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CTRI Number  CTRI/2025/03/083750 [Registered on: 28/03/2025] Trial Registered Prospectively
Last Modified On: 26/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Other 
Public Title of Study   A Three-Way Comparison of strategies to reduced anxiety among kids : Play-Based on Learning, Virtual game and Snoezelen Therapy 
Scientific Title of Study   Comparative evaluation of the effectiveness of Tell-Play-Do and Virtual game and Snoezelen environment to evaluate behavior and anxiety in 4-7 years old children  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aditi Dnyaneshwar Hagwane 
Designation  Post graduate student 
Affiliation  Pacific dental college and hospital Debari Udaipur 
Address  Pacific dental college and hospital Debari Udaipur

Udaipur
RAJASTHAN
313024
India 
Phone  07447473539  
Fax    
Email  aditihagwane98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dinesh Rao 
Designation  HOD PG guide 
Affiliation  Pacific dental college and hospital Debari Udaipur 
Address  Department of pediatric and preventive dentistry first floor room number nine Pacific Dental College And Hospital Debari Udaipur 313024

Udaipur
RAJASTHAN
313024
India 
Phone  9414158235  
Fax    
Email  pedodinesh2003@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dinesh Rao 
Designation  HOD PG guide 
Affiliation  Pacific dental college and hospital Debari Udaipur 
Address  Department of pediatric and preventive dentistry first floor room number nine Pacific Dental College And Hospital Debari Udaipur 313024

Udaipur
RAJASTHAN
313024
India 
Phone  9414158235  
Fax    
Email  pedodinesh2003@gmail.com  
 
Source of Monetary or Material Support  
Pacific Dental College And Hospital, Debari, udaipur, 313024 
 
Primary Sponsor  
Name  Aditi Hagwane 
Address  Girls hostel no 1,Pacific dental college and hospital, Debari ,Udaipur 313024 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aditi Hagwane  Pacific Dental College And Hospital Debari Udaipur 313024  Department of pediatric and preventive dentistry first floor room number nine Pacific Dental College And Hospital Debari Udaipur 313024
Udaipur
RAJASTHAN 
07447473539

aditihagwane98@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional research review board (Pacific dental college and hospital debari udaipur 313024 rajasthan  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K056||Periodontal disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Snoezelen environment  it will be use for 2 months for first appointment The child along with parents were made to enter the room which is converted into Snoezelen effect that is combination of a partially lit room with special lighting effects, relaxing music, and aromas. This environment provides sensory stimulation to children during the treatment.  
Comparator Agent  tell-play-do  uses a "learning by doing" approach to reduce dental anxiety in children by first explaining the procedure, then allowing them to practice with toy instruments, and finally performing the actual treatment.  
Comparator Agent  Virtual Game  A smart phone is given to subjects which contain dental related mobile game in the presence of parents. The game consist of variety of dental stimulated treatments which the child could play during the treatment.  
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  7.00 Year(s)
Gender  Both 
Details  Children of age four to seven years
Children who are coming for their first dental visit
Children who fall under negative Frankl’s behavior
rating scale
Children who fall under sad and very sad facial image
scale 
 
ExclusionCriteria 
Details  Children who are physically, mentally and medically compromised
Patient requiring emergency treatment
Parents who are willing to allow their child to
participate
Children who are not willing to enter the Snoezelen
environment (for example: autistic children)  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
virtual games and Snoezelen
environment is effective in reducing the dental anxiety in
children aged 4 - 6 years during their first dental visit 
it will be assesed in first appointment before and after procedure 
 
Secondary Outcome  
Outcome  TimePoints 
virtual games & Snoezelen
environment is effective in reducing the dental anxiety even tell play do also effective to reduce there anxitey in
children aged 4 - 7 years during their first dental visit 
it will be assesed in first appointment before & after procedure 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   06/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Dental anxiety (DA) is a feeling of fear that something frightful will occur during dental treatment. It is associated with a sense of losing control. Anxiety is a complex construct with physical, cognitive, and emotional components. The prevalence of dental anxiety is 5 - 20 % in most of the populations which are seen more in children, and this tends to decrease as age advances [54, 55]. Our study aimed to assess and compare the effectiveness of virtual games and the Snoezelen environment on dental anxiety levels with conventional Tell - Show - Do in children aged 4 - 7 years. Among the different nonpharmacological treatments, sensory adapted dental environment (SADE) is a unique therapy approach that has become increasingly popular. The "Snoezelen chamber," which is a well - lit room with slow - moving light, soothing sound, and precise tactile feeling, is typically where this multisensory - stimulating environment is presented. Different functions were fulfilled by these multisensory stimuli. The first step was to partially dim the room to resist any unpleasant visual sensations. To distract the kids from the usual loud sounds of the dental equipment, pleasant music was played in the background to mask the second sensory stimulus, which is the "noise" (e. g., airotor and suction). An aroma diffuser was utilised to mask the "smell, " which is the third sensory stimulus, by removing the characteristic hospital odour. 
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