Evaluation of Audio-Visual Distraction Technique on Child's Anxiety

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03229720
• Other study ID #: Protocol CairoU
• Status: Not yet recruiting
• Phase: N/A
• First received: July 23, 2017
• Last updated: July 24, 2017
• Start date: September 1, 2017
• Est. completion date: September 1, 2018

Study information

• Verified date: July 2017
• Source: Cairo University
• Contact: Sherif A Zakhary, B.D.S
• Phone: +2001224579366
• Email: Sherif_zakhary[@]hotmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

[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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 42
• Est. completion date: September 1, 2018
• Est. primary completion date: July 1, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 5 Years to 8 Years

Eligibility

Inclusion Criteria:

• Children aged 5-8 years old.

• Children with decayed teeth requiring pulp therapy (excluding cases with acute pulpitis)

• Cooperative children and potentially cooperative

• Physically and mentally normal children.

• No previous dental experience involving local anaesthetic administration for the last 2 years

Exclusion Criteria:

• Children with visual impairment.

• Children with hearing disabilities.

• Children with disability complicating the dental treatment as trismus, or TMJ problems.

• Children with highly inflamed pulp tissue inducing pain during dental visit.

• Patients or caregivers who refuse to sign the consent.

Related Conditions & MeSH terms

• Anxiety Disorders
• Anxiety, Dental
• Fear, Dental

Intervention

Device:
• Nibiru 3D Virtual Reality Headset
This device is a kind of head glass that obstructs the vision with a wide screen showing movies or photos. Earphones are extended from it and inserted in ears. so it obstructs the vision and audio of the surroundings.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Heart Rate (using Pulse oximetry)	to asses heart beats per minute and relate it to the patient's anxiety	During the dental visit
Primary	Facial Image Scale	To measure dental Anxiety by using Facial Image Scale	Immediately right after the dental visit.
Secondary	Oxygen Saturation (using Pulse oximetry)	to assess the amount of oxygen saturation and relate to the stress level.	During the dental visit