Clinical trial NCT06122883: Dental Attire Effect on Children's Dental Anxiety
Official title: Official Title Evaluating the Effect of Dentist's Attire on Children's Acceptance of Dental Treatment Including Local Anesthesia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Behavior, Child
Dental Anxiety
Anesthesia, Local
Keywords: Dental attire
Behavior management
Children fear
Lead sponsor: Damascus University
Sponsor class: OTHER
First posted: 2023-11-08
Enrollment: 120
Sex: ALL
Minimum age (years): 6
Maximum age (years): 10
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to evaluate the effect of friendly attire on dental anxiety among children visiting dental office in comparison with conventional attire. All of the children who will be experienced maxillary dental anesthesia with/without distraction will be assessed by using a combination of measures: Wong-Baker faces and the Children's Fear Scale (self-report), heart pulse rate, and behavior (using Anxiety levels using Face - Legs - Activity - Cry - Consolability "FLACC" scale "external evaluator") Acceptance will be measured using a two-point Likert scale.

Detailed description: This study will evaluate the effect of dental attire on children's acceptance of different dental treatments that include dental anesthesia. pain and anxiety will be evaluated during buccal and palatal infiltration using five behavioral scales, Wong-Baker pain scale, Children's Fear Scale and Children's Anxiety Questionnaire (self-report), pulse rate (physiological) and behavior (using FLACC behavior rating scale "external evaluator".

Heart pulse rate measurement will be recorded firstly when the patient is seated comfortably in the reception area, on dental chair prior to the injection, and finally after the procedure is done and the child patients will be asked to choose a face that describe their status from one of both Wong Baker faces scale, Children's Fear Scale and Children's Anxiety Questionnaire.

Body responses of all child patients will be recorded during the whole procedure and then will be evaluated by an external evaluator to determine the children behavioral score according to FLACC scale.

Eligibility criteria: Inclusion Criteria:

1. Age between 6 and 10 years.
2. No previous dental experience.
3. Definitely positive or positive according to Frank scale.
4. Need of maxillary anesthesia for any dental treatment.

Exclusion Criteria:

1. Previous dental experience
2. Systematic or mental disorders.
3. Definitely negative or negative according to Frankel scale

Primary outcomes:
measure: Pain levels
timeFrame: 5 minutes following the dental local anesthesia.
measure: Anxiety levels
timeFrame: 1 minute during the dental local anesthesia.
measure: Anxiety levels
timeFrame: 5 minutes following the meeting with the dentist in the reception area, and 5 minutes after the patient is seated comfortably on the dental chair
measure: Pulse rate
timeFrame: (1) five minutes after the patient is seated comfortably in the reception area, (2) five minutes after the patient is seated comfortably on the dental chair, (3) five minutes following the injection of the anesthetic drug
Secondary outcomes:
Other outcomes:
Locations:
city: Damascus
country: Syrian Arab Republic
facility: Damascus University
Study officials:
affiliation: Damascus University
name: Jamila Bchara, DDs
role: PRINCIPAL_INVESTIGATOR
affiliation: Damascus University
name: Mohannad Laflof, Phd
role: STUDY_DIRECTOR
References:
citation: Kastelic DR, Volpato LE, de Campos Neves AT, Aranha AM, Martins CC. Do Children and Adolescents Prefer Pediatric Attire over White Attire during Dental Appointments? A Meta-analysis of Prevalence Data. Int J Clin Pediatr Dent. 2021 Jan-Feb;14(1):14-29. doi: 10.5005/jp-journals-10005-1861.
citation: Kamavaram Ellore VP, Mohammed M, Taranath M, Ramagoni NK, Kumar V, Gunjalli G. Children and Parent's Attitude and Preferences of Dentist's Attire in Pediatric Dental Practice. Int J Clin Pediatr Dent. 2015 May-Aug;8(2):102-7. doi: 10.5005/jp-journals-10005-1293. Epub 2015 Aug 11.
citation: Festini F, Occhipinti V, Cocco M, Biermann K, Neri S, Giannini C, Galici V, de Martino M, Caprilli S. Use of non-conventional nurses' attire in a paediatric hospital: a quasi-experimental study. J Clin Nurs. 2009 Apr;18(7):1018-26. doi: 10.1111/j.1365-2702.2008.02430.x.
citation: Babaji P, Chauhan PP, Rathod V, Mhatre S, Paul U, Guram G. Evaluation of child preference for dentist attire and usage of camouflage syringe in reduction of anxiety. Eur J Dent. 2017 Oct-Dec;11(4):531-536. doi: 10.4103/ejd.ejd_223_17.
citation: Dionigi A, Sangiorgi D, Flangini R. Clown intervention to reduce preoperative anxiety in children and parents: a randomized controlled trial. J Health Psychol. 2014 Mar;19(3):369-80. doi: 10.1177/1359105312471567. Epub 2013 Jan 29.
citation: Manyande A, Cyna AM, Yip P, Chooi C, Middleton P. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Cochrane Database Syst Rev. 2015 Jul 14;2015(7):CD006447. doi: 10.1002/14651858.CD006447.pub3.