Evidence map›Paper›PMID 30859131›Full record

ArticleJournal of dental anesthesia and pain medicine2019

Comparison of three behavior modification techniques for management of anxious children aged 4-8 years.

Sreeraksha Radhakrishna, Ila Srinivasan, Jyothsna V Setty, Murali Krishna D R, Anjana Melwani, Kuthpady Manasa Hegde

Registry-linked trialAbstract read
In one paragraph

Article in Journal of dental anesthesia and pain medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04731181 (Mobile App), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04731181 nacompletednot on this mapstarted 2021, after this paper: background citation

Mobile App (Little Lovely Dentist) Versus Tell-Show-Do Technique in Reduction of Anxiety and Pain During Administration of Local Anaesthesia in Children (A Randomized Clinical Trial)

TypeinterventionalSponsorCairo UniversityRan2021 to 2023Enrolled80ConditionsAnxietyArmsmobile application (little lovely dentist).
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Effective and safe pediatric sedation.Anesthesia and pain medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sreeraksha RadhakrishnaDepartment of Pediatric and Preventive Dentistry, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0002-2385-408X
Ila SrinivasanDepartment of Pediatric and Preventive Dentistry, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-9584-6954
Jyothsna V SettyDepartment of Pediatric and Preventive Dentistry, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-7346-7849
Murali Krishna D RDepartment of Pediatric and Preventive Dentistry, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0002-8189-6667
Anjana MelwaniDepartment of Pediatric and Preventive Dentistry, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-5457-9095
Kuthpady Manasa HegdeDepartment of Pediatric and Preventive Dentistry, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-7801-1760

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn inability to cope with threatening dental stimuli, i.e., sight, sound, and sensation of airotor, manifests as anxiety and behavioral management problems. Behavior modification techniques involving pre-exposure to dental equipment will give children a first-hand experience of their use, sounds, and clinical effects. The aim of this study was to compare the techniques of Tell-Show-Play-doh, a smartphone dentist game, and a conventional Tell-Show-Do method in the behavior modification of anxious children in the dental operatory.

methodsSixty children in the age group of 4-8 years, with Frankl's behavior rating score of 2 or 3, requiring Class I and II cavity restorations were divided into three groups. The groups were Group 1: Tell-Show-Play-doh; Group 2: smartphone dentist game; and Group 3: Tell-Show-Do technique and each group comprised of 20 children. Pulse rate, Facial Image Scale (FIS), Frankl's behavior rating scale, and FLACC (Face, Leg, Activity, Cry, Consolability) behavior scales were used to quantify anxious behavior. Operator compliance was recorded through a validated questionnaire.

resultsThe results showed lower mean pulse rates, lower FIS and FLACC scores, higher percentage of children with Frankl's behavior rating score of 4, and better operator compliance in both the Tell-Show-Play-doh and smartphone dentist game groups than in the conventional Tell-Show-Do group.

conclusionThe Tell-Show-Play-doh and smartphone dentist game techniques are effective tools to reduce dental anxiety in pediatric patients.

Indexed as

AnxietyBehavior ModificationGamePediatric DentistrySmartphone

Identifiers

PMID30859131
PMCPMC6405344

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.