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CompletedNCT06463067Updated Jun 17, 2024

Books, Videos And Mobile Games İn Pediatric Dentistry

An interventional study of playing mobile game and reading book in Dental Anxiety and Child, Only, sponsored by Bulent Ecevit University. Completed at 1 site in Turkey. Open to participants aged 3 Years to 6 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-17.

Sponsored by Bulent Ecevit University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 4 months after the study started (first participant enrolled Jan 2022, registered May 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
3 Years to 6 Years
Sex
All
01

Study summary

The objective of this study was to examine the impact of educational video viewing, reading educational books, and playing educational mobile games on children's dental anxiety prior to dental examinations. The main questions it aims to answer are:

  1. Does reading educational books before dental examinations reduce dental anxiety in children?
  2. Does watching educational videos before dental examinations reduce children's dental anxiety?
  3. Does playing educational mobile games before dental check-ups reduce dental anxiety in children?
Read the detailed description

ackground: Behaviour management techniques have an important place in paediatric dentistry. However, alternative methods may be needed if they are found to be ineffective in reducing children's dental anxiety.Aim: This study aimed to evaluate the impact of reading educational books, watching videos and playing mobile games from the child's, dentist's and parent's perspective on children's dental anxiety before treatment.

Methods: A total of 160 patients were randomly assigned to four groups. Anxiety levels of patients in each group were assessed using the Facial Image Scale, the Frankl Behaviour Scale and pulse oximetry. The Corah Dental Anxiety Scale was administered to parents to assess their child's anxiety level. The first group was exposed to the tell-show-do technique, the second group read a book, the third group watched a video and the fourth group played a mobile phone game. The children in each group were then assessed. Anxiety levels were then reassessed using the same scales.

02

Conditions studied

  • Dental Anxiety
  • Child, Only

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Keywords

  • book
  • Dental anxiety
  • Behavior management
  • video
  • mobil game
03

In context

Anxiety Disorders

4,868 studies on the registry are indexed under Anxiety Disorders; 1,390 are open to participants now.

This study's enrollment of 160 is above the median of 80 across 4,174 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Bulent Ecevit University is the lead sponsor of 45 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Years to 6 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. The child must be between 3-6 years old
  2. No previous dentist experience
  3. No systemic disease or syndrome

Exclusion criteria

Exclusion Criteria:

  1. The child is under 3 years old and over 6 years old
  2. Having been to the dentist before for an examination or dental treatment.
  3. Having any systemic disease or syndrome
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (actual)

Study arms

  • Other
    Play group

    Before the examination process, the child was asked to select one of the five faces on the Facial Image Scale. The dentist evaluated and scored the patient's behaviors based on the categories in the Frankl Behavior Scale. Parents were asked to answer the questions in the Corah Dental Anxiety Scale on behalf of their children to assess their dental anxiety, and results were scored. Subsequently, the children's heart rate was measured and recorded with a pulse oximeter attached to the index finger of the left hand. Prior to the examination procedure, The patients in Play Group played a mobile game called 'Dentist' before the examination. After that patients were examined, and their anxiety levels were assessed using the same methods following the examination procedure

    Behavioral: playing mobile game

  • Other
    Book group

    Before the examination, the child was asked to choose one of five faces from the Facial Image Scale. The dentist assessed and scored the patient's behaviour using the Frankl Behaviour Scale. Parents were asked to complete the Corah Dental Anxiety Scale on behalf of their children to assess their dental anxiety and the results were scored. The children's heart rate was then measured and recorded using a pulse oximeter attached to the index finger of the left hand. The researcher then read the storybook "Elif Goes to the Dentist" and showed the children pictures of dental instruments as described in the book. Behavioural techniques were used to examine the patients, and their anxiety levels were assessed after the examination using the same methods.

    Behavioral: reading book

  • Other
    Video group

    Before the examination, the child was asked to choose one of the five faces on the Facial Image Scale. The dentist assessed the patient's behaviour using the Frankl Behaviour Scale. Parents were asked to answer the questions on the Corah Dental Anxiety Scale on behalf of their children to assess their dental anxiety, and the results were scored. The children's heart rate was then measured and recorded using a pulse oximeter attached to the index finger of the left hand. Patients in the video group then watched an animated video entitled 'First meeting with the dentist' before the examination, and dental instruments were introduced using the terminology mentioned in the video. Using behavioural techniques, the patients were examined and their anxiety levels were assessed using the same methods after the examination.

    Behavioral: watching video

  • Other
    Tell-show-do group

    Before the examination, the child was asked to choose one of five faces on the Facial Image Scale (FIS). The dentist assessed and scored the patient's behaviour using the Frankl Behaviour Scale. Parents were asked to complete the Corah Dental Anxiety Scale on behalf of their children to assess their dental anxiety, and the results were scored. The children's heart rate was then measured and recorded using a pulse oximeter attached to the index finger of the left hand. Following the application of the behavioural techniques, the patients were examined and their anxiety levels were assessed using the same methods after the examination procedure.

    Behavioral: tell-show-do group

Interventions

  • Behavioralplaying mobile game

    Changes in anxiety levels were measured by playing a mobile game to children before dental examination.

  • Behavioralreading book

    Changes in anxiety levels were measured by reading books to children before dental examination.

  • Behavioralwatching video

    Changes in anxiety levels were measured by showing a video to children before dental examination.

  • Behavioraltell-show-do group

    Before the dental examination, the tell-show-do technique was applied to the children and the changes in their anxiety levels were measured.

06

What researchers measure

Primary outcomes

  1. anxiety level according to the child

    We evaluated the effects of reading informative books, playing mobile games and watching videos after the dental examination on dental anxiety by measuring the Facial Image Scale (In the facial image scale consisting of 5 different faces, the happiest face is given a value of 1 while the unhappiest face is given a value of 5 and scoring is done according to the face chosen by the children.)

    Time frame: after dental examination to 10 minute

Secondary outcomes

  1. child's anxiety level according to the researcher

    We evaluated the effects of reading informative books, playing mobile games and watching videos after the dental examination on dental anxiety by measuring the Frankl Behaviour Scale, (Frankl Behavior Scale: is based on the observation, evaluation and scoring of the child's behavior by the dentist. In this scale, which is filled in by the dentist, the child's behavior in different situations is classified as strongly negative (1), negative (2), positive (3), strongly positive (4). )

    Time frame: after dental examination to 30 minute

Other outcomes

  1. child's level of dental anxiety from the parents' perspective

    We evaluated the effects of reading informative books, playing mobile games and watching videos after the dental examination on dental anxiety by measuring the Corah Dental Anxiety Scale (Corah Dental Anxiety Scale: It consists of four short questions designed to measure dental anxiety levels related to dental treatments. Each question has 5 answers and the answers are scored from 1 to 5 by the physician. A score of less than 13 indicates a low level of anxiety, 13-14 indicates a moderate level of anxiety, and 15 and above indicates a high level of anxiety. If the child is too young to understand the questions, the questions can be answered by the parent or caregiver.)

    Time frame: after dental examination to 24 hour

  2. children's anxiety levels according to heart rate

    We evaluated the effects of reading informative books, playing mobile games and watching videos after the dental examination on dental anxiety by measuring the heart rate (It has been reported that pulse rate measurement is a reliable method for determining anxiety level. Increased anxiety level leads to increased heart rate.It has been reported that pulse rate measurement is a reliable method for determining the level of anxiety. Increased anxiety level leads to increased heart rate. Pulse rates of 80-120 between 2-4 years of age and 75-115 between 4-6 years of age are considered normal in children.)

    Time frame: after dental examination to 2 minute

07

Study locations

1 site
  • Bülent Ecevit Univercity
    Zonguldak, Kozlu 67600, Turkey
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06463067
Lead sponsor
Bulent Ecevit University
Responsible party
Melek Belevcikli (Assistant professor, Bulent Ecevit University) — Principal investigator
First posted
Jun 17, 2024
Start date
Jan 1, 2022
Primary completion
Jan 1, 2024
Completion
Jan 1, 2024
Last update
Jun 17, 2024

Study contacts

gamze kılıç, 1
principal investigator · Bulent Ecevit University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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