A Comparative Evaluation of Three Different Modeling Videos on Dental Anxiety of 3–6-year-old Children Requiring Treatment under Local Anesthesia: A Parallel, Randomized Controlled Trial
Nikita V Biradar, Swapnil K Patil, Bhushan J Pustake, Darpan S Kothawade
Keywords :
Children, Dental anxiety, First visit, Local anesthesia, Venham's Index, Video modeling
Citation Information :
Biradar NV, Patil SK, Pustake BJ, Kothawade DS. A Comparative Evaluation of Three Different Modeling Videos on Dental Anxiety of 3–6-year-old Children Requiring Treatment under Local Anesthesia: A Parallel, Randomized Controlled Trial. Int J Clin Pediatr Dent 2024; 17 (12):1357-1362.
Introduction: Video modeling is one of the most recommended techniques for modifying children's behavior during dental procedures.
Aim: To comparatively evaluate the three different modeling videos on dental anxiety of 3–6-year-old children requiring treatment under local anesthesia (LA).
Settings and design: A parallel, randomized controlled trial was conducted in the Department of Pediatric Dentistry after obtaining clearance from the ethical committee.
Methodology: Fifty-six children requiring treatment under LA, within the age-group of 3–6 years, were randomly assigned to the control group and one of the three video modeling intervention groups: Oral hygiene instruction video (group A), Modeling video showing restorative procedure without LA (group B), Modeling video showing restorative procedure preceded by LA (group C), and the control group without video modeling (group D). The anxiety of the child was determined using Venham's Index at five different intervals for modeling groups and at three different intervals for the control group throughout the procedure.
Statistical analysis: Four groups were compared for anxiety score by analysis of variance (ANOVA), followed by pairwise comparison done by Tukey's post hoc test. Intergroup comparison of intervals for anxiety score was done by repeated measures ANOVA, followed by pairwise comparison by Bonferroni's post hoc test.
Results: There was a statistically significant difference (p < 0.05) found among the three modeling groups for mean anxiety score at different intervals. Intergroup comparison for mean anxiety score at different intervals among the four groups showed that the highest anxiety was seen in participants from group D, followed by group A, group B, and the lowest in group C.
Conclusion: Among the three modeling videos, group C modeling video was less anxiety-provoking than group B, followed by group A. The video modeling technique appeared to be effective in reducing dental anxiety in children.
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