Top

European Archives of Paediatric Dentistry

Published in:

01-09-2022 | Anxiety | Original Scientific Article

Audio–visual storytelling for reducing dental anxiety in Iranian children: a randomized controlled trial

Authors: F. Gozin, F. Tabe Bordbar, M. Esmaeili

Published in: European Archives of Paediatric Dentistry | Issue 6/2022

Abstract

Purpose

The aim of the study was to compare the effectiveness of the audio–visual storytelling method and the "tell–show–do" (TSD) technique on reducing children's dental anxiety.

Methods

A controlled clinical trial study was performed with two experimental groups and a control group. Forty-five 6-to-9 years old children were randomly divided into the groups. Venham Picture Test and Facial Image scale were used as measurement tools. Repeated measures analysis of variance and Bonferroni post hoc test were used to evaluate the interventions.

Results

The results of the post hoc test showed that there was a significant difference between the mean scores of the control group and storytelling group according to both anxiety scales (p = 0.001). Also, there was a significant difference between the mean scores of the control group and TSD group according to both anxiety scales (p = 0.01).

Conclusion

The audio–visual storytelling appears an effective, applicable method for reducing children's dental anxiety. However, it is significant to select an appropriate story and also to consider the dentist–patient relationship.

Civardi A. Going to the Dentist (Usborne First Experiences). UK: Usborne publishing.

Alnamankany A. Video modelling and dental anxiety in children. A randomised clinical trial. Eur J Paediatr Dent. 2019;20:242–6. https://doi.org/10.23804/ejpd.2019.20.03.14.CrossRefPubMed

Alqhtani F, Pani S. Parental anxiety associated with children undergoing dental treatment. Eur J Paediatr Dent. 2019;20:285–9. https://doi.org/10.23804/ejpd.2019.20.04.05.CrossRefPubMed

American Academy of Pediatric Dentistry (AAPD). Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2015;37:57–70.

Aminabadi NA, Vafaei A, Erfanparast L, Oskouei SG, Jamali Z. Impact of pictorial story on pain perception, situational anxiety and behavior in children: a cognitive-behavioral schema. J Clin Pediatr Dent. 2012. https://doi.org/10.17796/jcpd.36.2.3163251527508338.CrossRef

Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Pediatr Dent. 2002;12:47–52.

Dahlander A, Soares F, Grindefjord M, Dahllöf G. Factors associated with dental fear and anxiety in children aged 7 to 9 years. Dent J. 2019;7:68. https://doi.org/10.3390/dj7030068.CrossRef

Eli I, Uziel N, Blumensohn R, Baht R. Modulation of dental anxiety—the role of past experiences, psychopathologic traits and individual attachment patterns. Br Dent J. 2004;196:689–94. https://doi.org/10.1038/sj.bdj.4811352.CrossRefPubMed

Elicherla SR, Bandi S, Nuvvula S, Subbareddy Challa R, Saikiran KV, Priyanka VJ. Comparative evaluation of the effectiveness of a mobile app (Little Lovely Dentist) and the tell-show-do technique in the management of dental anxiety and fear: a randomized controlled trial. J Dent Anesth Pain Med. 2019;19:369–78. https://doi.org/10.17245/jdapm.2019.19.6.369.CrossRefPubMedPubMedCentral

Farhat-Mchayleh N, Harfouche A, Souaid P. Techniques for managing behaviour in pediatric dentistry: comparative study of live modelling and tell-show-do based on children's heart rates during treatment. J Can Dent Assoc. 2009;75.

Gall M, Borg W, Gall J. Educational research: an introduction. 7th ed. Boston: Allyn & Bacon; 2003.

Gawthaman EA. Comparative assessment of dental anxiety among children aged 3–14 years using picture and non-picture tests. EJPMR. 2018;5:348–54.

Ghasempoor M, Hadji Ahmadi M, Pooryiaye Vali M. Dental stress in 6–12 years old children [Persian]. J Babol Med Univ. 2004;3:12–6.

Grisolia BM, dos Santos APP, Dhyppolito IM, Buchanan H, Hill K, Oliveira BH. Prevalence of dental anxiety in children and adolescents globally: a systematic review with meta-analyses. Int J Pediatr Dent. 2021;31(2):168–83. https://doi.org/10.1111/ipd.1271.CrossRef

Hamissi J, Hamissi H, Ghoudosi A, Gholami S. Factors affecting dental anxiety and beliefs in an Iranian population. Int J Collab Res Intern Med Public Health . 2012:4.

Javadinejad S, Farajzadegan Z, Madahain M. Iranian version of a face version of the Modified Child Dental Anxiety Scale: transcultural adaptation and reliability analysis. J Res Med Sci. 2011;16:872.PubMedPubMedCentral

Kebriaei F, Attarzadeh H, Foroughi E, Taghian M, Sadri S, Nemati M, Sadri L. Dental anxiety: the prevalence and related factors among 7–14-year-old children in Yazd, Iran. Int J Pediatr. 2022;10:15304–12. https://doi.org/10.22038/IJP.2021.60713.4687.CrossRef

Khokhar V, Gupta B, Kaur J. Evaluation of anxiety level of children aged 6–9 years during sequential dental visits using objective and subjective measures. EC Dent Sci. 2017;15:93–103.

Khoshnevisan M, Ghasemianpour M, Samadzadeh H, Baez R. Oral health status and healthcare system in IR Iran. J Contemp Med Sci. 2018;4:107–18. https://doi.org/10.1111/j.1875-595x.2004.tb00013.x.CrossRef

Krishnappa S, Srinath S, et al. Evaluation of facial image scale and venham picture test used to assess dental anxiety in children. J Indian Assoc Public Health Dent. 2013;11(3):31–5.

Kroniņa L, Rasčevska M, Care R. Psychosocial factors correlated with children’s dental anxiety. Stomatologija. 2017;19:84–90.PubMed

Minja IK, Kahabuka FK. Dental anxiety and its consequences to oral health care attendance and delivery. Anxiety Disord. From Childhood Adulthood. 2019. https://doi.org/10.5772/intechopen.82175.

Morgan AG, Rodd HD, Porritt JM, Baker SR, Creswell C, Newton T, Williams C, Marshman Z. Children’s experiences of dental anxiety. Int J Paediatr Dent. 2017;27:87–97. https://doi.org/10.1111/ipd.12238.CrossRefPubMed

Nilchiyan F, Mohammadi A. Assessment of the level of dental anxiety in 10–12 year-old students in Shahr-e-kord city in 2012. Isfahan Med Sci J. 2013:451–458.

Olivera CAD, Gama T, Cabral EL, Figueiredo CHMDC, Guênes GMT, Penha ESD. Anxiety presented by children facing dental treatment. RGO-Revista Gaúcha De Odontol. 2018;66:212–8. https://doi.org/10.1590/1981-863720180003000033302.CrossRef

Olszewska A, Rzymski P. Children’s dental anxiety during the COVID-19 pandemic: Polish experience. J Clin Med. 2020;9:2751. https://doi.org/10.3390/jcm9092751.CrossRefPubMedPubMedCentral

Pakdaman F, Davodi I. The effect of narrative therapy on anxiety, pain and anger dentists in dental care for children 8–4 years under the city of Neka and Sari, Iran. J Pediatr Dent. 2015;10:17–34. https://doi.org/10.29252/ijpd.10.2.17.CrossRef

Pande P, Rana V, Srivastava N, Kaushik N. Effectiveness of different behavior guidance techniques in managing children with negative behavior in a dental setting: a randomized control study. J Indian Soc Pedod Prev Dent. 2020;38:259. https://doi.org/10.4103/JISPPD.JISPPD_342_20.CrossRefPubMed

Paryab M, Hosseinbor M. Dental anxiety and behavioral problems: a study of prevalence and related factors among a group of Iranian children aged 6–12. J Indian Soc Pedod Prev Dent. 2013;31:82. https://doi.org/10.4103/0970-4388.115699.CrossRefPubMed

Raadal M, Skaret E. Background description and epidemiology. Cogn Behav Ther Dent Phobia Anxiety. 2013. https://doi.org/10.1002/9781118499825.ch2.CrossRef

Schultz D, Schultz S. Theories of personality. 10th ed. Belmont: Wadsworth/Cengage Learning; 2012.

Sekhavatpour Z, Khanjani N, Reyhani T, Ghaffari S, Dastoorpoor M. The effect of storytelling on anxiety and behavioral disorders in children undergoing surgery: a randomized controlled trial. Pediatr Health Med Ther. 2019;10:61. https://doi.org/10.2147/PHMT.S201653.CrossRef

Stigers JI. Nonpharmacologic management of children’s behaviors. McDonald and Avery's Dentistry for the Child and Adolescent. Elsevier; 2016.

Tofan G, Bodolica V, Spraggon M. Governance mechanisms in the physician–patient relationship: a literature review and conceptual framework. Health Expect. 2013;16:14–31. https://doi.org/10.1111/j.1369-7625.2012.00807.x.CrossRefPubMed

Wright GZ, Kupietzky A. Behavior management in dentistry for children. New York: Wiley; 2014a.CrossRef

Wright GZ, Kupietzky A. Non-pharmacologic approaches in behavior management. Behav Manag Dent Children. 2014b. https://doi.org/10.1002/9781118852446.CrossRef

Wu L, Gao X. Children’s dental fear and anxiety: exploring family related factors. BMC Oral Health. 2018;18:1–10. https://doi.org/10.1186/s12903-018-0553-z.CrossRef

Title: Audio–visual storytelling for reducing dental anxiety in Iranian children: a randomized controlled trial
Authors: F. Gozin
F. Tabe Bordbar
M. Esmaeili
Publication date: 01-09-2022
Publisher: Springer Berlin Heidelberg
Keyword: Anxiety
Published in: European Archives of Paediatric Dentistry / Issue 6/2022
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-022-00742-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Audio–visual storytelling for reducing dental anxiety in Iranian children: a randomized controlled trial

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2022

Influence of antimicrobial photodynamic therapy with different pre-irradiation times on children’s dental biofilm: randomized clinical trial

Evaluation of the knowledge and attitudes about dental practices of Turkish parents who visited the pedodontics clinic in Tokat Gaziosmanpaşa University, during the COVID-19 pandemic

Obituary Magne Raadal

Worldwide research trends on the use of chemical–mechanical caries removal products over the years: a critical review

Oral health-related quality of life in portuguese pre-school children: a cross-sectional study

Patient-reported outcome measures in individuals with amelogenesis imperfecta: a systematic review