Ignite Creation Date:
2024-05-06 @ 8:07 PM
Last Modification Date:
2024-10-26 @ 3:21 PM
Study NCT ID:
NCT06266156
Status:
COMPLETED
Last Update Posted:
2024-02-20
First Post:
2024-02-05
Brief Title:
Evaluation of The Effect of Consecutive Dental Visits on Dental Anxiety of Paediatric Patients
Sponsor:
Burdur Mehmet Akif Ersoy University
Organization:
Burdur Mehmet Akif Ersoy University
Study Overview
Official Title:
Evaluation of The Effect of Consecutive Dental Visits on Dental Anxiety of Paediatric Patients
Status:
COMPLETED
Status Verified Date:
2024-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this observational study is to learn about in effect of consecutive dental visits on dental anxiety of paediatric patients
The main questionsit aims to answer are
Did the anxiety level of pediatric patients decrease in consecutive treatment sessions
Were there changes in the physiological parameters related to stress level of pediatric patients in consecutive treatment sessions
Participants will fill out the questionnaire about dental anxiety in each dental treatment sessions before and after dental treatment
Researchers will compare paeditric patients have two caries on mandibular molars to see if changes dental anxiety levels and physiological parameters such as heart rates and oxygen saturations during dental treatments in consecutive dental treatment sessions
The main questionsit aims to answer are
Did the anxiety level of pediatric patients decrease in consecutive treatment sessions
Were there changes in the physiological parameters related to stress level of pediatric patients in consecutive treatment sessions
Participants will fill out the questionnaire about dental anxiety in each dental treatment sessions before and after dental treatment
Researchers will compare paeditric patients have two caries on mandibular molars to see if changes dental anxiety levels and physiological parameters such as heart rates and oxygen saturations during dental treatments in consecutive dental treatment sessions
Detailed Description:
The aim of this study was to investigate the effect of consecutive dental visits on paediatric patients dental anxiety level in 6-9 years old Turkish children with using of Abeer Children Dental Anxiety scale and physiological parameters
Determination of Sample Size and Study Design The significance level for the sample size in the study was regulated to show an effect size of 083 with a power of 005 and 95 The number of samples n was calculated as 200 However it was decided that the total number of samples n would be 260 with data loss foreseen
According to American Society of Anaesthesiologists ASA ASA1 and ASA2 healthy children who 6-9 years old without any learning and physical disabilities children who dont need to emergency dental applications children who can speak and understand Turkish children who have dental caries that involved only dentine and enamel and were included to this study Children with any disabilities that physical and mental or without parental consent were excluded from this study In addition to this children who has a systemic disease with changing the blood pressure oxygen saturation and heart rate were excluded from this study 260 children who met the inclusion criteria invited to the study
Collection of Data and Study Procedure The ACDAS that including three parts as evaluation of child dental cognitive and 19 questions was used as a cognitive scale for this study In the dental part of ACDAS including 13 questions the children answered these questions using with three types of facial expressions for to show how they felt All the answers were scored with scale of 1-3 According to the ACDAS children who have score of 26 and above were classified as anxious The child evaluation and cognitive parts of ACDAS were answered by the paediatric dentist and childs legal guardians The scores of ACDAS were accepted for master scores Children were examined by the paediatric dentist as only clinical and radiographical without any dental treatment on first visit
All participants were recorded and their appointments were made by the dental assistant Children were treated with topical anaesthesia cotton with lidocaine 10 spray followed by buccal infiltration local anaesthesia articaine hydrochloride 4 for caries removing of one of the primary molars The two mandibular primary molars of children were restored with compomer resin with using the rubber dam in first and second visits All children were directed by same paediatric dentist HT with non-pharmacological behaviour management techniques during the dental treatments such as tell-show-doThe treatment duration was approximately 15 minutes All participants completed to ACDAS for the two times as pre and post operative in both visits
The objective symptoms of evaluation of dental anxiety such as oxygen saturation and heart rate were included in this study Heart rate and oxygen saturations of each patient were measured with pulse oximeter PC-60FL Finger Type Pulse Oxymeter Galena TURKEY The heart rate and oxygen saturation were measured in 5th 10 th and 15th minutes in first and second visits during dental procedures
Statistical Analysis All data were analysed with SPSS 220 SPSS for Windows SPSS Inc Chicago IL and GraphPad Prism software 70 for Windows GraphPad Software San Diego California USA The sample size of the study was calculated with G-Power version 3197 Heinrich-Heine-Universität Düsseldorf Germany Calculation of the normality of the data was using with Kolmorognov-Simirnov test and followed by parametric tests All data showed normal distribution Standard deviation SD and mean values were shown with numerical variables Categorical variables were shown with percentages Two sample t-test were performed for comparing the differences between mean ACDAS score and physiological parameters of first and second visits
Determination of Sample Size and Study Design The significance level for the sample size in the study was regulated to show an effect size of 083 with a power of 005 and 95 The number of samples n was calculated as 200 However it was decided that the total number of samples n would be 260 with data loss foreseen
According to American Society of Anaesthesiologists ASA ASA1 and ASA2 healthy children who 6-9 years old without any learning and physical disabilities children who dont need to emergency dental applications children who can speak and understand Turkish children who have dental caries that involved only dentine and enamel and were included to this study Children with any disabilities that physical and mental or without parental consent were excluded from this study In addition to this children who has a systemic disease with changing the blood pressure oxygen saturation and heart rate were excluded from this study 260 children who met the inclusion criteria invited to the study
Collection of Data and Study Procedure The ACDAS that including three parts as evaluation of child dental cognitive and 19 questions was used as a cognitive scale for this study In the dental part of ACDAS including 13 questions the children answered these questions using with three types of facial expressions for to show how they felt All the answers were scored with scale of 1-3 According to the ACDAS children who have score of 26 and above were classified as anxious The child evaluation and cognitive parts of ACDAS were answered by the paediatric dentist and childs legal guardians The scores of ACDAS were accepted for master scores Children were examined by the paediatric dentist as only clinical and radiographical without any dental treatment on first visit
All participants were recorded and their appointments were made by the dental assistant Children were treated with topical anaesthesia cotton with lidocaine 10 spray followed by buccal infiltration local anaesthesia articaine hydrochloride 4 for caries removing of one of the primary molars The two mandibular primary molars of children were restored with compomer resin with using the rubber dam in first and second visits All children were directed by same paediatric dentist HT with non-pharmacological behaviour management techniques during the dental treatments such as tell-show-doThe treatment duration was approximately 15 minutes All participants completed to ACDAS for the two times as pre and post operative in both visits
The objective symptoms of evaluation of dental anxiety such as oxygen saturation and heart rate were included in this study Heart rate and oxygen saturations of each patient were measured with pulse oximeter PC-60FL Finger Type Pulse Oxymeter Galena TURKEY The heart rate and oxygen saturation were measured in 5th 10 th and 15th minutes in first and second visits during dental procedures
Statistical Analysis All data were analysed with SPSS 220 SPSS for Windows SPSS Inc Chicago IL and GraphPad Prism software 70 for Windows GraphPad Software San Diego California USA The sample size of the study was calculated with G-Power version 3197 Heinrich-Heine-Universität Düsseldorf Germany Calculation of the normality of the data was using with Kolmorognov-Simirnov test and followed by parametric tests All data showed normal distribution Standard deviation SD and mean values were shown with numerical variables Categorical variables were shown with percentages Two sample t-test were performed for comparing the differences between mean ACDAS score and physiological parameters of first and second visits
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None