Effectiveness of CBT and APT on Managing Child Anxiety in Dental Office

Mansoura University60 enrolled

Overview

This study was conducted to the Effectiveness of Cognitive Behavioral Therapy and Auricular Plaster Therapy on Managing Child Anxiety in Dental Office.

This study is to: 1. Assess and compare the effect of cognitive behavioral therapy and auricular plaster therapy on children's anxiety in dental situations. 2. Improve child behavior and cooperation and evaluate the parental acceptance of these behavioral management techniques.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Dental Anxiety

Interventions

Cognitive behavioral therapyBEHAVIORAL

CBT aims to treat anxiety by restructuring unfavorable beliefs and controlling negative thoughts so as to reduce dental anxiety.

Auricular plaster therapyBEHAVIORAL

APT involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect (e.g. reduce anxiety)

Tell Show DoBEHAVIORAL

TSD is composed of 3 phases. The Tell phase involves an age-appropriate explanation of the procedure. The Show phase is used to demonstrate a procedure up to the point where the instrument is performed. The Do phase is then initiated, and the treatment is performed.

Eligibility

Sex: ALLMin age: 4 YearsMax age: 7 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Healthy children (4-7) years old, without systemic, congenital, or mental disorders nor deformities affecting the external auditory meatus. 2. Presence of dental anxiety. 3. Not requiring urgent dental treatment, with the presence of a Class I carious lesion on one of the primary molars. 4. No previous application of the guided CBT. Exclusion Criteria: 1. Refusal to participate by either the children or their parents/guardians 2. Previous receiving acupuncture and moxibustion therapy. 3. Children who had taken sedative drugs at the time of the appointment.

Locations (1)

Faculty of dentistry

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

Venham Clinical Anxiety Scale

Observational anxiety scale, by choosing a number from 0 to 5 as claimed by the scales at specific time spots of the dental visit. The higher the score, the greater the level of anxiety and the poorer the cooperation of a child

Time frame: Up to 12 weeks

Heart Rate to detect the anxiety.

It is a biological parameter and the elevation of pulse rate is an indicator for anxiety

Time frame: Up to 12 weeks

RMS-Self Pictorial scale to detect the anxiety.

It is a self-report scale, ranging from (1 to 5). The scale was scored by giving a value of one to very happy and five to very unhappy face. (A higher score indicates more anxiety)

Time frame: Up to 12 weeks

Secondary Outcomes

Parental acceptance of the behavior management technique

The parental acceptance rating will be determined on a five-point Likert-type scale ranging from 1 (highly acceptable) to 5 (highly unacceptable).

Time frame: Up to 12 weeks

Data from ClinicalTrials.gov

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