Therapeutic Play and Music Therapy in Dental Anxiety

NCT ID: NCT07112092

Last Updated: 2025-08-08

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

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2025-05-25

Brief Summary

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This study aims to evaluate the effects of therapeutic play and music therapy on dental anxiety and pain levels in pediatric patients undergoing tooth extraction.

Detailed Description

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A total of 126 children aged 6-8 years who required maxillary molar extraction were randomly assigned to three groups (n=42): a control group (Tell-Show-Do), a music therapy group, and a therapeutic play group. Vital signs, including heart rate, blood pressure, oxygen saturation, and body temperature, were recorded. The Modified Child Dental Anxiety Scale - faces version (MCDASf) and the Facial Image Scale (FIS) were used to assess anxiety levels before and after the extraction. Following the extraction, the Wong-Baker Faces Pain Rating Scale (WBFPRS) was used to evaluate pain levels.

Conditions

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Anxiety Behavior Management Music Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group 1: (n=42) control (Tell-Show-Do) group

The treatment procedure and the exact steps were explained to the child verbally, after which all the tools and equipment required for the treatment were shown to the child before the extraction was performed.

Group Type ACTIVE_COMPARATOR

Tell-Show-Do

Intervention Type BEHAVIORAL

Standard behavioral management technique where the dental procedure is explained to the child, demonstrated, and then performed.

Group 2: (n=42) tell-show-do with music therapy application group

The planned tooth extraction had been explained to the children using the Tell-Show-Do (TSD) technique, and each child had been asked to select a preferred song. During the procedure, the selected songs were played on a screen mounted in the dental unit. The duration of the therapy had been standardized to 10 minutes in order to relax the children's physiological and psychological state.

Group Type EXPERIMENTAL

Music Therapy

Intervention Type BEHAVIORAL

Participants listen to calming music during the dental extraction procedure to reduce anxiety and pain perception.

Group 3: (n=42) tell-show-do with therapeutic play therapy application group

For the TSD and therapeutic play therapy groups, a play therapy-certified researcher demonstrated the procedure on a model using a plush Pink Panther toy (Youya Dental Supply Store, China) and a toy dentist set (Heroes Toys, Turkey). Children were allotted 10 minutes to roleplay the procedure, interact with the toys to facilitate emotional expression related to the procedure, and ask any questions.

Group Type EXPERIMENTAL

Therapeutic Play Therapy

Intervention Type BEHAVIORAL

Use of structured play activities designed to reduce dental anxiety and improve cooperation during tooth extraction.

Interventions

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Tell-Show-Do

Standard behavioral management technique where the dental procedure is explained to the child, demonstrated, and then performed.

Intervention Type BEHAVIORAL

Music Therapy

Participants listen to calming music during the dental extraction procedure to reduce anxiety and pain perception.

Intervention Type BEHAVIORAL

Therapeutic Play Therapy

Use of structured play activities designed to reduce dental anxiety and improve cooperation during tooth extraction.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Aged 6-8 years
* Scored 3 (positive) or 4 (definitely positive) on the Frankl Behavior Scale
* Systemically healthy
* Had no hearing impairments or allergies
* Had an indication for extraction of any primary maxillary molars (54, 55, 64, 65)
* Whose parents provided informed consent for participation

Exclusion Criteria

* Had systemic diseases or allergies
* Scored 1 (definitely negative) or 2 (negative) on the Frankl Behavior Scale
* Were undergoing psychological or psychiatric treatment
* Had physical or mental disabilities
Minimum Eligible Age

6 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Recep Tayyip Erdogan University Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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DİLARA NİL GÜNAÇAR

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Recep Tayyip Erdoğan University Faculty of Dentistry

Rize, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2024/279

Identifier Type: -

Identifier Source: org_study_id

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