Effect of AV Distraction and Acuapoint Stimulation in Pediatric Extraction on Pain and Anxiety

N/AEnrolling By InvitationNCT07371442

Mansoura University69 enrolled

Overview

The aim of this study is to evaluate the effectiveness of audiovisual distraction and acuapoint stimulation on anxiety and pain perception during tooth extraction in children.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Tooth Extraction Local Anesthesia Anxiety Pain

Interventions

AcualiefDEVICE

Aculief acupressure device will be placed on the LI4 Point (figure 1) which is located on the hand between the thumb and index finger, also described as the depression where the index finger and thumb bone go apart. The LI4 point will be identified in each patient by asking the patient to adduct the thumb and index finger. The duration will be 5 minutes before LA administration. The administration of local anesthesia in all groups will be achieved by 1.8 ml of 2% Lidocaine with 1/100,000 epinephrine using a 30-gauge long needle

AudiovisualDEVICE

A dental video story will be presented to the patient using an iPad device connected to a noise cancellation headphone.

TELL SHOW DOBEHAVIORAL

This group will be treated using Tell-show-do technique

Eligibility

Sex: ALLMin age: 5 YearsMax age: 8 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 1- Children with behavior rating score 2,3 according to Frankl's behavior rating scale. 2- Children aged 5-8 years requiring primary tooth extraction. 3- Healthy children free of systemic diseases Exclusion Criteria: * 1- Children with special health care needs.

Locations (1)

Faculty of Dentistry Mansoura university

Al Mansurah, Egypt

Outcomes

Primary Outcomes

Anxiety

Anxiety will be measured by A) Pulse oximeter: Pulse oximeter was used to observe the physiological functions like heart rate and SpO₂. B) Venham's picture test: the child was presented with eight different cards. Each card held two pictures-a representation of the child expressing anxiety along with another representation of the same child in a relaxed mood. The child was asked to point out the picture in each pair that resembled how he/she was feeling. There was also an order in which the pictures had to be presented. Assigning the image depicting anxiety the score of 1 and the relaxed image the score of 0 helped in the coding process.

Time frame: Will be measured 5 minutes before LA , immediately before extraction and immediately after extraction The total VPT score was obtained by summing the values across all eight panels, with higher scores indicating greater levels of anxiety (range: 0-8).

Secondary Outcomes

Pain of the patient

will be evaluated by Wong baker FACES pain scale which is consist of six faces numbered ordinary from 0 to 5. ranging from a no pain (score 0) to one showing severe pain (score 5)

Time frame: Will be evaluated immediately after the local anesthesia and tooth extraction using Wong Baker FACES Pain rating scale, ranging from a no pain (score 0) to one showing severe pain (score 5)

Data from ClinicalTrials.gov

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