Evaluation of Bubble-Blower Exercise and Pin-Wheel Exercise on Dental Anxiety in Children: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ain Shams University
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Heart rate to assess child's dental anxiety
Study Overview
Brief Summary
in this study investigator evaluate the effectiveness of breathing exercise using two different play toys in reducing dental anxiety.
Detailed Description
bubble blower and pin wheel are used to facilitate breathing exercise and to reduce dental anxiety hence more cooperation of participants during dental treatment
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 6 Years to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •children that had been introduced to dental setting without receiving any dental treatment
- •According to Corah 's dental anxiety scale children classified with score 19 or more
- •No learning disability or psychological disorder or parental anxiety
Exclusion Criteria
- •children in emergency visit
- •Allergy to anesthetic drugs
- •Use of analgesic before treatment
- •Teeth with necrotic pulp
- •children whose parents refused to sign informed consent
Arms & Interventions
Pin-wheel
breathing exercise technique using Pin-wheel
Intervention: Deep breathing (Behavioral)
Tell- show-Do
Control group
Bubble-blower
breathing exercise technique using bubble-blower
Intervention: Breathing exercise (Behavioral)
Outcomes
Primary Outcomes
Heart rate to assess child's dental anxiety
Time Frame: during dental treatment after local anesthetic injection. Heart rate is measured in beats/min measured twice, first before any dental treatment and measured a second time after 7-10 minutes after injection of local anesthesia
correlating participants anxiety to heart rate the higher the heart rate indicating the higher the anxiety level of patients
Venham picture test used to assess dental anxiety
Time Frame: during dental treatment recorded before any treatment is done and after five minutes of injection of local anesthesia
score 0-8, it is an eight cards photos that are shown to children if child chooses the more anxious child in picture this is recorded as a score, the higher the score the more anxious the participants.
Salivary Alpha amylase
Time Frame: before any dental treatment is done and 7-10 minutes after injection of local anesthesia
collecting saliva sample for assessment of alpha amylase by ELISA test, saliva collected twice before and after injection of local anesthesia and correlating concentration to dental anxiety the higher the concentration of alpha amylase indicates more anxious children
Secondary Outcomes
- Innovation of a new protocol in behavior management prior to painful dental procedure(during dental treatment that will take 15-30 minutes)
Investigators
Passant Mohamed Ibrahim Attia Elbahy
Principal Investigator
Ain Shams University