Effectiveness of Mobile Applications During the Administration of Local Anesthesia in Pediatric Dentistry

NCT ID: NCT04731181

Last Updated: 2024-02-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2023-05-01

Brief Summary

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To evaluate the mobile games' effect on patient acceptance of local anesthesia and decreasing dental pain and anxiety levels in pediatric patients.

Detailed Description

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a randomized clinical trial with parallel-group and allocation ratio (1:1). intervention group: mobile application (little lovely dentist) control group: Tell-Show-Do technique. in children aged 4-6 years who need local anesthesia for dental treatment during their first dental visit.

For both groups:

Verbal assent from participating patients and written consent from their legal guardians will be taken.

1. Taking personal data, medical and dental history.
2. Diagnosis and determination of the required treatment.
3. Measuring preoperative anxiety using a pulse oximeter.
4. Evaluate preoperative anxiety using RMS-pictorial scale.
5. Using the behavior guidance technique:

Intervention group: Allow the child to play the module simulating the required procedure. Control group: tell-show-do technique is used to explain the procedure to the child
6. Administration of local anesthesia and evaluation of child behaviour during the administration of local anaesthesia using Venham's behaviour rating scale and Frankl behaviour rating scale .
7. Measuring postoperative anxiety using the pulse oximeter.
8. Evaluate postoperative anxiety using RMS-pictorial scale.
9. Evaluate postoperative pain using the visual analog scale.

in second visit (after 1 week)

1\) Evaluation of child behavior during the second dental visit using Venham's behavior rating scale and Frankl behavior rating scale. outcome:

1. ry: Pre and postoperative anxiety using Pulse oximeter and RMS-pictorial scale.
2. ry: Postoperative pain using Visual analog scale, evaluation of attitude during the administration of local anaesthesia at first and second dental visits using -Venham's behavior rating scale-Frankl behavior rating scale. the study will be held in 2 visits.

Conditions

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Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

parallel-group and allocation ratio (1:1) Intervention: mobile application (little lovely dentist). Control: Tell-Show-Do technique.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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mobile application (little lovely dentist).

intervention mobile application simulating the dental procedure that will be done to the child

Group Type EXPERIMENTAL

mobile application (little lovely dentist).

Intervention Type BEHAVIORAL

mobile application

Tell-Show-Do technique.

control behavior technique where ''tell'' is to tell the child about the procedure in non-threatening words, ''show'' is to demonstrate the procedure to the child, and ''do'' is the execution of the procedure

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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mobile application (little lovely dentist).

mobile application

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Children aged 4-6 years.
* Children without any systemic or mental disorders.
* Children without any prior experience with the dental environment or treatment procedures (first dental visit).
* Children whose behavior could be rated as positive or negative based on the Frankl behavior rating scale.

Exclusion Criteria

* Children seeking dental treatment that does not necessitate local anesthesia.
* Children suffering from any systemic or mental disorders.
* Children who are not willing to participate in the study
Minimum Eligible Age

4 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Marian Mamdouh Sedky Reda

Principle investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Passant Nagi, PHD

Role: STUDY_DIRECTOR

Cairo University

Locations

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Faculty of Dentistry - Cairo University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Steimer T. The biology of fear- and anxiety-related behaviors. Dialogues Clin Neurosci. 2002 Sep;4(3):231-49. doi: 10.31887/DCNS.2002.4.3/tsteimer.

Reference Type RESULT
PMID: 22033741 (View on PubMed)

Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Binandeh ES. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent Res J (Isfahan). 2015 May-Jun;12(3):248-53.

Reference Type RESULT
PMID: 26005465 (View on PubMed)

Shim YS, Kim AH, Jeon EY, An SY. Dental fear & anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med. 2015 Jun;15(2):53-61. doi: 10.17245/jdapm.2015.15.2.53. Epub 2015 Jun 30.

Reference Type RESULT
PMID: 28879259 (View on PubMed)

Ghanei M, Arnrup K, Robertson A. Procedural pain in routine dental care for children: a part of the Swedish BITA study. Eur Arch Paediatr Dent. 2018 Oct;19(5):365-372. doi: 10.1007/s40368-018-0368-2. Epub 2018 Sep 7.

Reference Type RESULT
PMID: 30194611 (View on PubMed)

Shetty RM, Khandelwal M, Rath S. RMS Pictorial Scale (RMS-PS): an innovative scale for the assessment of child's dental anxiety. J Indian Soc Pedod Prev Dent. 2015 Jan-Mar;33(1):48-52. doi: 10.4103/0970-4388.149006.

Reference Type RESULT
PMID: 25572374 (View on PubMed)

Monteiro J, Tanday A, Ashley PF, Parekh S, Alamri H. Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment. Cochrane Database Syst Rev. 2020 Feb 27;2(2):CD011024. doi: 10.1002/14651858.CD011024.pub2.

Reference Type RESULT
PMID: 32104910 (View on PubMed)

Saxena P, Gupta SK, Newaskar V, Chandra A. Advances in dental local anesthesia techniques and devices: An update. Natl J Maxillofac Surg. 2013 Jan;4(1):19-24. doi: 10.4103/0975-5950.117873.

Reference Type RESULT
PMID: 24163548 (View on PubMed)

Behavior Guidance for the Pediatric Dental Patient. Pediatr Dent. 2017 Sep 15;39(6):246-259. No abstract available.

Reference Type RESULT
PMID: 29179365 (View on PubMed)

Radhakrishna S, Srinivasan I, Setty JV, D R MK, Melwani A, Hegde KM. Comparison of three behavior modification techniques for management of anxious children aged 4-8 years. J Dent Anesth Pain Med. 2019 Feb;19(1):29-36. doi: 10.17245/jdapm.2019.19.1.29. Epub 2019 Feb 28.

Reference Type RESULT
PMID: 30859131 (View on PubMed)

Other Identifiers

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mobile app in dentistry

Identifier Type: -

Identifier Source: org_study_id

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