Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this RCT is to compare puppet modeling technique vs tell show and do on children undergoing stressful dental procedures'
The main question[s] it aims to answer are:
type of study: clinical trial participant population/health conditions: Healthy
In this randomized crossover clinical trial, study subjects were randomly allocated into two groups:
Aim of the Study: The aim of this research is to compare the effectiveness of tell show and do (TSD) vs puppet play therapy on children's behavior during the administration of local anesthesia.
Materials and Methods: This was a randomized crossover clinical trail that was conducted at King Abdulaziz University Faculty of Dentistry for a period of 12 months starting from Jan 2023 to Dec 2023 on 41 children (aged 3-7 years) randomly divided into two groups of. Group I (23 children): Children who received the TSD behavior guidance during their first visit and puppet play therapy in their second visit 2 weeks later. Group II (18 children): Children who received puppet play therapy during their first visit and TSD guidance in their second visit 2 weeks later. The anxiety level was determined using Facial Index Scale(FIS) and Venham anxiety rating scale and pulse rate (PR) at the beginning, middle and the end of each anesthesia administration. Patient behavior was also scored using Frankl behavior rating scale (FBRS) , Venham behavior rating scale. The FLACC scale was used to assess pain.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Children who received puppet behavior guidance during their first visit and tell-show-do guidance in their second visit, 2 weeks later. (P-TSD) |
|
| Group 2 | Experimental | Children who received the tell-show-do behavior guidance during their first visit and puppet behavioral guidance in their second visit, 2 weeks later.(TSD-P) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tell Show and Do Guidance | Behavioral | In this technique, the dentist tells explains the procedure using the Tell show and do method. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Heart rate | The heart rate was measured throughout the procedure using Gibson finger oximeter. Three readings were recorded. One before the administration of local anesthesia, one during the injection and one immediately after. | through study completion, an average of 1 year |
| Facial Image Scale | The FIS comprises a row of five faces ranging from (1) very happy to (5) very unhappy. It is simple, efficient measure of anxiety in very young children than other measures of anxiety that depend on the cognitive ability of the child | through study completion, an average of 1 year |
| Vehnam Anxiety Rating Scale | The Vehnam Anxiety Rating Scale was used in this clinical trial to measure the patient's situational dental anxiety. This scale is an interval rating scale with the interval ranging from 0 (the least anxious score) to 5 (the most anxious | through study completion, an average of 1 year |
| Frankl behavior rating scale | It classifies child behavior into four groups according to the child's attitude during dental treatment: (4)Definitely positive, (3) Positive, (2) Negative, and (1) Definitely negative. | through study completion, an average of 1 year |
| FLACC Pain scale | Pain is assessed through observation of 5 categories including face, legs, activity, cry, and consolability. Each category will be given a score ranging from 0 to 2. The final score is calculated by adding up the scores of the five categories for a final score out of 10. | through study completion, an average of 1 year |
| Venham Scale of Dental behavior |
Not provided
Not provided
Inclusion Criteria:
• Children having no previous experience of local anesthesia
Exclusion Criteria:
• Children who needed procedures with no local anesthesia.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| King Abulaziz university dental hospital | Jeddah | Mecca Region | 21589 | Saudi Arabia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40604606 | Derived | Khogeer LN, Sabbagh HJ, Felemban OM, Farsi NM. Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial. BMC Pediatr. 2025 Jul 2;25(1):503. doi: 10.1186/s12887-025-05849-5. |
Not provided
Not provided
Not provided
Not provided
Not provided
Two evaluators, who are blinded to the experimented techniques, watched recorded videos of both groups separately and gave their behavior assessment.
| Puppet Guidance | Behavioral | In this technique, the dentist using the puppet to explains the procedure. |
|
The Venham Scale of Dental behavior is an interval rating scale with the interval ranking from 0 (extremely cooperative) to 5 (extremely uncooperative). |
| through study completion, an average of 1 year |