Effect of AV Distraction and Acuapoint Stimulation in Pediatric Extraction on Pain and Anxiety

NCT07371442 | Enrolling By Invitation

• 1 other identifier: A03012024PP
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the effectiveness of audiovisual distraction and acuapoint stimulation on anxiety and pain perception during tooth extraction in children.

Conditions

Tooth Extraction; Local Anesthesia; Anxiety; Pain

Keywords

Audiovisual; acuapoint; acupressure; TSD; pain; anxiety; tooth extraction

Outcome Measures

Primary Outcomes (1)

• Anxiety

  Anxiety will be measured by A) Pulse oximeter: Pulse oximeter was used to observe the physiological functions like heart rate and SpO₂. B) Venham's picture test: the child was presented with eight different cards. Each card held two pictures-a representation of the child expressing anxiety along with another representation of the same child in a relaxed mood. The child was asked to point out the picture in each pair that resembled how he/she was feeling. There was also an order in which the pictures had to be presented. Assigning the image depicting anxiety the score of 1 and the relaxed image the score of 0 helped in the coding process.

  Will be measured 5 minutes before LA , immediately before extraction and immediately after extraction The total VPT score was obtained by summing the values across all eight panels, with higher scores indicating greater levels of anxiety (range: 0-8).

Secondary Outcomes (1)

• Pain of the patient

  Will be evaluated immediately after the local anesthesia and tooth extraction using Wong Baker FACES Pain rating scale, ranging from a no pain (score 0) to one showing severe pain (score 5)

Study Arms (3)

dental story

EXPERIMENTAL

A dental video story will be presented to patient using an iPad device connected to a noise cancellation headphone.

Device: Audiovisual

Aculief

EXPERIMENTAL

Aculief acupressure device will be placed on the LI4 Point which is located on the hand between the thumb and index finger, also described as the depression where the index finger and thumb bone go apart. The LI4 point will be identified in each patient by asking the patient to adduct the thumb and index finger. The duration will be 5 minutes before LA administration. to patients

Device: Acualief

TSD

EXPERIMENTAL

This group will be treated using Tell-show-do technique

Behavioral: TELL SHOW DO

Interventions

Acualief DEVICE

Aculief acupressure device will be placed on the LI4 Point (figure 1) which is located on the hand between the thumb and index finger, also described as the depression where the index finger and thumb bone go apart. The LI4 point will be identified in each patient by asking the patient to adduct the thumb and index finger. The duration will be 5 minutes before LA administration. The administration of local anesthesia in all groups will be achieved by 1.8 ml of 2% Lidocaine with 1/100,000 epinephrine using a 30-gauge long needle

Aculief

Audiovisual DEVICE

A dental video story will be presented to the patient using an iPad device connected to a noise cancellation headphone.

dental story

TELL SHOW DO BEHAVIORAL

This group will be treated using Tell-show-do technique

TSD

Eligibility Criteria

• Age: 5 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children with behavior rating score 2,3 according to Frankl's behavior rating scale.
• Children aged 5-8 years requiring primary tooth extraction. 3- Healthy children free of systemic diseases

You may not qualify if:

• Children with special health care needs.

Sponsors & Collaborators

• Mansoura University: lead

Study Sites (1)

Faculty of Dentistry Mansoura university

Al Mansurah, Egypt

Location

MeSH Terms

Conditions

Anxiety Disorders; Pain

Condition Hierarchy (Ancestors)

Mental Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 11, 2026
• First Posted: January 28, 2026
• Study Start: February 2, 2025
• Primary Completion: July 15, 2025
• Study Completion: February 15, 2026
• Last Updated: January 28, 2026

Record last verified: 2026-01

Locations

EG (1)