NCT02024594

Brief Summary

Visiting anxious and fearful children is an inevitable prospect of the daily work of every dentist who treats pediatric patients. Dentists have been using a wide variety of non-pharmacological and some pharmacologic techniques to assist them in the management of children with anxiety. One strategy which seems promising for pain control in stressful medical situations is teaching the child to use behavioral and cognitive coping skills or a combination of both techniques. An alternative technique to non-pharmacologic approaches in children being anxious and lacking in cooperative ability is sedative technique such as nitrous oxide conscious sedation. As there is lack of studies comparing conscious sedation and combinations of cognitive-behavioral strategies in eliminating children's uncooperative behaviors and dental anxiety, the aim of this study was to compare the effectiveness of inhalation sedation with Nitrous Oxide-Oxygen conscious sedation and cognitive-behavioral therapy to reduce dental anxiety in preschool children.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
45

participants targeted

Target at P25-P50 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2009

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2010

Completed
3.5 years until next milestone

First Submitted

Initial submission to the registry

December 27, 2013

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 31, 2013

Completed
Last Updated

December 31, 2013

Status Verified

December 1, 2013

Enrollment Period

9 months

First QC Date

December 27, 2013

Last Update Submit

December 27, 2013

Conditions

Keywords

Nitrous Oxide-Oxygen conscious sedationCognitive Behavioral TherapyChildren, Preschooldental anxietyPatient Cooperation

Outcome Measures

Primary Outcomes (1)

  • change from baseline in Clinical Anxiety and Cooperation scales.

    The anxiety and cooperation differences between the two dental visits (second visits were done after 1 week) were compared within the three groups.

    baseline and 1 week

Study Arms (3)

Nitrous Oxide-Oxygen

EXPERIMENTAL

Children in this group were sedated by rapid induction method by means of Nitrous Oxide-Oxygen gas.

Drug: Nitrous Oxide-Oxygen conscious sedation

cognitive-behavioral therapy

EXPERIMENTAL

Children in this group were asked to come to playroom before entering operation room. Modeling , Benson relaxation and positive self-talking were instructed to them.

Behavioral: cognitive-behavioral therapy

control

NO INTERVENTION

No intervention

Interventions

cognitive-behavioral therapy

Eligibility Criteria

Age36 Months - 78 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Age between3 to 6.5 year of old
  • Presence of moderate to severe dental anxiety
  • Parents' acceptance to cooperate in sampling process and 2 sessions of dental treatment
  • Presence of at least one mandibular primary molar needed pulp treatment
  • positive dental history

You may not qualify if:

  • current episodes of medications or drug therapy
  • systemic or congenital disorders
  • mental retardation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Patient Compliance

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Patient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
principle investigator

Study Record Dates

First Submitted

December 27, 2013

First Posted

December 31, 2013

Study Start

October 1, 2009

Primary Completion

July 1, 2010

Last Updated

December 31, 2013

Record last verified: 2013-12