Story telling and tell play do in reducing dental anxiety

Not yet recruiting

Conditions: Dental caries, unspecified,

Registration Number: CTRI/2022/12/048384

Lead Sponsor: Kakollu Harsha Veena

Brief Summary: Introduction:

Child dental anxiety has been a matter of concern for many years. A pediatric dentistâ€™s role in guiding a child with dental anxiety to cooperativeness is two-fold: primarily, treating the childâ€™s chief complaint and secondarily, to instill a positive attitude with effective management of fear and anxiety.

Every pediatric dentist has variety of techniques in managing patient such as tell-show-do, relaxation, distraction, systemic desensitization, modelling. Additionally, a number of communication-aided approaches, like applied behavioural analyses, visual pedagogies, pictorial or iconic images and audio-visual aids, have been proposed to aid behavioural changes among people.

Story telling helps children what they can expect to see, hear, and do at the dental clinic. It can also lead to establishing a sense of bond, trust and comfort, between story teller and audience. It is an important method of conveying what the dentists want to tell the children in ways they can understand. Also imparting knowledge is an important factor that will make the children less anxious, increases childrenâ€™s confidence, cooperation and familiarity on the treatment, thus decreasing stress and fear of dental visits, and maintains their psychological health.

The Tell-Show-Do technique is based on the principles of learning theory. Playing with a dental imitation toy and using euphemisms instead of demonstrating on a model or observing one, provides a better explanatory concept of the dental procedure.Thus Tell-Show-Do technique was modified into the tell play do, using the concept of learning by doing, in reducing childrenâ€™s fear and anxiety towards dental treatment and promoting adaptive behavior.

Aim:

To evaluate the impact of story telling in reducing dental anxiety among 4-8 year old children.

Objectives:

1. 1) To evaluate anxiety levels in story telling and tell play do groups before and after intervention and immediately after the dental procedure using physiological (pulse rate) and subjective measures (RMS-PS).

2. 2)To compare anxiety levels in story telling and tell play do groups before and after intervention and immediately after the dental procedure using physiological (pulse rate) and subjective measures (RMS-PS).

Methodology:

This study will be carried out in a sample of 30 children attending the Department of Pediatric and Preventive Dentistry, Narayana Dental College and Hospital, Nellore. Healthy children between the age group of 4-8 years and meeting the inclusion criteria will be divided into two groups (15 in each) by simple random sampling. Group 1: Story telling and Group 2: Tell play do. In both the groups, physiological measures (pulse rate) by pulse-oximeter and subjective measures by RMS pictorial scale will be recorded prior to the intervention. Child will be asked to select the image from RMS pictorial scale that he/she could closely associate with that moment. Following which the child will receive the particular intervention i.e., Story telling/Tell play do. After the intervention, the physiological measures (pulse rate) by pulse-oximeter and subjective measures by RMS pictorial scale will be recorded. This will be followed with the needed treatment to the child i.e., preventive resin restorations/pit and fissure sealants/composites. Both Physiological as well as subjective measures will be noted again immediately after the completion of the treatment.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 30

Inclusion Criteria

1.Children aged between 4 -8 years.
2.Children without any past dental experience.
3.Children who will be scored 2 and 3 under Frankl behavior rating.
4.Children requiring preventive resin restorations/pit and fissure sealants/composites.

Exclusion Criteria

1.If operator uses any other behavior modification techniques.
2.Children or their parents who are unwilling to participate in the study.
3.Children with any systemic disorders or special health care needs.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Reduction of dental anxiety using physiological measure (pulse rate)	Before the intervention (baseline), after the intervention, immediately after the dental procedure on the same day

Secondary Outcome Measures

Name	Time	Method
Reduction of dental anxiety using subjective measure (RMS-PS)	Before the intervention (baseline), after the intervention, immediately after the dental procedure on the same day

Trial Locations

Locations (1): Narayana Dental College and Hospital
🇮🇳
Nellore, ANDHRA PRADESH, India
Narayana Dental College and Hospital
🇮🇳Nellore, ANDHRA PRADESH, India
Kakollu Harsha Veena
Principal investigator
8185069336
harshaveena13@gmail.com