Effectiveness of Auricular Acupuncture in Reducing Dental Anxiety and Pain Perception During Orthodontic Extractions Among Adolescents - A Crossover Double-Blinded Randomised Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dental Anxiety
- Sponsor
- The University of Hong Kong
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Dental fear
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
This prospective, randomised, double-blinded cross-over study aims to compare the effectiveness of auricular acupuncture (AA) with placebo sham acupuncture (PSA) in reducing dental anxiety, pain perception and physiological responses to stress and anxiety among adolescents during orthodontic extractions.
Adolescents aged between 10-19 years old who are undergoing orthodontic treatments requiring bilateral premolar extractions will be invited to complete a validated questionnaire to record their dental anxiety level, oral health knowledge, attitudes, practices, demographic and socio-economic factors. During orthodontic extractions, physiological responses including heart rate and oxygen saturation will be measured with a fingertip pulse oximeter throughout the process.
The participants will be allocated randomly to one of the two groups in the study.
Group 1-- auricular acupuncture in their first orthodontic extraction visit and placebo sham acupuncture in their second orthodontic extraction visit.
Group 2-placebo sham acupuncture in their first orthodontic extraction visit and auricular acupuncture their second orthodontic extraction visit.
Both acupuncture interventions will be carried out by a Hong Kong registered Chinese medical practitioner. The acupuncture needles are kept in place for 20 minutes to exert its effect before the dental extraction. Placebo sham acupuncture will not cause any harm, but the acupuncture points have no reported effect on stress relief.
The extraction of premolars will be performed by a Hong Kong registered dentist. Local anesthesia is injected to numb the respective site, then the premolar will be removed with forceps, followed by stopping the bleeding by biting firmly on gauze.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Undergoing orthodontic treatment and require bilateral extraction of premolars.
- •Have parental consent signed by their parent or guardian.
- •Medically fit with either ASA I or II status
- •Have not taken any medications, especially anxiolytics and antidepressants
- •The premolars to be extracted should be fully erupted and without any signs of ankylosis.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Dental fear
Time Frame: Baseline, immediately after the intervention. immediately after the surgery
Self-reported dental fear measured by Spielberger State Trait Anxiety Inventory score, Scores range from 20 to 80, with higher scores correlating with greater anxiety
Secondary Outcomes
- Psychological changes(Baseline, perioperatively, immediately after the surgery)
- Pain perceived(Immediately after the intervention. immediately after the surgery)