ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2026
Comparative evaluation of sensory-adapted dental environment and conventional dental environment on dental anxiety and behaviour in children: a randomized controlled trial.
Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo compare the effectiveness of a sensory-adapted dental environment (SADE) and a conventional dental environment (CDE) in reducing dental anxiety and improving behavioural and physiological responses in anxious children.
methodsThe randomized controlled trial included 50 children aged between 4-8 years who required inferior alveolar nerve block administration. Participants were randomly allocated into two equal groups (n = 25) using computer-generated randomization method. Group I received treatment in a CDE, whereas Group II was treated in a SADE. The primary outcome was the reduction in dental anxiety, assessed using the Modified Dental Anxiety Scale (MDAS), Venham Picture Test (VPT), and Wong-Baker Faces Scale (WBFS). Secondary outcomes included changes in physiological stress markers, namely pulse rate, oxygen saturation (SpO₂), and salivary cortisol levels, recorded before and after the procedure and subjected to statistical analysis.
resultsChildren treated in the SADE group showed significantly lower dental anxiety than those in the CDE group. When comparing pre- and post-treatment values, MDAS scores decreased significantly in the SADE group (10.36 to 7.48; p < 0.05) compared with the CDE group (8.00 to 9.24). Salivary cortisol levels decreased in the SADE group (20.28 to 9.41 ng/mL) but increased in the CDE group. Venham Picture Test and Wong-Baker Faces Scale scores increased significantly in the CDE group (p < 0.05) indicating increased anxiety.
conclusionA SADE significantly reduced dental anxiety and physiological stress responses compared with a CDE. SADE may serve as an effective non-pharmacological approach for managing anxious paediatric patients.
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