This study aims to evaluate dental anxiety and stress levels in children receiving regular piano training compared with children without piano training during preventive dental treatment. A total of 80 children aged 7-11 years, including 40 children receiving piano education and 40 controls, were included in the study. All participants underwent fissure sealant application using the Tell-Show-Do behavioral guidance technique. Dental anxiety was assessed before and after treatment using the Modified Child Dental Anxiety Scale-Faces Version (MCDASf), Facial Image Scale (FIS), and physiological parameters including pulse rate, blood pressure, oxygen saturation, and body temperature. Stress levels were evaluated using the PeSSKi scale. The study investigates whether regular piano education contributes to reduced dental anxiety and stress responses in pediatric dental patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
80
Regular piano education received by children prior to preventive dental treatment. Children in this group had ongoing piano training and were evaluated for dental anxiety, stress levels, and physiological responses during fissure sealant application using the Tell-Show-Do technique.
Children without regular piano training who underwent preventive dental treatment and fissure sealant application using the Tell-Show-Do technique. Dental anxiety, stress levels, and physiological parameters were evaluated before and after treatment.
Recep Tayyip Erdoğan University
Merkez, Rize Province, Turkey (Türkiye)
Dental Anxiety Level Measured by the Modified Child Dental Anxiety Scale-Faces Version
Dental anxiety levels during preventive dental treatment will be assessed using the Modified Child Dental Anxiety Scale-Faces Version (MCDASf). The MCDASf score ranges from 8 to 40 points, with higher scores indicating greater dental anxiety.
Time frame: Before and immediately after fissure sealant application
Dental Anxiety Level Measured by the Facial Image Scale
Dental anxiety levels during preventive dental treatment will be assessed using the Facial Image Scale (FIS). The FIS score ranges from 1 to 5 points, with higher scores indicating greater dental anxiety.
Time frame: Before and immediately after fissure sealant application
Stress Level Measured by the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI)
Stress levels will be assessed using the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI) during preventive dental treatment. The PeSSKi total score ranges from 10 to 50 points, with higher scores indicating higher perceived stress levels in children.
Time frame: Before and immediately after fissure sealant application
Pulse Rate During Preventive Dental Treatment
Pulse rate will be measured in beats per minute (bpm) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological arousal/anxiety.
Time frame: Before and immediately after fissure sealant application
Systolic Blood Pressure
Systolic blood pressure will be measured in millimeters of mercury (mmHg) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological stress response.
Time frame: Before and immediately after fissure sealant application.
Diastolic Blood Pressure
Diastolic blood pressure will be measured in millimeters of mercury (mmHg) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological stress response.
Time frame: Before and immediately after fissure sealant application
Oxygen Saturation
Peripheral oxygen saturation (SpO₂) will be measured as percentage (%) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate better oxygenation status.
Time frame: Before and immediately after fissure sealant application
Body Temperature
Body temperature will be measured in degrees Celsius (°C) before and immediately after fissure sealant application during preventive dental treatment.
Time frame: Before and immediately after fissure sealant application
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