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CompletedNCT07387055Updated Feb 4, 2026

Effect of Artificial Intelligence on Assessing Dental Anxiety in Children

An observational study in Dental Anxiety, Artificial Intelligence (AI) and Test Anxiety Scale, sponsored by Sümeyra Akkoç. Completed at 1 site in Turkey (Türkiye). Open to participants aged 3 Years to 6 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-04.

Sponsored by Sümeyra Akkoç · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
171
Ages
3 Years to 6 Years
Sex
All
01

Study summary

The goal of this observational study was to evaluate an artificial intelligence-assisted projective method for assessing dental anxiety in young children and to understand how the first child-dentist interaction affected dental anxiety. The main questions it aimed to answer were:

Did the artificial intelligence-assisted projective method provide a valid and reliable assessment of dental anxiety in children aged 3 to 6 years? Did dental anxiety change after the child's first interaction with the dentist during the first dental visit? Children aged 3 to 6 years who attended their first dental visit as part of routine dental care took part. During the same visit, dental anxiety was assessed before and after the initial child-dentist interaction using picture-based dental anxiety scales and the newly developed projective method. All assessments were completed on the same day.

Read the detailed description

This study evaluated the validity and reliability of an artificial intelligence-assisted projective assessment tool using the Facial Image Scale, the Venham Picture Test, and the Raghavendra, Madhuri, and Sujata Pictorial Scale as comparator measures. Dental anxiety was assessed with the AI-assisted tool and all comparator scales immediately before and immediately after the child's first interaction with the dentist during the same visit. Reliability was evaluated using the intraclass correlation coefficient (ICC), agreement was assessed using Bland-Altman analysis, and criterion validity was assessed using Spearman rank correlation. Pre-interaction and post-interaction dental anxiety scores were compared using the Wilcoxon signed-rank test separately for each measurement tool.

02

Conditions studied

  • Dental Anxiety
  • Artificial Intelligence (AI)
  • Test Anxiety Scale

Keywords

  • Dental Anxiety
  • Pediatric Dentistry
  • Artificial Intelligence
  • Child-Dntist Interaction
03

In context

Lead sponsor

Sümeyra Akkoç is the lead sponsor of 3 studies on the registry; none 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
Sampling method
Non-probability sample

Study population

Children aged 3-6 years who presented for a routine dental examination to the Department of Pediatric Dentistry, Kütahya Health Sciences University, between August 2024 and November 2024.

Inclusion criteria

  • The child and the parent/guardian agree to participate in the study.
  • The child's native language is Turkish.
  • The child is attending their first dental visit.
  • The child has no systemic disease.
  • The child is able to cooperate sufficiently to complete the initial dental examination.

Exclusion criteria

Exclusion Criteria:

  • Current use of medication, a known history of allergy, or the presence of any mental or physical disability
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
171 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • First Dental Visit Group

    Children aged 3-6 years who presented for a routine dental examination, were attending their first dental visit, and met the inclusion and exclusion criteria constituted the study group.

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What researchers measure

Primary outcomes

  1. AI-Assisted Projective Dental Anxiety Assessment Tool Score

    Dental anxiety is assessed using an AI-Assisted projective assessment tool. The score ranges from 1 to 5, and higher scores indicate higher dental anxiety.

    Time frame: Immediately before and immediately after the initial child-dentist interaction (same visit)

  2. Facial Image Scale (FIS) Score

    Dental anxiety is assessed using the FIS. The score ranges from 1 to 5, and higher scores indicate higher dental anxiety.

    Time frame: Immediately before and immediately after the initial child-dentist interaction (same visit)

  3. Venham Picture Test (VPT) Score

    Dental anxiety is assessed using the VPT. The score ranges from 0 to 8, and higher scores indicate higher dental anxiety.

    Time frame: Immediately before and immediately after the initial child-dentist interaction (same visit)

  4. Raghavendra, Madhuri, and Sujata Pictorial Scale (RMS-PS) Score

    Dental anxiety is assessed using the RMS-PS. The score ranges from 1 to 5, and higher scores indicate higher dental anxiety.

    Time frame: Immediately before and immediately after the initial child-dentist interaction (same visit)

07

Study locations

1 site
  • Kütahya Health Sciences University, Faculty of Dentistry, Department of Pediatric Dentistry
    Kütahya, Centre, Turkey (Türkiye)
08

References and documents

Publications

  • Sekmenli Ozbek G, Akkoc S. An AI-Assisted pictorial measure of children's dental anxiety during the initial child-dentist interaction. BMC Pediatr. 2026 Jul 14. doi: 10.1186/s12887-026-07313-4. Online ahead of print. PubMed 42449269 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07387055
Lead sponsor
Sümeyra Akkoç
Responsible party
Sümeyra Akkoç (Assistant Professor, DDS, Kutahya Health Sciences University) — Sponsor-investigator
First posted
Feb 4, 2026
Start date
Aug 1, 2024
Primary completion
Nov 30, 2024
Completion
Nov 30, 2024
Last update
Feb 4, 2026

Oversight

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

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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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