Comparison of Effect of Nitrous Oxide-Oxygen Conscious Sedation and Cognitive-behavioral Therapy on Children's Anxiety in Dentistry
27. december 2013 opdateret af: Fatemeh Mazhari, Mashhad University of Medical Sciences
Visiting anxious and fearful children is an inevitable prospect of the daily work of every dentist who treats pediatric patients.
Dentists have been using a wide variety of non-pharmacological and some pharmacologic techniques to assist them in the management of children with anxiety.
One strategy which seems promising for pain control in stressful medical situations is teaching the child to use behavioral and cognitive coping skills or a combination of both techniques.
An alternative technique to non-pharmacologic approaches in children being anxious and lacking in cooperative ability is sedative technique such as nitrous oxide conscious sedation.
As there is lack of studies comparing conscious sedation and combinations of cognitive-behavioral strategies in eliminating children's uncooperative behaviors and dental anxiety, the aim of this study was to compare the effectiveness of inhalation sedation with Nitrous Oxide-Oxygen conscious sedation and cognitive-behavioral therapy to reduce dental anxiety in preschool children.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
45
Fase
- Ikke anvendelig
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
3 år til 6 år (Barn)
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Age between3 to 6.5 year of old
- Presence of moderate to severe dental anxiety
- Parents' acceptance to cooperate in sampling process and 2 sessions of dental treatment
- Presence of at least one mandibular primary molar needed pulp treatment
- positive dental history
Exclusion Criteria:
- current episodes of medications or drug therapy
- systemic or congenital disorders
- mental retardation
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: styring
Ingen indgriben
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Eksperimentel: Nitrous Oxide-Oxygen
Children in this group were sedated by rapid induction method by means of Nitrous Oxide-Oxygen gas.
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Eksperimentel: cognitive-behavioral therapy
Children in this group were asked to come to playroom before entering operation room.
Modeling , Benson relaxation and positive self-talking were instructed to them.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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change from baseline in Clinical Anxiety and Cooperation scales.
Tidsramme: baseline and 1 week
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The anxiety and cooperation differences between the two dental visits (second visits were done after 1 week) were compared within the three groups.
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baseline and 1 week
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. oktober 2009
Primær færdiggørelse (Faktiske)
1. juli 2010
Datoer for studieregistrering
Først indsendt
27. december 2013
Først indsendt, der opfyldte QC-kriterier
27. december 2013
Først opslået (Skøn)
31. december 2013
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
31. december 2013
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
27. december 2013
Sidst verificeret
1. december 2013
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 88311
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