This will be a randomized, controlled, parallel-group clinical trial. The aim of this study will be to evaluate the effectiveness of "Tell-Show-Do" Behavior Management Technique versus a Conventional technique (covering the patient's vision) during an inferior alveolar and lingual nerve block in preschool children referred for treatment at the School of Dentistry, University of Sao Paulo, Brazil. The sample will consist of 52 children from 3 years old to 5 years 11 months old who need dental pulp treatment and / or tooth extraction of primary molars. Preschool children with no history of allergies to Lidocaine anesthetic or systemic/neurological diseases and who did not take local anesthesia before the study will be include in this research.
Children will be randomly allocated to treatment groups (n = 26 for each group) according to the technique: (1) Tell-Show-Do and (2) Conventional. Anxiety and pain will be evaluated by the scale of Facial Image (EIF) and Wong-Baker Pain Scale, respectively. The cooperation of the patient will be evaluated by behavioral scale Frankl.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
52
inferior alveolar and lingual nerve block
Faculdade de Odontologia da Universidade de Sao Paulo
São Paulo, São Paulo, Brazil
Preschool children's anxiety levels changes before and after anesthesia procedure - Facial Image Scale (FIS)
The children will be asked to point at which face they felt most like at that moment (row of five faces ranging from very happy to very unhappy - FIS)
Time frame: Baseline and after one week
Preschool children's pain levels - Wong-Baker FACES Pain Scale
The children were asked to point at which face they felt most like at that moment (row of six faces ranging from very happy-does not hurt to very unhappy-hurt as much as you can imagine)
Time frame: At the end of the local anesthesia procedure (2 minutes)
Preschool children's behavior - Frankl Behavioral Rating Scale
It will be evaluated children's behavior (definitely negative, negative, definitely positive, positive) during de local anesthesia procedure
Time frame: Baseline and during the local anesthesia procedure (2 minutes)
Heart rates
Time frame: Baseline and during local anesthesia procedure
Parent's anxiety levels - Corah's dental anxiety scale (DAS) - parent questionnaire
Time frame: Baseline
family socioeconomic indicators - questionnaire related to socioeconomic conditions
questionnaire related to family socioeconomic conditions
Time frame: Baseline
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