Effectiveness of CBT and APT on Managing Child Anxiety in Dental Office

Mansoura University

Status: Active, not recruiting

Conditions: Dental Anxiety

Treatments: Behavioral: Auricular plaster therapy; Behavioral: Cognitive behavioral therapy; Behavioral: Tell Show Do

Study type: Interventional

Funder types: Other

Identifiers

NCT06292247

A0503023

Details and patient eligibility

About

This study was conducted to the Effectiveness of Cognitive Behavioral Therapy and Auricular Plaster Therapy on Managing Child Anxiety in Dental Office.

Full description

This study is to:

1. Assess and compare the effect of cognitive behavioral therapy and auricular plaster therapy on children's anxiety in dental situations.
2. Improve child behavior and cooperation and evaluate the parental acceptance of these behavioral management techniques.

Enrollment: 60 estimated patients

Sex: All

Ages: 4 to 7 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Healthy children (4-7) years old, without systemic, congenital, or mental disorders nor deformities affecting the external auditory meatus.
2. Presence of dental anxiety.
3. Not requiring urgent dental treatment, with the presence of a Class I carious lesion on one of the primary molars.
4. No previous application of the guided CBT.

Exclusion criteria

1. Refusal to participate by either the children or their parents/guardians
2. Previous receiving acupuncture and moxibustion therapy.
3. Children who had taken sedative drugs at the time of the appointment.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 3 patient groups

Cognitive behavioral therapy group

Experimental group

Description:

CBT is based on the principle that, the way we think profoundly impacts the way we feel and behave. Therefore, learning to think differently can enable the child to feel and act differently. It is a multi-component therapy that companies cognitive (cognitive restructuring) and behavioral (relaxation and distraction) interventions to change these maladaptive cognitions, which change the emotional distress and problematic behaviors. The following techniques were used in our research in a row, unrelated play, animated video modeling, stress-ball relaxation technique, audio music therapy, and positive reinforcement. These have been used effectively to manage children's anxiety during the dental appointment.

Treatment:

Behavioral: Tell Show Do

Behavioral: Auricular plaster therapy

Auricular Plaster Therapy group

Experimental group

Description:

APT intervention involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). According to Traditional Chinese Medicine, these points correspond to various regions of the body. Applying pressure to these points (acupressure) will stimulate and regulate energy flow throughout the body. This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect e.g. (anxiety reduction)

Treatment:

Behavioral: Cognitive behavioral therapy

Behavioral: Tell Show Do

Control group (Tell show do)

Experimental group

Description:

TSD is considered the cornerstone of behavior management techniques. It aims to introduce the child to the dental setting before commencing any procedure. With the TSD technique, the child should be informed about the process with a demonstration of the dental procedure using a simulator.

Treatment:

Behavioral: Cognitive behavioral therapy

Behavioral: Auricular plaster therapy