The Effect of Cartoon and Music Applications on Dental Pain

NCT ID: NCT07336719

Last Updated: 2026-01-13

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-15

Study Completion Date

2025-12-15

Brief Summary

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This study investigated the effect of showing cartoons or playing music during the procedure on the physiological parameters of pain and fear experienced by children aged 6-12 undergoing tooth extraction treatment.

Detailed Description

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Pediatric patients are frequently exposed to medical procedures that can cause pain and anxiety. While pharmacological interventions may be used, distraction is a simple and effective technique that diverts children's attention away from distressing stimuli. Distraction is a non-pharmacological pain management technique widely used by healthcare professionals during procedures to reduce pain and distress. It is based on the assumption that by shifting the child's attention to something interesting, their ability to pay attention to painful stimuli is inhibited, thereby reducing pain, distress, and anxiety. However, there are no published studies examining the effect of watching cartoons, listening to music, and the tell-show-do approach during tooth extraction on the physiological parameters, pain, and anxiety of children aged 6-12 years.

Conditions

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Pain Management Dental Anxiety Distraction Dental Extraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The G\*Power 3.1.9.2 program was used to calculate the sample size for the study. The G\*Power 3.1.9.6 program was used for the prior sample size calculation. Anticipating potential losses, the sample size was increased by approximately 20%, and the study was planned to be conducted with 20 children in each group.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Experimantal Group: Cartoon Group

In this group of 20 children, cartoons were shown during the tooth extraction procedure. Before the procedure began, the child's vital signs (heart rate and blood oxygen level), pain level, and fear level were measured. The child watched their chosen cartoon during the procedure. Vital signs and pain level were measured again during the procedure. One minute after the procedure was completed, the child's vital signs, pain level, and fear level were measured again.

Group Type EXPERIMENTAL

Cartoon viewing app

Intervention Type OTHER

Before starting the study, a compilation of children's favorite cartoons specific to their age group was prepared. Based on randomization, children in this group were asked before the procedure which cartoon they would like to watch. During the procedure, a tablet was placed in a position where the child could easily see it. The cartoon started being shown one minute before the procedure. Uninterrupted viewing was ensured throughout the procedure.

Experimantal Group: Music Group

In this group of 20 children, music was played during the tooth extraction procedure. Before the procedure began, the child's vital signs (heart rate and blood oxygen level), pain level, and fear level were measured. The music chosen by the child was played during the procedure. Vital signs and pain level were measured again during the procedure, and again 1 minute after the procedure was completed.

Group Type EXPERIMENTAL

Music intervention

Intervention Type OTHER

Before starting the study, a list of children's favorite music specific to their age group was compiled. Children in this group were randomly assigned to listen to which music from this list before the procedure. Wireless headphones were placed on the child before the procedure. Music began playing one minute prior to the procedure. The child was allowed to listen to music continuously throughout the procedure.

Control Group

The control group consisted of 20 children who underwent the routine procedure. One minute before the procedure, the child's vital signs (heart rate and blood oxygen level), pain level, and fear level were measured. Vital signs and pain level were measured again during the procedure. One minute after the procedure was completed, the child's vital signs, pain level, and fear level were measured again.

Group Type OTHER

control group

Intervention Type OTHER

No interventions were performed on the children in this group outside of routine practice.

Interventions

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Cartoon viewing app

Before starting the study, a compilation of children's favorite cartoons specific to their age group was prepared. Based on randomization, children in this group were asked before the procedure which cartoon they would like to watch. During the procedure, a tablet was placed in a position where the child could easily see it. The cartoon started being shown one minute before the procedure. Uninterrupted viewing was ensured throughout the procedure.

Intervention Type OTHER

Music intervention

Before starting the study, a list of children's favorite music specific to their age group was compiled. Children in this group were randomly assigned to listen to which music from this list before the procedure. Wireless headphones were placed on the child before the procedure. Music began playing one minute prior to the procedure. The child was allowed to listen to music continuously throughout the procedure.

Intervention Type OTHER

control group

No interventions were performed on the children in this group outside of routine practice.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Be between 6 and 12 years of age,
* Have no systemic, neurological, or chronic diseases,
* Agree to sit in the patient chair (according to the Frankl scale: 2, 3, or 4),
* Have no mental or neurological problems,
* Understand and speak Turkish,
* Have an indication for tooth extraction
* Willingness to participate in the study,
* No visual or auditory impairments

Exclusion Criteria

* Being a foreign national,
* Not wanting to participate in the study,
* Not agreeing to sit in the patient chair (1 on the Frankl scale)
Minimum Eligible Age

6 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Selcuk University

OTHER

Sponsor Role lead

Responsible Party

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Sibel Küçükoğlu

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sibel Kucukoglu

Role: STUDY_DIRECTOR

Selcuk University

Locations

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Selcuk University

Konya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Koller D, Goldman RD. Distraction techniques for children undergoing procedures: a critical review of pediatric research. J Pediatr Nurs. 2012 Dec;27(6):652-81. doi: 10.1016/j.pedn.2011.08.001. Epub 2011 Oct 13.

Reference Type RESULT
PMID: 21925588 (View on PubMed)

Other Identifiers

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02-SU.01-2026SA/2025

Identifier Type: -

Identifier Source: org_study_id

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