Effectiveness of TPD Tech VS TSD Tech

Dental Anxiety Clinical Trial

Official title:

Effectiveness of Tell Play do Technique in Comparison to Tell Show do Technique for the Management of Anxious Children: A Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04262063
• Other study ID #: eff of TPD vsTSD
• Status: Not yet recruiting
• Phase: N/A
• Start date: December 2020
• Est. completion date: July 2021

Study information

• Verified date: June 2020
• Source: Cairo University
• Contact: rehab mohammed, master
• Phone: 01152349678
• Email: rehab.ebrahim[@]dentistry.cu.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Assessment of the effectiveness of tell play do technique and tell show do technique in management of anxious children .

Description:

Child dental anxiety has been a matter of concern for many years. It is defined as a nonspecific feeling of apprehension, worry, uneasiness and the source may be not clear or unknown .

Dental anxiety is considered as a major obstacle for the dental treatment. The dental appointment is a stressful situation specially for children which raises their anxiety level. Different studies among 6-12 years old children showed that 20%- 43 % exhibited high dental fear and anxiety .

Dental fear and anxiety can have negative implications for children's oral health. There is certainty for the negative impact of dental anxiety on the oral health-related quality of life of children, and studies have shown that children with dental fear and anxiety have worse oral health status than their peers (more untreated carious lesions).

It is also children with dental fear and anxiety may present with behavioral management problems which can disrupt the provision of dental treatment and negatively impact on the dental treatment the child receives. The anxiety experienced by children is not only distressing for the child, but it can also be a potentially stressful and upsetting experience for their parents .

A good patient-dentist relationship is crucial for the management of anxiety. It is the responsibility of pedodontists to make dentistry as child-friendly and pain-free as possible to bring about positive changes in the behavior of children during dental treatment .

Tell-show-do technique is widely used for managing pediatric dental patients. It is useful for almost all patients who can communicate, especially those patients who are 'monitors. Although widely used, the ability of this technique to prepare, and reduce child anxiety remains an area for research, because it's not always appropriate for those patients who are 'blunters' where detailed information can result in increased levels of anxiety .

So different modifications of this technique were used one of them is tell play do technique with a dental imitation toy and using euphemisms instead of demonstrating on a model or observing one. Tell play do technique provides a better explanatory concept of the dental procedure and can lead to more cooperation of the children patients which can influence the dental treatment in a good and positive way.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 34
• Est. completion date: July 2021
• Est. primary completion date: June 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 4 Years to 6 Years

Eligibility

Inclusion Criteria:

1. Children with Frankl's behavior rating score of 1,2 .

2. Patients with no previous dental experience.

3. Patients not suffering from cognitive or mental problems.

4. Children with primary molars indicated for extraction .

5. Age 4- 6 years old .

Exclusion Criteria:

1. Medically compromised patients

2. Patients suffering from cognitive or mental problems

3. Patients with previous dental experience

Related Conditions & MeSH terms

• Dental Anxiety

Intervention

Behavioral:
• Tell play do technique
it apply the concept of learning by doing .children will enjoy playing with customized dental models
• tell show do
Tell: your dentist explaining to you what they'd like to do Show: showing you what is involved (e. g. showing the equipment and demonstrating it on a finger) Do: performing the procedure

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
rehab abdulhameed ebrahim mohammed

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	level of anxiety	The level of dental anxiety of each patient will be assessed using finger pulse oximeter.	Immediate In the first visit
Secondary	change in behavior	the operator will grade the child's behavior during the procedure using the (Face, Leg, Activity, Cry, Consolability) behavioral pain assessment scale.(FLACC); each category scores from 0-2 scale which result in a total score of 0-10; 0 relaxed and comfortable 1-3 mild discomfort 4-6 moderate pain 7-10 severe discomfort of pain or both	immediate after the behavior management
Secondary	Ease of handling patients	The ease of handling the patient will be assessed using a validated questionnaire by 5-point Likert scale (1- Strong positive , 2- Positive, 3- Neutral , 4- Negative,5- Strong negative)	immediate the end of the treatment
Secondary	Ease of doing the procedures	the ease of doing the procedures will be assessed using a validated questionnaire by 5-point Likert scale (1- Strong positive , 2- Positive, 3- Neutral , 4- Negative, 5- Strong negative)	immediate at the end of the treatment