Anxiety reduction with breathing exercises for dental anaesthesia administration

Completed

• Conditions: Patients requiring local anaesthesia for dental procedures; Pulpitis,

• Registration Number: CTRI/2023/01/048689
• Lead Sponsor: Sanika Karmarkar

Brief Summary

Children undergoing dental treatment are usually anxious about receiving local anaesthesia. The sight and feeling of the anesthetic needle have been identified as the most fear-eliciting stimuli. Therefore, behavior guidance is a core aspect of pediatric dental practice.

In order to reduce procedural pain and anxiety, cognitive behavioural techniques like distraction, relaxation strategies and coping mechanisms have been widely studied and used. Another therapy that has been used by psychologists to communicate with and manage child behaviour has been the ‘play therapy’. It involves providing objects or situations in the form of games, and thereby establishing communication and relaxation of the child.

**In this study, a pinwheel and bubble blower will be used as play therapy while teaching the child rhythmic deep breathing as they blow on the pinwheel to rotate it and blow the bubbles. The child will be asked to breathe in the learnt pattern as he/she receives the local anaesthesia.**

**The study intends to find out the relaxation and anxiety reduction brought about by deep breathing while using the play therapy.**



**Methodology:**

Pre operative anxiety measurement will be done with pulse rate reading and score on the Venham’s Picture test before the local anaesthesia is administered.

The children will be allocated to 3 groups using lottery method, namely, Group A (Control; no breathing exercise performed), Group B ( pinwheel exercise performed) and Group C ( bubble blowing exercise performed).

The children belonging to Group B and C will be given demonstrations for the exercises and then asked to perform those till their satisfaction.

Following that, local anesthetic gel will be applied and local  anesthesia will be injected for the concerned treatment and tooth/ teeth.

Post operative anxiety will be checked after the local anaesthesia administration is complete with pulse rate reading and score on Venham’s picture test.

Detailed Description

Not available

Study Timeline

• Study Completion: 2023-02-13
• Last Update Posted: 2023-03-27
• Study Start: 2023-06-01

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Children between the ages of 6 to 12 years Children requiring dental treatment under local anaesthesia.
• No history of allergy to anaesthetic drugs Children with no previous exposure to dental treatment.

Exclusion Criteria

• Children with special healthcare needs.
• Children with medical conditions contraindicating the use of local anesthetics containing adrenaline.
• Children with respiratory disorders Children whose parents don’t consent to the breathing exercise procedure.
• • Soft-tissue infection/inflammation near the area of injection.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Anxiety reduction	baseline, 10 minutes

Trial Locations

Locations (1)

KLE VK Institute of dental sciences; 🇮🇳 Belgaum, KARNATAKA, India

KLE VK Institute of dental sciences

🇮🇳Belgaum, KARNATAKA, India

Sanika Karmarkar

Principal investigator

9920896106

sanikakarmarkar@gmail.com