Dental Anxiety in Children
Conditions
Brief summary
This study aims to evaluate dental anxiety and stress levels in children receiving regular piano training compared with children without piano training during preventive dental treatment. A total of 80 children aged 7-11 years, including 40 children receiving piano education and 40 controls, were included in the study. All participants underwent fissure sealant application using the Tell-Show-Do behavioral guidance technique. Dental anxiety was assessed before and after treatment using the Modified Child Dental Anxiety Scale-Faces Version (MCDASf), Facial Image Scale (FIS), and physiological parameters including pulse rate, blood pressure, oxygen saturation, and body temperature. Stress levels were evaluated using the PeSSKi scale. The study investigates whether regular piano education contributes to reduced dental anxiety and stress responses in pediatric dental patients.
Interventions
OTHERNo Piano Training
Children without regular piano training who underwent preventive dental treatment and fissure sealant application using the Tell-Show-Do technique. Dental anxiety, stress levels, and physiological parameters were evaluated before and after treatment.
BEHAVIORALRegular Piano Training
Regular piano education received by children prior to preventive dental treatment. Children in this group had ongoing piano training and were evaluated for dental anxiety, stress levels, and physiological responses during fissure sealant application using the Tell-Show-Do technique.
Sponsors
Recep Tayyip Erdogan University Training and Research Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 11 Years
Healthy volunteers
Yes
Inclusion criteria
* Children aged between 7 and 11 years * Patients attending the Department of Pediatric Dentistry, Faculty of Dentistry, * Recep Tayyip Erdoğan University, and participants invited from two different art schools * Voluntary participation in the study * Presence of fissure sealant indication in the mandibular permanent first molars * Systemically healthy children (ASA I) with no known history of allergy * No hearing impairment * Cognitive ability sufficient to understand and answer questionnaire items * Cooperative behavior classified as "Positive" or "Definitely Positive" according to the Frankl Behavior Rating Scale
Exclusion criteria
* Presence of any systemic disease or history of allergy * Children classified as "Negative" or "Definitely Negative" according to the Frankl Behavior Rating Scale * Active psychological and/or psychiatric treatment * Physical or mental disability preventing communication or questionnaire completion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dental Anxiety Level Measured by the Modified Child Dental Anxiety Scale-Faces Version | Before and immediately after fissure sealant application | Dental anxiety levels during preventive dental treatment will be assessed using the Modified Child Dental Anxiety Scale-Faces Version (MCDASf). The MCDASf score ranges from 8 to 40 points, with higher scores indicating greater dental anxiety. |
| Dental Anxiety Level Measured by the Facial Image Scale | Before and immediately after fissure sealant application | Dental anxiety levels during preventive dental treatment will be assessed using the Facial Image Scale (FIS). The FIS score ranges from 1 to 5 points, with higher scores indicating greater dental anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stress Level Measured by the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI) | Before and immediately after fissure sealant application | Stress levels will be assessed using the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI) during preventive dental treatment. The PeSSKi total score ranges from 10 to 50 points, with higher scores indicating higher perceived stress levels in children. |
| Pulse Rate During Preventive Dental Treatment | Before and immediately after fissure sealant application | Pulse rate will be measured in beats per minute (bpm) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological arousal/anxiety. |
| Systolic Blood Pressure | Before and immediately after fissure sealant application. | Systolic blood pressure will be measured in millimeters of mercury (mmHg) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological stress response. |
| Diastolic Blood Pressure | Before and immediately after fissure sealant application | Diastolic blood pressure will be measured in millimeters of mercury (mmHg) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological stress response. |
| Oxygen Saturation | Before and immediately after fissure sealant application | Peripheral oxygen saturation (SpO₂) will be measured as percentage (%) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate better oxygenation status. |
| Body Temperature | Before and immediately after fissure sealant application | Body temperature will be measured in degrees Celsius (°C) before and immediately after fissure sealant application during preventive dental treatment. |
Countries
Turkey (Türkiye)
Outcome results
None listed