Anxiety, Dental Clinical Trial
Official title:
Effectiveness of Audio-Visual Distraction Technique Versus Normal Dental Environment for Management of Anxiety in Pediatric Dental Patients, A Randomized Clinical Trial
Audio-Visual (AV) Distraction is a recent modality introduced to the entertaining market
technology for adults and children. Some practitioners started using this modality of
distraction in the dental practice to aid in psychological management of patients.
This study is designed to compare between conventional dental visits (No Distraction) and
dental visits aided with audio-visual distraction. Providing a safe, comfortable and
entertaining dental environment will give pediatric children a better perception regarding
the dental environment and motivate them for repetitive dental visits for better dental
health care.
[I] Recruitment: Children aged 5~8 years old with teeth decay requiring restorative dental
treatment will be randomly selected according to the Intrusion and Extrusion Criteria.
[II] Intervention:
-Steps:
1. The operator will select the teeth; child must have decayed tooth requiring restorative
dental treatment.
2. The visit will be started by using the tell-show-do technique to explain the procedure.
After that the Facial Image Scale is validated to assess dental anxiety and will be
explained to the child. The dentist will ask the child to choose one of the six faces
that best represented his/her current emotional state.
3. Pulse oximeter sensor will then be placed and initial pulse rate will be obtained.
4. Patient will choose from a bowl a piece of paper to decide if AV-distraction will be
used or not.
5. Above steps will be done in both visits, with and without the intervention.
6. If the toss had AV-distraction, The operator will introduce the Audio-visual device
(Virtual Reality Eye Glasses) to the patient and how it works and will allow the patient
to choose his favorite show to watch during the dental visit.
7. The operator will instruct the patient with the rules that will be applied during the
dental visit to assure complete cooperation.
8. The operator will apply topical and dental anaesthesia
9. Pulse rate will be measured every 5 minutes.
10. The operator will allow extra time if the dental visit ended before the child finishes
the tv-show.
11. Then operator will ask the patient to choose from the face scale diagrams about his
anxiety state at the end of the visit.
Intervention modifications:
In case the child interrupted the dental visit for questions or any reason, the last record
of pulse oximeter will be repeated.
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