Evaluation of Different Modelling Techniques on Child Anxiety (RCT)

Evaluation of Live Modelling and Filmed Modelling Techniques Versus no Modelling on Child Anxiety During Dental Treatment: A Randomized Clinical Trial

A huge number of children suffer from anxiety during their dental treatment especially those who did not receive any type of behavior management during their first dental visit. This will result in a more complicated treatment sessions for the children, dentist and the parents. Fear and anxiety control is the key to change the resistant nature of the anxious patients and also allow them to receive the proper treatment they require. From the point of view that there is no difference between the techniques effectiveness, evaluation of two modelling techniques (live modelling and filmed modelling versus no modelling) for children anxious behavior management during the dental treatment will be performed.

Study Overview

• Status: Unknown
• Conditions: Anxiety
• Intervention / Treatment: Behavioral: Live Modelling Technique; Behavioral: Filmed Modelling technique

Detailed Description

i. Diagnosis:

1. History taking [personal, medical and dental].
2. Clinical examination using mirror and probe.
3. Radiographic examination to make sure that the caries is simple.
4. Preoperative photograph is taken.

ii. Interventions to each group

1. Group A: Live modelling technique

   1. In the 1st dental visit the operator will start by measuring the behavior of the child by Frankl behavior rating scale.
   2. A cooperative patient will be the model for the child.
   3. In the 2nd dental visit the pulse oximetry device will be installed on the child's finger and another form of Frankl behavior rating scale is filled.
   4. The treatment is performed as follows:

   i. Place topical anesthesia. ii. Place anesthetic injection. iii. Cavity preparation. iv. Filling material placement. v. Finishing of the filling. e. The child will be asked to complete a facial image scale

2. Group B: video modelling technique (1) In the 1st dental visit the operator will start by measuring the behavior of the child by Frankl behavior rating scale.

   1. A recorded film will be shown to the child.
   2. In the 2nd dental visit the pulse oximetry device will be installed on the child's finger and another form of Frankl behavior rating scale is filled.
   3. The treatment is performed as follows:

   i. Place topical anesthesia. ii. Place anesthetic injection. iii. Cavity preparation. iv. Filling material placement. v. Finishing of the filling. d. The child will be asked to complete a facial image scale.

3. Group C: No modelling

   1. In the 1st dental visit the operator will start by measuring the behavior of the child by Frankl behavior rating scale.
   2. In the 2nd dental visit the pulse oximetry device will be installed on the child's finger and another form to Frankl behavior rating scale.
   3. The treatment is performed as follows:

   i. Place topical anesthesia. ii. Place anesthetic injection. iii. Cavity preparation. iv. Filling material places. v. Finishing of the filling. d. The child will be asked to complete a facial image scale.

• Study Type: Interventional
• Enrollment (Anticipated): 51
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • Recruiting
    • Cairo University
    • Contact: Mariam S. Yassin, Master; Phone Number: 01112622228; Email: dr.mariamsala7@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 6 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. English articles
2. In vivo study (RCT)
3. Medically free children
4. Age group 5-6 years old

Exclusion Criteria:

1. Medically compromised children
2. Adult patients

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Group A; Live Modelling	Behavioral: Live Modelling Technique; Direct observation is the term used to describe both the filmed and live modelling technique. These techniques depend on familiarizing the patient with the dental environment and allowing the patient to ask the questions he/she wants to ask. The patients are shown a film or are permitted to directly observe a cooperative patient undergoing dental treatment. These techniques have no contra indications they simply may be used with any patient.
Active Comparator: Group B; Filmed Modelling	Behavioral: Filmed Modelling technique; Direct observation is the term used to describe both the filmed and live modelling technique. These techniques depend on familiarizing the patient with the dental environment and allowing the patient to ask the questions he/she wants to ask. The patients are shown a film or are permitted to directly observe a cooperative patient undergoing dental treatment. These techniques have no contra indications they simply may be used with any patient.
No Intervention: Group C; No Modelling

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Dental Anxiety [using Facial Image Scale]	after finishing the procedures in the 2nd dental visit [ after two weeks of allocation]

Secondary Outcome Measures

Outcome Measure	Time Frame
Oxygen Saturation [using Pulse oximetry]	Readings are taken in the 2nd dental visit [after two weeks from allocation]
Heart Rate [using Pulse oximetry]	Readings are taken in the 2nd dental visit [after two weeks from allocation]
Patient Cooperation [usind Frankl rating scale]	This is perfomred in the allocation visit , in the 1st dental visit [ after a week from allocation], in the 2nd visit [ after two weeks from allocation]

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Fatma A El Shehaby, Prof, Cairo University; Study Chair: Soad Abd El Moniem, Ass. prof, Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): December 15, 2017
• Primary Completion (Anticipated): March 1, 2019
• Study Completion (Anticipated): September 1, 2019

Study Registration Dates

• First Submitted: May 16, 2017
• First Submitted That Met QC Criteria: May 17, 2017
• First Posted (Actual): May 19, 2017

Study Record Updates

• Last Update Posted (Actual): January 25, 2018
• Last Update Submitted That Met QC Criteria: January 23, 2018
• Last Verified: January 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Anxiety Disorders
• Other Study ID Numbers: Protocol Paper

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No