Anxiety
Conditions
Keywords
Childhood dental anxiety, Behavior management.
Brief summary
The goal of this clinical trial is to reduce dental anxiety for sixety six children undergoing pulpotomy in primary molars by using kaleidoscope glasses and Tell-Show-Play-Doh techniques and evaluation of behavior and anxiety achieved by using FLAAC scale, measuring heart rate and RMS-Pictorial scale.
Interventions
BEHAVIORALUsing Kaleidoscope glasses during pulpotomy procedures
Kaleidoscope is an instrument that shows an infinite number of fascinating geometric shapes in the form of a flower, repeating and reflecting images of coloured goggle fragments in the front section in a prism mirroring the inner surface.
BEHAVIORALThe Play-Doh Doctor Drill 'n Fill toy set
Consists of a plastic human head with slots into which Play-doh molded teeth can be inserted. A battery operated toy drill is used to drill into and clean the black, cavitated tooth model and filled with white Play-Doh compound to simulate cavity preparation and restoration using tooth colored cement.
OTHERGroup 1 (Tell-Show-Do)
In which Tell-Show-Do technique was done in three stages: * Tell: The dental procedures were explained to the children using language and expressions appropriate for their age. * Show: This began with showing the child the instruments and the topical anesthetic gel, high-speed handpiece and explaining the purpose of using the handpiece. and how the water removed using the suction device. * Do: Performing the dental procedure immediately.
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
1. Children attended the dental clinic for their first time. 2\. Children aged between 4 to 6 years including both boys and girls. 3. Healthy Children with Frankl's behavior rating score 2,3 and 4 of Frankl's behavior rating scale and no prior dental experience. 4\. Children with carious lesions in lower restorable primary molars and indicated for pulpotomy. \-
Exclusion criteria
1.Children with known significant visual impairments or psychological problems. 2\. Children suffering from systemic diseases or special health care needs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of behavior of the child before and during and after the pulpotomy procedures. | Pre-operatively , during the procedure and post-operatively at the end of the visit at the same visit with no follow up. | * Assessment of behavior of the child using ( Frankl's behavior rating scale to measure the cooperation behavior of the child, FLACC scale ). * Frankl's behavior rating scale was used pre-operatively and post-operatively with 4 scores : score 1(Definitely negative) score 2(Negative) score 3(Positive) score 4 (Definitely positive), the best scores for positive attitude and cooperation are score 3, 4. * The FLACC scale was used to measure behavior of the child according to Face, Legs, Activity, Cry and Consolability during the pulpotomy procedures with Scores: (0 = Relaxed and comfortable) (1-3 = Mild discomfort ) (4-6 = Moderate pain) (7-10 = Severe discomfort/pain). |
| Assessment of anxiety of the child before and after the pulpotomy procedures. | Pre-operatively and post-operatively at the end of the visit at the same visit with no follow up. | * Assessment of anxiety of the child using (Pulse Oximeter to measure heart rate pre-operatively and post-operatively, RMS Pictorial Scale at the end of the visit). Increasing in heart rate readings means increasing anxiety. * RMS Pictorial Scale which comprises a row of five faces ranging from score 1(very happy) to score 5 (very unhappy) and the children were asked to choose the face they felt like about themselves at that moment. |
Countries
Egypt
Outcome results
None listed