. 2. No previous dental experience. 3. Definitely positive or positive according to Frank scale. 4. Need of maxillary anesthesia for any dental treatment.
Exclusion criteria
1. Previous dental experience 2. Systematic or mental disorders. 3. Definitely negative or negative according to Frankel scale
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain levels | 5 minutes following the dental local anesthesia. | Pain levels will be measured by using a self-reported simplified Wong-Baker faces pain scale: 0 no Hurt - 1 Hurts little Bit - 2 Hurts little More - 3 Hurts Even More - 4 Hurts Whole Lot - 5 Hurts Worst |
| Anxiety levels | 1 minute during the dental local anesthesia. | This will be evaluated using the Face-Legs-Activity-Cry-Consolability (FLACC) scale (0 low anxiety and pain level - 10 high anxiety and pain level). |
| Pulse rate | (1) five minutes after the patient is seated comfortably in the reception area, (2) five minutes after the patient is seated comfortably on the dental chair, (3) five minutes following the injection of the anesthetic drug | Pulse rate (the number of times your heart beats each minute bpm will be evaluated using Finger Pulse Oximeter. |
Countries
Syria
Outcome results
None listed