Dental Anxiety
Conditions
Keywords
dental anxiety (DA), Cognitive behavioral therapy (CBT), Auricular Plaster Therapy (APT), Tell Show Do (TSD)
Brief summary
This study was conducted to the Effectiveness of Cognitive Behavioral Therapy and Auricular Plaster Therapy on Managing Child Anxiety in Dental Office.
Detailed description
This study is to: 1. Assess and compare the effect of cognitive behavioral therapy and auricular plaster therapy on children's anxiety in dental situations. 2. Improve child behavior and cooperation and evaluate the parental acceptance of these behavioral management techniques.
Interventions
BEHAVIORALCognitive behavioral therapy
CBT aims to treat anxiety by restructuring unfavorable beliefs and controlling negative thoughts so as to reduce dental anxiety.
BEHAVIORALAuricular plaster therapy
APT involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect (e.g. reduce anxiety)
BEHAVIORALTell Show Do
TSD is composed of 3 phases. The Tell phase involves an age-appropriate explanation of the procedure. The Show phase is used to demonstrate a procedure up to the point where the instrument is performed. The Do phase is then initiated, and the treatment is performed.
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Group 1 (CBT) Group 2 (APT) Group3 (control TSD)
Eligibility
Sex/Gender
ALL
Age
4 Years to 7 Years
Healthy volunteers
Yes
Inclusion criteria
1. Healthy children (4-7) years old, without systemic, congenital, or mental disorders nor deformities affecting the external auditory meatus. 2. Presence of dental anxiety. 3. Not requiring urgent dental treatment, with the presence of a Class I carious lesion on one of the primary molars. 4. No previous application of the guided CBT.
Exclusion criteria
1. Refusal to participate by either the children or their parents/guardians 2. Previous receiving acupuncture and moxibustion therapy. 3. Children who had taken sedative drugs at the time of the appointment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Venham Clinical Anxiety Scale | Up to 12 weeks | Observational anxiety scale, by choosing a number from 0 to 5 as claimed by the scales at specific time spots of the dental visit. The higher the score, the greater the level of anxiety and the poorer the cooperation of a child |
| Heart Rate to detect the anxiety. | Up to 12 weeks | It is a biological parameter and the elevation of pulse rate is an indicator for anxiety |
| RMS-Self Pictorial scale to detect the anxiety. | Up to 12 weeks | It is a self-report scale, ranging from (1 to 5). The scale was scored by giving a value of one to very happy and five to very unhappy face. (A higher score indicates more anxiety) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parental acceptance of the behavior management technique | Up to 12 weeks | The parental acceptance rating will be determined on a five-point Likert-type scale ranging from 1 (highly acceptable) to 5 (highly unacceptable). |
Countries
Egypt
Outcome results
None listed