Effectiveness Of Magic Tricks Distraction Technique

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

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2025-03-01

Brief Summary

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Dental anxiety among children is a significant challenge in pediatric dentistry, often hindering effective dental care. This clinical study aims to evaluate the effectiveness of two magic tricks distraction techniques (magic rope and magic thumb sleeves) in reducing dental anxiety among children aged 3-7 years during local anesthesia administration, in comparison to the conventional Tell-Show-Do (TSD) technique. Anxiety will be measured using the Raghavendra, Madhuri, and Sujata Pictorial Scale (RMS-PS) and pulse oximeter for heart rate assessment

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Detailed Description

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Dental anxiety in children poses a persistent challenge in pediatric dental practice, often leading to behavioral management difficulties, compromised treatment outcomes, and long-term avoidance of dental care. One of the most anxiety-inducing procedures for young patients is the administration of local anesthesia (LA), primarily due to fear of needles, unfamiliar instruments, and perceived pain. Traditional behavioral management techniques such as the Tell-Show-Do (TSD) method have been widely used to familiarize children with the dental setting and reduce procedural anxiety. However, the effectiveness of TSD during high-stress interventions like LA injections remains under debate, especially among younger children with limited cognitive development.

In response to the need for more engaging and effective behavior guidance strategies, distraction-based techniques-particularly those involving visual and interactive elements-have gained increasing interest. Among them, thaumaturgy, or the use of magic tricks, has emerged as a novel, non-pharmacological method for anxiety reduction in pediatric patients. Magic-based interventions are believed to captivate the child's attention, stimulate curiosity, and shift focus away from the source of fear, thereby promoting relaxation and behavioral cooperation.

This randomized controlled clinical trial is designed to evaluate the efficacy of two magic trick-based distraction techniques-the magic rope and magic thumb sleeves-in reducing dental anxiety in children aged 3 to 7 years, during the administration of local anesthesia. The intervention groups will be compared to a control group managed with the conventional TSD technique.

To ensure a comprehensive and objective assessment of anxiety, the study will employ a dual-modal evaluation approach:

Subjective measurement using the Raghavendra, Madhuri, and Sujata Pictorial Scale (RMS-PS), which is specifically validated for young children and uses gender-specific real-life facial photographs to help participants express their emotional states accurately.

Objective physiological measurement using pulse oximetry to monitor heart rate (HR) continuously, as HR is a well-established indicator of sympathetic nervous system activation during stress and anxiety.

All procedures will follow standardized protocols, with a dual-operator design: one clinician will administer the behavioral intervention (magic trick or TSD), while a separate clinician, blinded to the intervention group, will perform the LA injection. This design ensures methodological rigor by minimizing operator bias and isolating the effect of the behavioral technique on anxiety.

The outcomes of this study will contribute to the growing body of evidence on non-pharmacological anxiety management strategies in pediatric dentistry and may support the integration of magic-based distraction techniques as effective alternatives or adjuncts to conventional methods such as TSD.

Conditions

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Dental Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to one of three parallel groups:

Magic Rope Trick group

Magic Thumb Sleeves group

Tell-Show-Do (TSD) group Each group will receive a different distraction technique during local anesthesia administration. The interventions will be applied in parallel, and outcomes will be compared between groups.

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

This is an open-label study; neither participants nor investigators are blinded to the intervention assignment.

Study Groups

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Magic Rope Trick

Children will be distracted using a magic rope trick during local anesthesia administration.

Group Type EXPERIMENTAL

Magic Rope Trick

Intervention Type BEHAVIORAL

Children will be distracted using a magic rope trick during local anesthesia administration.

Magic Thumb Sleeves

Children will be distracted using light-up magic thumb sleeves during local anesthesia administration

Group Type EXPERIMENTAL

Magic Thumb Sleeves

Intervention Type BEHAVIORAL

Children will be distracted using light-up magic thumb sleeves during local anesthesia administration

Tell-Show-Do (TSD)

Children will receive the conventional Tell-Show-Do behavior management technique during local anesthesia administration

Group Type EXPERIMENTAL

Tell-Show-Do (TSD)

Intervention Type BEHAVIORAL

Children will receive the conventional Tell-Show-Do behavior management technique during local anesthesia administration

Interventions

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Magic Rope Trick

Children will be distracted using a magic rope trick during local anesthesia administration.

Intervention Type BEHAVIORAL

Magic Thumb Sleeves

Children will be distracted using light-up magic thumb sleeves during local anesthesia administration

Intervention Type BEHAVIORAL

Tell-Show-Do (TSD)

Children will receive the conventional Tell-Show-Do behavior management technique during local anesthesia administration

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Children in the age group of 3 to 7 years old.
* Children without any past dental treatment experience under local anesthesia.

Exclusion Criteria

* Children with a systemic diseases.
* Children with an extreme disruptive behavior.
* Children with acute dental pain or swelling.
* Children with problems in their intellectual functions.

Minimum Eligible Age

3 Years

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes