Smartphone Application in Reducing Dental Anxiety

Study Overview
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Brief Summary
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evaluating the effectiveness of smartphone applications (Tell-Play-Do) (TPD) in reduction of preoperative anxiety in children undergoing restorative treatment, as measured by heart rate and Venham's Picture Test.

Detailed Description
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A total of at least 78 patients aged from 6-8 years will be included. All participants will be divided equally into two groups. Study group TPD using smartphone application and Control group (Tell-Show-Do) (TSD) using traditional behavior management technique. Dental anxiety using Venham's Picture Test and heart rate using pulse oximeter will be assessed during dental treatment

Official Title
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Effectiveness of Smartphone Application in Reducing Anxiety During Pediatric Dental Procedures: a Controlled Clinical Study

Conditions
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Dental Anxiety

Intervention / Treatment
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* Behavioral: Tell-Play-Do
* Behavioral: Tell-Show-Do


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: School-age children aged from 6-8 years. Presence of carious primary molars without pulpal involvement. Parents have the ability to write, read and willingness to participate in the study. First dental visit to the clinic. Normal healthy children. Exclusion Criteria: Children with previous dental experience. Medically compromised children. Children with special needs (physical or mental).

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: smart phone application<br>Behavior modification of patients will be done by showing them smartphone application game. The game demonstrates the use of common dental equipment like mirrors, ultrasonic scalers, handpieces and suction tips, etc. in the form of animated pictures with visual and sound effects. The dentist will play the game to show the child the dental procedure that will be performed on him later. | Behavioral: Tell-Play-Do<br>* Using smart phone application<br>|
| Active Comparator: traditional behavior management technique<br>Using traditional behavior management techniques (Tell-Show-Do) which will be applied prior to local anesthesia administration | Behavioral: Tell-Show-Do<br>* Using traditional behavior management technique<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in dental anxiety scores | The number of times the anxious figure will be chosen a score of one will be assigned and then totaled to give a final score (minimum score - zero; maximum score - eight) for each patient. The final score will be interpreted as follow: 8 (Very high anxiety), Equal to or more than 6 and less than 8 (High anxiety), Equal to or more than 4 and less than 6 (Average), Equal to or more than 2 and less than 4 (Low anxiety), More than 0 and less than 2 (Very low anxiety) and 0 (No anxiety). | Baseline and immediate post operative | 
| Change in heart rate | recorded by using pulse oximeter as a potential secondary measure of anxiety (physiological parameter). | Baseline and immediate post operative |