Dental anxiety assessment in children for different dental restorative procedures.

Not yet recruiting

Conditions: Dental Caries

Registration Number: CTRI/2022/02/040548

Lead Sponsor: Dr Yuthi Milit

Brief Summary: Dental treatments are well known to trigger anxiety and fear in children and this not only impacts the quality of treatment but also the attitude of a child towards the dentists and dental care.Although many studies are available on evaluation of overall anxiety levels in patients towards dentistry, not many regarding on different dental treatments and their effects. There are different approaches towards dental ailments involving various techniques for the treatment of dental problems, few of them being less invasive and intimidating than others. Aerosol techniques involving rotary instruments such as in cases of pulpectomy, conventional restorations or placement of stainless-steel crown are said to be more frightening to children than treatments involving non aerosol techniques such as Atraumatic restorative treatments or HALL technique for stainless steel crown. Thus, other than injections or syringes,dental drill are said to make children more uncomfortable.

So, the overall effect of dental fear and anxiety is multifaceted, such that the children want to avoid their dental appointments ultimately leading to worse oral health which is non restorable sometimes.

It is a scientifically proven fact that anxiety brings about many physiological changes in body such as increased respiratory rate, increased perspiration, blood pressure, heart rate and pulse rate.All these signs are due to the release of stress hormones in the blood such as cortisol, adrenaline, and nor-epinephrine.

Thus, in our study we will be assessing anxiety by measuring blood pressure & pulse rate, self-reported state of anxiety by child friendly animated emoji scaleand also physical and behavioral assessment by the operator using FLACC scale which will help us to use more child friendly techniques for restoring oral health in children.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 400

Inclusion Criteria

1.The sample will comprise of children visiting the dental clinic for the first time and aged between 5-13 years who require dental procedures either aerosol techniques including Stainless Steel Crown placement or restorative procedures or non-aerosol techniques including hall technique and Atraumatic restorative treatment.
2.Patients who are willing to participate in the study.

Exclusion Criteria

1.Patients with a history of systemic disease, hospitalization or surgery and those with chronic illness.
2.Patients who have a history of diagnosed neuro-behavioral disorders such as autism, attention deficit hyperactivity disorder, congenital syndromes and intellectual disability.
Patients in need of emergency treatment such as trauma patients complaining of fracture or swelling etc.
4.Patients who are not willing to participate in the study.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Determination and comparison of anxiety level between different dental treatment procedures.	During the first dental treatment visit anxiety level assessment will be done \| 1. Prior to initiating the treatment \| 2. During the treatment procedure \| 3. After the treatment is complete

Secondary Outcome Measures

Name	Time	Method
To defer or adapt more appropriate dental procedures which are more child friendly so that it helps us to provide comfortable dental experience for the children and also to instill positive attitude towards dentistry.	On successive dental treatment visits

Trial Locations

Locations (1): M R Ambedkar Dental College and Hospital
🇮🇳
Bangalore, KARNATAKA, India
M R Ambedkar Dental College and Hospital
🇮🇳Bangalore, KARNATAKA, India
Dr Yuthi Milit
Principal investigator
8759901671
yuthi.milit@gmail.com