Children with intellectual/developmental disabilities (ID/DD) will experience less dental anxiety and cooperate better in a Sensory Adapted Dental Environment (modified visual, sensory, and somatosensory stimuli in a regular dental setting) than in a regular dental environment (RDE).
The aim of this pilot study is to determine the effect of sensory adapted dental environment (SADE) on reducing dental anxiety of children with intellectual and/or developmental disabilities (ID/DD). With the growing number of children diagnosed with ID/DD and their inclusion in the community, there are more opportunities for dentists to encounter this population for their routine oral health care. If improvement in dental anxiety and behavior is evident from the study, as other pilot studies have suggested, it can be applied as one of clinical tools for treating children with ID/DDs. Furthermore, utilization of a SADE in clinical training of pediatric dentists or general dentists can improve clinicians' comfort level in managing behavior of individuals with ID/DD. This will encourage more clinicians to provide care and address the unmet oral health needs of this vulnerable population.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
22
No fluorescent room lights, solar projector on ceiling, regular dental x-ray apron laying on patient, quiet music playing in background
Virginia Commonwealth University
Richmond, Virginia, United States
Behavior during initial dental exam
Measured using Frankl Scale for pediatric dentistry, with 1=definitely negative and 5=definitely positive
Time frame: Day 1
Behavior during recall exam
Measured using Frankl Scale for pediatric dentistry, with 1=definitely negative and 5= definitely positive
Time frame: 3 months
Physiologic outcomes (oxygen saturation) during initial exam
Measured every 5 minutes during the exam (up to one hour)
Time frame: Day 1
Physiologic outcomes (oxygen saturation) during recall exam
Measured every 5 minutes during the exam (up to one hour)
Time frame: 3 months
Physiologic outcomes (hearts rate) during initial exam
Measured every 5 minutes during the exam (up to one hour)
Time frame: Day 1
Physiologic outcomes (hearts rate) during initial exam
Measured every 5 minutes during the exam (up to one hour)
Time frame: 3 months
Patient cooperation during initial exam
Assessed by parent/caregiver with post treatment written survey
Time frame: Day 1
Patient cooperation during recall exam
Assessed by parent/caregiver with post treatment written survey
Time frame: 3 months
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