Effectiveness of Visual and Sensory Distraction Tools on Anxiety and Behavior Management in Pediatric Dental Patient
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Anxiety levels
研究概览
简要总结
The goal of this clinical trial is to evaluate the effectiveness of visual and sensory distraction prior to inferior alveolar nerve block administration in healthy children of both genders, aged 4-6 years.
The main questions it aims to answer are:
- How effective are different visual and sensory distraction techniques in reducing pain and anxiety during inferior alveolar nerve block procedures in young children?
- Which type of distraction technique (visual or sensory) is the most effective? This study will compare children receiving visual and sensory distraction with those receiving no distraction to assess differences in pain perception and anxiety levels during the procedure.
Participants will:
- Undergo a standardized inferior alveolar nerve block procedure.
- Be randomly assigned to one of the following groups: visual distraction, sensory distraction, or control (no distraction).
- Complete simple self-reported pain and anxiety assessments appropriate for their age (such as the Wong-Baker FACES Pain Rating Scale).
- Be evaluated using additional objective measures, including the FLACC scale and heart rate monitoring.
详细描述
Dental anxiety is considered one of the most common challenges in pediatric dentistry, as it directly affects - and may limit - a child's cooperation during treatment.
Distraction techniques work by diverting the child's attention away from painful or difficult therapeutic procedures and are considered highly important in managing children's behavior within the dental clinic.
Various visual and/or auditory distraction methods can be employed by the dental team when working with pediatric patients. Distraction techniques may be either active (such as allowing the child to play electronic games) or passive (such as listening to music or watching animated movies).
These techniques are considered a valuable alternative to pharmacological preparation for completing dental treatments in children, and many pediatric dentists have adopted them as an effective strategy for managing dental anxiety in young patients.
Despite the availability of numerous behavioral management techniques for addressing dental anxiety, the effectiveness of different distraction methods - whether visual, sensory, or a combination of both - still requires further investigation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 4 Years 至 6 Years(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •no previous dental experience.
- •definitely positive or positive ratings of Frank scale.
- •Need of IAN block for any dental treatment.
排除标准
- •previous dental experience
- •systematic or mental disorders.
- •definitely negative or negative ratings of Frankel scale
- •Any contraindication for regional anesthesia
研究组 & 干预措施
Tell-Show-Do Technique
Evaluation of Tell-Show-Do Technique in the management of anxious pediatric patients during inferior alveolar nerve.
干预措施: Tell-Show-Do (Behavioral)
Visual distraction using magic tricks
Evaluation of Visual distraction using magic tricks in the management of anxious pediatric patients during inferior alveolar nerve.
干预措施: Visual distraction (Behavioral)
Sensory distraction using sensory toys
Evaluation of Sensory distraction using sensory toys in the management of anxious pediatric patients during inferior alveolar nerve.
干预措施: Sensory distraction (Behavioral)
Combining visual distraction using magic tricks with sensory distraction using sensory toys
Evaluation of combining visual distraction using magic tricks with sensory distraction using sensory toys in the management of anxious pediatric patients during inferior alveolar nerve.
干预措施: Visual and sensory distraction (Behavioral)
结局指标
主要结局
Anxiety levels
时间窗: 1 minute during inferior alveolar nerve block administration
This will be evaluated using the Face-Legs-Activity-Cry-Consolability (FLACC) scale (0 low anxiety and pain level - 10 high anxiety and pain level).
Pain levels
时间窗: 5 minutes following the inferior alveolar nerve block injection.
Pain levels will be measured by using a self-reported simplified Wong-Baker faces pain scale: 0 no Hurt - 1 Hurts little Bit - 2 Hurts little More - 3 Hurts Even More - 4 Hurts Whole Lot - 5 Hurts Worst
次要结局
- Pulse rate((1) five minutes after the patient is seated comfortably on the dental chair, (2) five minutes following the injection of the anesthetic drug)
