Citation Information :
Kevadia MV, Sandhyarani B, Patil AT, Gunda SA. Comparative Evaluation of Effectiveness of Tell-Play-Do, Film Modeling and Use of Smartphone Dental Application in the Management of Child Behavior. Int J Clin Pediatr Dent 2020; 13 (6):682-687.
Aim: To evaluate the effectiveness of three different behavioral modification techniques: tell-play-do (TPD), film modeling, and use of smartphone dental app in the management of child behavior. Settings and design: Seventy-five children aged between 6 years and 9 years who were on their first dental visit were randomly divided into three groups. The study was conducted into two visits. Materials and methods: First visit: group I—children watched a film containing various dental procedures performed on a child model followed by oral prophylaxis; group II—TPD techniques were introduced with dental instruments imitating various playing objects followed by oral prophylaxis; group III—children were asked to use mobile dental application followed by oral prophylaxis. Second visit: After 7 days interval, all the children were subjected to class I restorative treatment using glass-ionomer cement. In both visits, the heart rate (HR), facial image scale (FIS) score, and Venham's pictorial index (VPI) score were evaluated before the intervention, after the intervention of behavior modification technique, and during the dental procedure. Statistical analysis used: One-way ANOVA test followed by the post hoc Tukey test was used to compare HR and the Kruskal–Wallis test was used to compare the FIS and VPI of all three groups. Results: The average HR, FIS, and VPI scores were significantly lower among children who received TPD intervention compared to those who received film modeling intervention and mobile dental application. Conclusion: Tell-play-do technique is more effective in reducing children's fear and anxiety for dental treatment. Tell-play-do can be a functional alternative method to tell-show-do (TSD) and modeling techniques during dental treatment.
Sharath A, Rekka P, Muthu MS, et al. Children's behavior pattern and behavior management techniques used in a structured postgraduate dental program. J Indian Soc Pedodont Prevent Dentis 2009;27(1):22. DOI: 10.4103/0970-4388.50812.
Sharma A, Tyagi R. Behavioural assessment of children in dental settings: a retrospective study. Int J Clin Pediatr Dent 2011;4(1):35–39. DOI: 10.5005/jp-journals-10005-1078.
American Academy on Pediatric Dentistry Clinical Affairs Committee-Behavior Management Subcommittee, American Academy on Pediatric Dentistry Council on Clinical Affairs. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent 2008;30(7 Suppl):125.
Kuhn BR, Allen KD. Expanding child behavior management technology in pediatric dentistry: a behavioral science perspective. Pediatr Dent 1994;16:13.
Vishwakarma AP, Bondarde PA, Patil SB, et al. Effectiveness of two different behavioral modification techniques among 5–7-year-old children: a randomized controlled trial. J Indian Soc Pedod Prev Dent 2017;35(2):143–149. DOI: 10.4103/JISPPD.JISPPD_257_16.
Patil VH, Vaid K, Gokhale NS, et al. Evaluation of effectiveness of dental apps in management of child behaviour: a pilot study. Int J Pedod Rehabil 2017;2(1):14–18. DOI: 10.4103/ijpr.ijpr_5_17.
Farhat-McHayleh N, Harfouche A, Souaid P. Techniques for managing behaviour in pediatric dentistry: comparative study of live modeling and tell-show-do based on children's heart rates during treatment. J Can Dent Assoc 2009;75:283.
Alrshah SA, Kalla IH, Abdellatif AM. Live modeling vs. tell-show-do technique for behaviour management of children in the first dental visit. Mansoura J Dent 2014;1:72–77.
Melamed BG, Hawes RR, Heiby E, et al. Use of filmed modeling to reduce uncooperative behaviour of children during dental treatment. J Dent Res 1975;54(4):797–801. DOI: 10.1177/00220345750540041701.
Fields H, Pinkham J. Videotape modeling of the child dental patient. J Dent Res 1976;55(6):958–963. DOI: 10.1177/00220345760550064601.
Melamed BG, Yurcheson R, Flees EL, et al. Effects of film modeling on reduction of anxiety-related behaviours in individuals varying in level of previous experience in the stress situation. J Consult Clin Psychol 1978;46(6):1357–1367. DOI: 10.1037/0022-006X.46.6.1357.
Rouleau J, Ladouceur R, Dufour L. Pre-exposure to the first dental treatment. J Dent Res 1981;60(1):30–34. DOI: 10.1177/00220345810600010601.
Cianetti S, Lombardo G, Lupatelli E, et al. Dental fear/anxiety among children and adolescents. A systematic review. Source Eur J Paediat Dentis 2017;18(2):121–130. Local Messages issues held at the bda library from 2002 onwards, to request this article from the library go to. European Journal of Paediatric Dentistry, 18(2), pp. 121-130.
Paryab M, Arab Z. The effect of filmed modeling on the anxious and cooperative behavior of 4-6 years old children during dental treatment: a randomized clinical trial study. Dent Res J 2014;11(4): 502.
Allen KD, Stanley RT, McPherson K. Evaluation of behavior management technology dissemination in pediatric dentistry. Pediatr Dent 1990;12:79–82.
Humphris GM, Morrison T, Lindsay SJ. The modified dental anxiety scale: validation and United Kingdom norms. Community Dent Health 1995;12:143–150.
Howitt JW, Stricker G. Sequential changes in response to dental procedures. J Dent Res 1970;49(5):1074–1077. DOI: 10.1177/00220345700490051201.