Playing it down - effectiveness of clay therapy, origami and building blocks in the management of dental anxiety among children aged 6-10 years

Smrithi Srinivasan; Laghna Gowda; Ila Srinivasan; Ajith Kumar Haridasan; Shilpa Sheshadri Yajaman

doi:10.18203/2349-3291.ijcp20231845

Authors

Smrithi Srinivasan Department of Pediatric and Preventive Dentistry, M. R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India
Laghna Gowda Department of Pediatric and Preventive Dentistry, M. R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India
Ila Srinivasan Department of Pediatric and Preventive Dentistry, M. R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India
Ajith Kumar Haridasan Department of Pediatric and Preventive Dentistry, M. R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India
Shilpa Sheshadri Yajaman Department of Pediatric and Preventive Dentistry, M. R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20231845

Keywords:

Dental anxiety, Clay, Play dough, Origami, Building blocks, Behaviour management, Tell show do

Abstract

Background: Children experience dental anxiety during their first dental visit, which affects the quality of dental treatment and gives rise to behaviour management problems. Clay, origami and building blocks have been effective in alleviating hospitalization anxiety in pediatric patients. These successful techniques in hospitalized pediatric patients have seldom been used in the dental set up. Therefore, the aim of this study is to assess and compare the efficacy of clay therapy, origami and building blocks in the management of dental anxiety in children aged 6-10 years.

Methods: Sixty children aged 6-10 years, with no previous dentist exposure, with Frankl’s behaviour rating 2 or 3 having dental caries with international caries detection and assessment system (ICDAS) score 3 requiring restorations without local anesthesia were selected and divided into four groups. Group 1 – clay therapy; group 2 - building blocks; group 3 – origami; and group 4 – tell show do. Pulse rate, facial image scale (FIS) and face, leg, activity, cry, consolability (FLACC) behaviour scales were used to quantify anxious behaviour. Operator compliance and parent acceptance was rated on the Likert scale.

Results: The results showed lower mean pulse rates, lower FIS and FLACC scores, and better operator compliance and parental acceptance in clay therapy, origami and building blocks groups than in the conventional tell-show-do group. The most significant reduction in all the parameters was seen in the clay therapy group.

Conclusions: Clay therapy, origami and building blocks can be used as an effective means to reduce dental anxiety in children.

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References

Panchal J, Panda A, Trivedi K, Chari D, Shah R, Parmar B. Comparative evaluation of the effectiveness of two innovative methods in the management of anxiety in a dental office: a randomized controlled trial. J Dent Anesth Pain Med. 2022;22(4):295.

Alsaadoon AM, Sulimany AM, Hamdan HM, Murshid EZ. The use of a dental storybook as a dental anxiety reduction medium among pediatric patients: a randomized controlled clinical trial. Children. 2022;9(3):328.

Vishwakarma AP, Bondarde PA, Patil SB, Dodamani AS, Vishwakarma PY, Mujawar SA. Effectiveness of two different behavioral modification techniques among 5–7-year-old children: A randomized controlled trial. J Indian Soc Pedod Prev Dent. 2017;35:143-9.

American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill. American Academy of Pediatric Dentistry. 2022;321-39.

Maghsoudi S, Sajjadi Z, Behnam Vashani H, Asghari Nekah SM, Manzari ZS. Comparison of the effects of play dough and bubble making distraction techniques on venepuncture pain intensity in children. Evidence Based Care. 2016;5(4):25-32.

Yodmon C. Origami in Medical field: a review article. Int J Curr Res. 2020;12(10):14566-8.

Thakur M, Kaur N, Pooni PA. Effectiveness of Origami on Hospitalized Anxiety among Children Admitted in Paediatric Units of a Selected Tertiary Care Hospital Ludhiana, Punjab. J Pediatr Nurs. 2021;7(2):1-9.

Rajeswari SR, Chandrasekhar R, Vinay C, Uloopi KS, RojaRamya KS, Ramesh MV. Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children. Int J Clin Pediatr Dent. 2019;12(5):419-22.

Deshpande R, Shah MR. Effectiveness of Play Therapy on Pain and Anxiety in Children Post Surgery. Int J Health Sci. 2019;9(4):84-9.

Rao DG, Havale R, Nagaraj M, Karobari NM, Latha AM, Tharay N, et al. Assessment of Efficacy of Virtual Reality Distraction in Reducing Pain Perception and Anxiety in Children Aged 6–10 Years: A Behavioral Interventional Study. Int J Clin Pediatr Dent. 2019;12(6):510-3.

Azher U, Srinath SK, Nayak M. Effectiveness of Bubble Breath Play Therapy in the Dental Management of Anxious Children: A Pilot Study. J Contemp Dent Pract. 2020;21(1):17-21.

Bafna Y, Chokshi MJ, Patel D. Comparison of Digital Games as a Behaviour Modification Among Anxious Children Aged 4-8 Years. J Res Adv Dent. 2021;11(3):237-41.

Mathew CS. Effectiveness of origami on hospitalized anxiety among children. Int J Adv Sci Res Dev. 2018;3(8):169-73.

Chhabra N, Chhabra A, Walia G. Prevalence of dental anxiety and fear among five to ten year old children: A behaviour based cross sectional study. Minerva Stomatol. 2012;61:83-9.

Zaynaliyan G, Javani A, Abedi M. Comparing the effect of paint and clay therapy on the symptoms of separation anxiety disorders in pre-school children. India J Fundament Appl Life Sci. 2014;4(3):304-14.

Rahmani P, Moheb N. The effectiveness of clay therapy and narrative therapy on anxiety of pre-school children: a comparative study. Procedia-Social and Behavioral Sciences. 2010;5:23-7.

Pribadi T, Elsanti D, Yulianto A. Reduction of Anxiety in Children Facing Hospitalization By Play Therapy: Origami and Puzzle in Lampung-Indonesia. Malahayati Int J Nurs Health Sci. 2018;1(1):29-35.

Asokan S, Geetha Priya PR, Natchiyar SN, Elamathe M. Effectiveness of distraction techniques in the management of anxious children –A randomized controlled pilot trial. J Indian Soc Pedod Prev Dent. 2020;38:407-12.

Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12:47 52.

Fathima F, Jeevanandan G. Validation of a facial image scale to assess child dental anxiety. Drug Invent Today. 2018;10:2825-8.

James J, Retnakumari N, Vadakkepurayil K, Thekkeveetil AK, Tom A. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent. 2021;14(2):249-53.

Deshpande AN, Shah YS, Jain A. Effectiveness of Euphemism with and without Self-designed Pictorial Flashcard in the Form of Dental Pictionary as Behavior Modification Technique in 4–6-year-old Children: A Randomized Controlled Study. J South Asian Assoc Pediatr Dent. 2022;5(2):59-63.

Sharma D, Sheth M, Bhatt R. A New Experience for Child in Pediatric Dental Clinic during Pulp Therapy Procedures with the Google Card board Device. RGUHS J Med Sci. 2021;11(2):106-12.

Bahrololoomi Z, Sadeghiyeh T, Rezaei M, Maghsoudi N. The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial. Pain Res Management. 2022;17.