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

Elicherla, Sainath Reddy; Bandi, Sujatha; Nuvvula, Sivakumar; Challa, Rama subbareddy; Saikiran, Kanamarlapudi Venkata; Priyanka, Vaka Jeevan

doi:10.17245/jdapm.2019.19.6.369

Cited by 36 publications

(26 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study was carried out from August 2020 till December 2020 in the department of paediatric dentistry at Altamash Institute of Dental Medicine, Pakistan. OpenEpi® software was used to calculate the sample size by keeping a 95% confidence interval and the desired percentile of 50% [16]. The estimated sample size was 40 patients per group.…”

Section: Study Setting and Samplementioning

confidence: 99%

The Efficacy of Little Lovely Dentist, Dental Song, and Tell‐Show‐Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial

Abbasi

Saqib

Jouhar

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

Introduction. Dental anxiety is a common occurrence in patients undergoing dental treatments, especially in children. The success in paedriatric dental treatments and patient comfort depends on controlling the level of patient’s anxiety in clinical settings. This study is aimed at evaluating the efficacy of different techniques applied for the reduction of dental anxiety in paediatric patients. Material and Methods. One hundred and sixty participants were divided into 4 groups; each group having 40 patients as follows: group I: mobile application “little lovely dentist,” group II: YouTube® “dental video songs,” group III “tell-show-do,” and group IV “control.” Dental prophylaxis treatments were provided to all the participants. Initial anxiety levels were noted during the patient’s education phase by measuring heart rate with pulse oximeter and distress level with facial image scale, at the same time in each group, respectively. The postoperative anxiety was noted later with the same methods, after the application of anxiety reduction techniques. The data obtained were entered in the statistical package for the social sciences software, version 25. One-way ANOVA and paired t -test for matched groups were used to compare mean values of the 4 groups, in this study to determine their effectiveness. A p value of ≤0.05 was considered as statistically significant. Results. The mean age of patients in group 1 was 6.8 ± 2.1 years, group 2: 8.15 ± 2.27 years, group 3: 7.5 ± 2.3 years, and group 4: 7.27 ± 1.68 years. The intragroup comparisons of heart rate and facial image scores have shown a significant difference in before and after dental treatment procedures. Marked reduction in heart rate and facial image scale scores were found in patients belonging to group 1 (mobile applications) and group 2 (dental video songs). An increase in heart rate and facial image scale scores was seen in group 3 (tell-show-do) and the control group. Conclusion. The paediatric dental anxiety is a common finding in dental clinics. Behavior modification techniques like smartphone applications, “little lovely dentist,” and “dental songs” can alleviate dental anxiety experienced by paediatric patients. The “tell-show-do” technique although most commonly used did not prove to be beneficial in the reduction of the anxiety levels.

show abstract

Section: Study Setting and Samplementioning

confidence: 99%

The Efficacy of Little Lovely Dentist, Dental Song, and Tell‐Show‐Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial

Abbasi

Saqib

Jouhar

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…Elicherla et al ( 2019 ) evaluated the comparative effectiveness of a mobile app (Little Lovely Dentist) and the TSD technique in managing dental anxiety and fear. Fifty 7–11 years old children were randomly allocated into the dental app group or the TSD group.…”

Section: Discussionmentioning

confidence: 99%

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

Gozin

Bordbar

Esmaeili

2022

Eur Arch Paediatr Dent

View full text Add to dashboard Cite

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.

show abstract

“…Moreover, Elicherla et al compared the effectiveness of a smartphone application (Little Lovely Dentist) with the tell-show-do (TSD) technique in reducing the dental anxiety during first visits. They found that children educated using the application prior to their dental visits had significantly lower anxiety levels compared with the TSD group [38].…”

Section: Discussionmentioning

confidence: 99%

The Use of a Dental Storybook as a Dental Anxiety Reduction Medium among Pediatric Patients: A Randomized Controlled Clinical Trial

et al. 2022

View full text Add to dashboard Cite

This randomized clinical trial aimed to evaluate the effectiveness of a specially designed dental storybook in reducing dental anxiety among children. Eighty-eight children (6–8 years old) were randomly divided into two groups: the intervention group (received the storybook) and the control group (did not receive the storybook). Three dental visits (screening, examination and cleaning, and treatment) were provided for each child. Anxiety was assessed following each visit using the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and the Venham clinical anxiety scale (VCAS). The behavior was assessed using the Frankl’s Behavior Rating Scale (FBRS). The intervention group showed significantly lower anxiety and more cooperative behavior during treatment than the control group (p < 0.0001). The intervention group showed a significant decrease in anxiety scores and more cooperative behavior across time according to the CFSS-DS (p = 0.001) and Frankl behavior scale OR = 3.22, 95% CI 1.18–8.76. Multivariate models found that using the storybook was a significant independent factor in reducing anxiety and improving behavior after controlling for sex, previous visits, family income, and mother’s education. In conclusion, the dental storybook can decrease children’s dental anxiety and improve their behavior during dental treatment.

show abstract

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

Cited by 36 publications

References 26 publications

The Efficacy of Little Lovely Dentist, Dental Song, and Tell‐Show‐Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial

The Efficacy of Little Lovely Dentist, Dental Song, and Tell‐Show‐Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial

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

The Use of a Dental Storybook as a Dental Anxiety Reduction Medium among Pediatric Patients: A Randomized Controlled Clinical Trial

Contact Info

Product

Resources

About