Comparative Evaluation of Reframing and Tell-show-do Behavior Guidance Technique in the Management of Dental Anxiety among Children Aged 6-12 Years Undergoing Dental Treatment without and with Administration of Local Anesthesia: A Single-Blind Randomized Clinical Study.
Vidyavathi H Patil, Shivayogi M Hugar, Niraj S Gokhale, Shweta Kajjari, Chandrashekar Maruti Badakar, Chaitanya R Uppin
{"title":"Comparative Evaluation of Reframing and Tell-show-do Behavior Guidance Technique in the Management of Dental Anxiety among Children Aged 6-12 Years Undergoing Dental Treatment without and with Administration of Local Anesthesia: A Single-Blind Randomized Clinical Study.","authors":"Vidyavathi H Patil, Shivayogi M Hugar, Niraj S Gokhale, Shweta Kajjari, Chandrashekar Maruti Badakar, Chaitanya R Uppin","doi":"10.4103/ccd.ccd_35_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Dental fear and anxiety are the major hurdles for providing successive treatment for children. Effective use of behavior guidance techniques is essential for addressing these challenges. Hence, this study aimed to evaluate the effectiveness of reframing and tell-show-do (TSD) behavior guidance technique in reducing anxiety in children during dental procedures without and with administration of local anesthesia (LA).</p><p><strong>Subjects and methods: </strong>Fifty children of 6-12 years of age with no previous dental experience were randomly assigned to either the reframing group or the TSD group. They underwent dental procedures without (restoration) and with administration of LA. Subjective anxiety was evaluated using the Venham Picture Scale (VPS) and physiologically by measuring pulse rate (PR) before and after the procedures.</p><p><strong>Results: </strong>The intragroup analysis was done using paired <i>t</i>-test and intergroup by independent <i>t</i>-test. For the procedure without LA (restoration), the intragroup analysis showed significant anxiety reduction in children both in TSD (<i>P</i> = 0.0404* VPS) and reframing group (<i>P</i> = 0.0289* VPS) postoperatively. However, intergroup analysis showed no significant difference. For the procedure with LA, higher anxiety was seen in the TSD group (<i>P</i> = 0.0042* VPS, <i>P</i> = 0.0005* PR) compared to reframing both in intragroup analysis (<i>P</i> = 0.0042* VPS, <i>P</i> = 0.0005* PR) as well as intergroup analysis (<i>P</i> = 0.0222*) compared to children in the reframing group.</p><p><strong>Conclusion: </strong>This study showed both reframing and TSD are effective in reducing anxiety for restorative procedures in children. However, reframing is better suited when LA administration is required.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 2","pages":"81-86"},"PeriodicalIF":1.1000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338477/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Clinical Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ccd.ccd_35_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Dental fear and anxiety are the major hurdles for providing successive treatment for children. Effective use of behavior guidance techniques is essential for addressing these challenges. Hence, this study aimed to evaluate the effectiveness of reframing and tell-show-do (TSD) behavior guidance technique in reducing anxiety in children during dental procedures without and with administration of local anesthesia (LA).
Subjects and methods: Fifty children of 6-12 years of age with no previous dental experience were randomly assigned to either the reframing group or the TSD group. They underwent dental procedures without (restoration) and with administration of LA. Subjective anxiety was evaluated using the Venham Picture Scale (VPS) and physiologically by measuring pulse rate (PR) before and after the procedures.
Results: The intragroup analysis was done using paired t-test and intergroup by independent t-test. For the procedure without LA (restoration), the intragroup analysis showed significant anxiety reduction in children both in TSD (P = 0.0404* VPS) and reframing group (P = 0.0289* VPS) postoperatively. However, intergroup analysis showed no significant difference. For the procedure with LA, higher anxiety was seen in the TSD group (P = 0.0042* VPS, P = 0.0005* PR) compared to reframing both in intragroup analysis (P = 0.0042* VPS, P = 0.0005* PR) as well as intergroup analysis (P = 0.0222*) compared to children in the reframing group.
Conclusion: This study showed both reframing and TSD are effective in reducing anxiety for restorative procedures in children. However, reframing is better suited when LA administration is required.
期刊介绍：
The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
