Roogies app and Tell-Show-Do method in decreasing Dental anxiety in children
- Conditions
- Dental caries, unspecified,
- Registration Number
- CTRI/2022/09/045359
- Lead Sponsor
- Rusheeka Kake
- Brief Summary
Dental anxiety in children presents a challenge to the child, parents and the dental team. The children who suffer from dental anxiety and fear range from 5 to 33% throughout the world and are ranked as the fourth common fear. The first dental visit is crucial in the formation of the child’s attitude toward dentistry and future treatment success. Therefore, a pleasant experience normally generates a sense of ease and trust in the dentist, while a traumatic experience leads to avoidance of visiting the dentist. Behavior guidance is a teaching technique that requires interactions between the dentist, dental team, patient, and parents. Tell-show-do technique, introduced by Addelston in 1959, remains the cornerstone of behavior management techniques. With the advancement in technology, mobile dental apps that are used for behavior guidance has led to the development of virtual reality immersion. A novel, Roogies dental app which is based on cognitive-behavioral techniques such as systematic desensitization, modelling, distraction and guided imagery is created.
**Aim:**To evaluate and compare the efficacy of Roogies dental app and TSD in the management of child’s dental anxiety
**Objectives:**
1. To obtain anxiety levels in the two groups before, immediately after intervention and after completion of the procedure using physiological(Heart rate by pulse oximeter) and subjective(FIS and RMS scale) measures.
2. To compare the anxiety levels in the two groups before, immediately after the intervention, and after completion of the procedure using physiological (Heart rate by pulse oximeter) and subjective(FIS and RMS scale) measures.
3. To compare the anxiety levels using the Facial image scale (FIS) and RMS scale.
**Methodology:**
52 Children aged 6-11 years attending the Department of Paediatric and Preventive Dentistry who are indicated for restorative procedures will be divided into two groups(26 per each group) by simple random sampling. Before including them in the trial, informed and written consent was taken from the child’s parents or guardians.
Group I: "Roogies" mobile dental app
Group II: Conventional Tell-Show-Do technique
The Roogies app is a technological behaviour guidance tool, and it was created taking into account cognitive-behavioural principles.
Roogies application demonstrates the procedures such as Atraumatic restorative treatment, conventional dental filling, and placement of crowns of each treatment step in the form of video.
For the tell-show-do technique, in the "tell" part, there is a verbal explanation for the dental procedure appropriate to the child’s developmental level. In the "show" aspect, demonstration of various instruments was provided to the child in a friendly style to build their confidence and lastly, in the "do" part, the dentist performed the desired procedure precisely as explained to the child.
As explained during the intervention, dental restorative procedures will be performed on all the participants.
The anxiety levels will be recorded before, immediately after intervention and after completion of the procedure using physiological (pulse oximeter) and subjective (FIS and RMS scale).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 52
- 1.Children without any prior experience with the dental treatment procedures.
- 2.Children who comes under frankl behavior rating 2 and 3.
- 1.Children with any systemic disorders or special health care needs.
- 2.Children or parents who refused to participate in the study.
- 3.Children who complain of pain.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method which is a physiological representation of anxiety 1. Before intervention-Baseline(Roogies dental app/Tell-Show-Do) | 2. After 5 minutes of intervention(Roogies dental app/Tell-Show-Do) | 3. After the dental procedure (30 minutes) or fear 1. Before intervention-Baseline(Roogies dental app/Tell-Show-Do) | 2. After 5 minutes of intervention(Roogies dental app/Tell-Show-Do) | 3. After the dental procedure (30 minutes) Heart rate will be measured using pulse oximeter, 1. Before intervention-Baseline(Roogies dental app/Tell-Show-Do) | 2. After 5 minutes of intervention(Roogies dental app/Tell-Show-Do) | 3. After the dental procedure (30 minutes)
- Secondary Outcome Measures
Name Time Method Facial Image Scale(FIS) and RMS scale will be used to measure anxiety, which is a subjective measure 1. Before intervention-Baseline(Roogies dental app/Tell-Show-Do)
Trial Locations
- Locations (1)
Narayana Dental College and Hospital
🇮🇳Nellore, ANDHRA PRADESH, India
Narayana Dental College and Hospital🇮🇳Nellore, ANDHRA PRADESH, IndiaRusheeka KakePrincipal investigator8919057717rusheeka67@gmail.com