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Children with intellectual/developmental disabilities (ID/DD) will experience less dental anxiety and cooperate better in a Sensory Adapted Dental Environment (modified visual, sensory, and somatosensory stimuli in a regular dental setting) than in a regular dental environment (RDE).
The aim of this pilot study is to determine the effect of sensory adapted dental environment (SADE) on reducing dental anxiety of children with intellectual and/or developmental disabilities (ID/DD). With the growing number of children diagnosed with ID/DD and their inclusion in the community, there are more opportunities for dentists to encounter this population for their routine oral health care. If improvement in dental anxiety and behavior is evident from the study, as other pilot studies have suggested, it can be applied as one of clinical tools for treating children with ID/DDs. Furthermore, utilization of a SADE in clinical training of pediatric dentists or general dentists can improve clinicians' comfort level in managing behavior of individuals with ID/DD. This will encourage more clinicians to provide care and address the unmet oral health needs of this vulnerable population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Sensory adapted dental environment (SADE) at first exam (visit 1) |
|
| Group 2 | Experimental | Sensory adapted dental environment (SADE) at recall exam (visit 2) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sensory Adapted Dental Environment (SADE) | Behavioral | No fluorescent room lights, solar projector on ceiling, regular dental x-ray apron laying on patient, quiet music playing in background |
| Measure | Description | Time Frame |
|---|---|---|
| Behavior during initial dental exam | Measured using Frankl Scale for pediatric dentistry, with 1=definitely negative and 5=definitely positive | Day 1 |
| Behavior during recall exam | Measured using Frankl Scale for pediatric dentistry, with 1=definitely negative and 5= definitely positive | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Physiologic outcomes (oxygen saturation) during initial exam | Measured every 5 minutes during the exam (up to one hour) | Day 1 |
| Physiologic outcomes (oxygen saturation) during recall exam | Measured every 5 minutes during the exam (up to one hour) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrice B Wunsch, DDS, MS | Virginia Commonwealth University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Virginia Commonwealth University | Richmond | Virginia | 23298 | United States |
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| 3 months |
| Physiologic outcomes (hearts rate) during initial exam | Measured every 5 minutes during the exam (up to one hour) | Day 1 |
| Physiologic outcomes (hearts rate) during initial exam | Measured every 5 minutes during the exam (up to one hour) | 3 months |
| Patient cooperation during initial exam | Assessed by parent/caregiver with post treatment written survey | Day 1 |
| Patient cooperation during recall exam | Assessed by parent/caregiver with post treatment written survey | 3 months |
| ID | Term |
|---|---|
| D002658 | Developmental Disabilities |
| D008607 | Intellectual Disability |
| ID | Term |
|---|---|
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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