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Dental Anxiety clinical trials

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NCT ID: NCT02284204 Completed - Dental Anxiety Clinical Trials

Sevoflurane Associated With Oral Midazolam and Ketamine for Dental Sedation

Start date: January 2012
Phase: Phase 2
Study type: Interventional

There is still extensive debate on the best method of controlling the behavior of preschool children during dental treatment. Protective stabilization, moderate sedation and general anesthesia are advanced behavior control techniques indicated for the dental treatment of early childhood caries and offer advantages and disadvantages during the procedure or immediately after. Many children with early childhood caries require invasive dental treatment. According to the final report of a large epidemiological survey on the oral condition of Brazilians, five-year-old children had an average of 2.43 primary teeth with caries and fewer than 20% of these had been treated in 2010. This disease also remains a public health problem in most developed countries; 19.5% of 2-5-year-old American children have untreated cavities. There is, however, a lack of the ideal sedative. Such drugs must, on the one hand, control the behavior of integral form, provide amnesia, minimizing physical discomfort, distress and pain, and, on the other, safeguard security, with minimal effect on the cardio-respiratory function, minimizing the occurrence of adverse events, as well as allowing the return of the patient to a State that allows high safely. The investigators thus performed this prospective study with the aim to assess the occurrence of adverse events during dental treatment and in the first 24 hours after sedation with midazolam, ketamine and sevoflurane in children aged four to six years. Our hypothesis was that no differences in adverse events among different association of drugs could be found.

NCT ID: NCT02268357 Completed - Dental Anxiety Clinical Trials

The Effects of Propranolol on Fear of Tooth or Molar Extraction

Start date: November 2014
Phase: Phase 2/Phase 3
Study type: Interventional

Randomized, placebo-controlled, double-blind, parallel group clinical trial evaluating the anxiolytic effects of propranolol on fear of wisdom tooth removal. It is hypothesized that, compared to placebo, perioperative oral propranolol reduces dental trait anxiety at 1 month follow-up after wisdom tooth removal.

NCT ID: NCT02083432 Completed - Dental Anxiety Clinical Trials

Cognitive Behavioural Treatment of Intra-oral Injection-phobia in 10-16 Year Old Children and Adolescents

Start date: December 2013
Phase: N/A
Study type: Interventional

The aims of the study: to explore the possible effectiveness of cognitive behavior treatment (CBT) among children and adolescents with formally diagnosed intra-oral injection phobia (DSM-IV), when performed by specially trained dentists. The patients diagnosed with intra-oral injection phobia according to the diagnostic manual DSM-IV. The effect of cognitive behavior therapy when performed by specially trained dentists will be evaluated. Patients referred to the Centre for Odontophobia, and who meet the inclusion criteria, will be allocated to an immediate treatment group (test group) and a waiting list group (control group) of 30 subjects in each group. After treatment they will be followed up during a 1-year period. Hypotheses are formulated based on the literature and previous population and treatment studies of similar designs among adults at the Centre for Odontophobia.

NCT ID: NCT02081365 Completed - Dental Anxiety Clinical Trials

Clinical Management of Anxiety and Access to Health Care

Start date: July 2013
Phase: N/A
Study type: Interventional

Dental and health anxiety are common and potentially distressing problems, for both patients and health care providers. Anxiety has been identified as a barrier to regular dental visits and as an important target for enhancement of oral health-related quality of life. The goal of this project is to develop a computer-administered dental anxiety management program that can easily be implemented in dental health care settings. Our aim is for this management program to: 1) integrate different treatments modalities such as cognitive-behavioral therapy (CBT) and motivational interviewing (MI) into one computer-based protocol; 2) facilitate patient adherence to this protocol; 3) lend itself to empirical validation; and 4) lend itself to dissemination to other research and treatment settings. A randomized controlled trial (RCT) will be conducted (n=200). Based on the subjects responses to the screening questionnaires, consenting dental patients at Temple University Kornberg School of Dentistry will be assigned to one of 2 possible groups, (1) high dental anxiety and (2) low dental anxiety. The intervention package will be delivered to a randomly selected half of participants in group 1 (high anxiety group), whereas the remaining participants in this group will be assigned to a delayed treatment control condition. The low dental anxiety patients (group 2) will be used as a benchmark against which to compare post-treatment (or post-control) outcomes for the high anxiety patients. We hope to develop an intervention that can be easily implemented in a broader context without the need for highly specialized personnel.

NCT ID: NCT02065843 Completed - Dental Anxiety Clinical Trials

Three Anxiolytic Drugs Used in Third Molar Surgery

Start date: March 2014
Phase: Phase 2/Phase 3
Study type: Interventional

This study was to compare the effectiveness of three drugs (Passiflora incarnata, Erythrina mulungum, Midazolam) in controlling anxiety in patients undergoing bilateral extraction of asymptomatic, impacted mandibular third molars.

NCT ID: NCT01948622 Completed - Dental Anxiety Clinical Trials

Anxiety Control by Erythrina Mulungu

Start date: January 2012
Phase: Phase 1/Phase 2
Study type: Interventional

This study evaluated the effectiveness of the Erythrina mulungu in controlling anxiety in patients undergoing bilateral extraction of asymptomatic, impacted mandibular third molars.

NCT ID: NCT01933191 Completed - Dental Anxiety Clinical Trials

Exercise Treatment of Dental Anxiety

Start date: August 2011
Phase: N/A
Study type: Interventional

A single bout of physical activity (treadmill)immediately prior to the dental examination reduces anxiety in patients with dental phobia.

NCT ID: NCT01908127 Completed - Dental Anxiety Clinical Trials

Efficacy of Film Modelling in Paediatric Dentistry

Start date: September 2010
Phase: N/A
Study type: Interventional

The aim of this study is to evaluate the effect of Filmed modelling in comparison with commonly used Tell-Show-Do technique on the anxious and cooperative behaviour of 4-6 years old children during dental practice.

NCT ID: NCT01874717 Completed - Dental Anxiety Clinical Trials

Midazolam Sedation in Dentally Anxious Patients

Start date: June 2005
Phase: Phase 3
Study type: Interventional

Use lay language. To compare patient level of cooperation during dental care under conscious sedation with midazolam according to the administration route

NCT ID: NCT01798355 Completed - Dental Anxiety Clinical Trials

Children and Adolescents With Dental Anxiety - Randomized Controlled Study of Cognitive Behavioral Therapy

Start date: January 2013
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether cognitive behaviour therapy is effective in the treatment of children and adolescents with dental anxiety. Our hypothesis is that children and adolescents who have been offered CBT shows significant better performance on outcome measures compared with patients in control group who have received treatment as usual.