Effect of Video Information on the Dental Anxiety Levels of the Endodontic Patients

NCT04892394 | Completed DMC

• 1 other identifier: ADÜDHF 2019/071
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study compared the effect of the detailed video visual information and basic verbal information on patients' anxiety levels (using anxiety scales) before endodontic treatment and stress levels (using electrodermal activity method) during endodontic treatment.

Conditions

Dental Anxiety

Keywords

Video information; Electrodermal activity; Endodontic treatment

Outcome Measures

Primary Outcomes (4)

• Anxiety level comparison after endodontic treatment with two preoperative information types

  Modified Dental Anxiety Scale (MDAS) was used to assess anxiety levels. The Modified Dental Anxiety Scale (MDAS) consisted of 5 questions ranging from 5 (no anxiety) to 25 (highest anxiety level). Every patient was asked to mark his or her perceived dental anxiety level on the line.

  Immediately after treatment

• Anxiety level comparison after endodontic treatment with two preoperative information types

  State Anxiety Scale (STAI-S) was used to assess anxiety levels. The STAI scales consisted of two scales, each with 20 questions, with a total score between 20 and 80. Every patient was asked to mark his or her perceived dental anxiety level on the line.

  Immediately after treatment

• Anxiety level comparison after endodontic treatment with two preoperative information types

  The Visual Analogue Scale (VAS) was a scale consisting of a horizontal straight line 0-100 mm long with words describing the two extremes of the condition to be measured at both ends (i.e. zero - no anxiety, maximum - most severe anxiety). Every patient was asked to mark his or her perceived dental anxiety level on the line.

  Immediately after treatment

• Electrodermal activity level comparison during endodontic treatment with two preoperative information types

  At the beginning of the endodontic treatment, the GSR device was attached to the patient's preferred wrist, and the measuring tapes of the device were placed on the patient's proximal phalanges of the index and middle finger. One-visit endodontic treatment was divided into 7 steps (anesthesia, cavity preparation, rubber dam placement, determination of root canal length, root canal shaping, root canal filling, coronal restoration and finishing) and recorded. All data transmitted to the computer via a wireless connection by a software program were recorded at the end of the treatment.

  During endodontic treatment process

Secondary Outcomes (4)

• Evaluation of the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics and dental treatment habits

  Before Endodontic Treatment

• Evaluation of the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics and dental treatment habits

  Before Endodontic Treatment

• Evaluation of the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics and dental treatment habits

  Before Endodontic Treatment

• Evaluation of the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics and dental treatment habits

  Before Endodontic Treatment

Other Outcomes (1)

• Evaluation of patients satisfaction about information types

  Immediately after treatment

Study Arms (2)

Video Group

EXPERIMENTAL

Detailed visual video information was given to the video group patients before endodontic treatment by the clinician.

Other: Information Types Before Endodontic Treatment

Control Group

EXPERIMENTAL

Basic verbal information was given to the control group patients before endodontic treatment by the clinician.

Other: Information Types Before Endodontic Treatment

Interventions

Information Types Before Endodontic Treatment OTHER

The first aim of this study is to compare the effect of detailed video information or basic verbal information on the anxiety levels of patients by using anxiety scales before treatment. The second aim is to evaluate the effect of pretreatment video or verbal information on the stress level occurring in patients during the endodontic treatment steps by using electrodermal activity. The third aim is to investigate the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics which are thought to play a role in anxiety's etiology.

Control Group; Video Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients between 18 - 65 years of ages
• Patients with healthy (ASA 1) and mild systemic disease (ASA 2) according to ASA classification
• Patients with no mental disorders in their medical history
• Patients who do not have a psychiatric disorder that they have started, and who do not use psychotherapeutic drugs.
• Literate and not visually impaired patients
• Patients presenting with single-rooted teeth with a single root canal diagnosed with asymptomatic irreversible pulpitis or single-rooted vital teeth with a single root canal requiring root canal treatment due to prosthetic reasons

You may not qualify if:

• Patients who refuse to participate this study
• Patients have existing pain caused by another tooth
• Patients with dermatological disease in the medical histories
• Medically compromised patients (with immunosuppressive/systemic diseases, patients on medications)
• The presence of spontaneous pain, swelling, or fistula in the relevant tooth
• Teeth whose working length cannot be reached due to calcification and step formation in the root canal
• The presence of foreign material in the root canal that prevents entry (broken instrument, post)
• The presence of advanced periodontal disease (probing depth \> 4 mm) or root fracture in the relevant tooth
• Patients using pain medication on the same day before treatment (within 24 hours)

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydin Adnan Menderes University, Faculty of Dentistry, Department of Endodontics

Aydin, 09100, Turkey (Türkiye)

Location

Related Publications (3)

• Najafpour E, Asl-Aminabadi N, Nuroloyuni S, Jamali Z, Shirazi S. Can galvanic skin conductance be used as an objective indicator of children's anxiety in the dental setting? J Clin Exp Dent. 2017 Mar 1;9(3):e377-e383. doi: 10.4317/jced.53419. eCollection 2017 Mar.

  PMID: 28298978 BACKGROUND

• Caprara HJ, Eleazer PD, Barfield RD, Chavers S. Objective measurement of patient's dental anxiety by galvanic skin reaction. J Endod. 2003 Aug;29(8):493-6. doi: 10.1097/00004770-200308000-00001.

  PMID: 12929693 BACKGROUND

• Kazancioglu HO, Tek M, Ezirganli S, Demirtas N. Does watching a video on third molar surgery increase patients' anxiety level? Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Mar;119(3):272-7. doi: 10.1016/j.oooo.2014.10.012. Epub 2014 Nov 8.

  PMID: 25561389 BACKGROUND

Study Officials

• Hicran Dönmez Özkan

  Aydin Adnan Menderes University, Faculty of Dentistry, Department of Endodontics

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: May 14, 2021
• First Posted: May 19, 2021
• Study Start: March 12, 2020
• Primary Completion: September 16, 2020
• Study Completion: November 22, 2020
• Last Updated: May 19, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)