Effectiveness of simulated breathing musical soft toy in alleviating dental anxiety during restorative procedures in 4-8-year old children: a randomized clinical trial

This randomized clinical trial is aimed at assessing the efficacy of a simulated breathing musical soft toy in reducing dental anxiety in children aged 4 to 8 years during restorative dental procedures. Participants will be randomly assigned to either an intervention group, in which the child uses a simulated-breathing musical soft toy during treatment, and a control group, in which the child receives only standard behavior management. Dental anxiety will be measured with validated behavioral measures and physiological markers such as heart rate. The study aims to examine if this convenient, non-pharmacological distraction strategy will increase cooperation and reduce anxiety in dental patients.