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CTRI Number  CTRI/2024/01/061878 [Registered on: 29/01/2024] Trial Registered Prospectively
Last Modified On: 18/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Tell Show Do Vs Ask Tell Ask to reduce dental fear and anxiety: A clinical trial 
Scientific Title of Study   Evaluation of the effectiveness of Ask-Tell-Ask and Tell-Show-Do in the management of dental fear and anxiety: A randomized control trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Niharika Reddy 
Designation  Post graduate 
Affiliation  Narayana Dental College and Hospital 
Address  Department of Paediatric and Preventive dentistry, Division 7,Room no: 7, Narayana Dental College and Hospital, Chinthareddypalem , Nellore, Andhrapradesh.

Nellore
ANDHRA PRADESH
524003
India 
Phone  09398463787  
Fax    
Email  niharikaelicherla13@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  K.V.SAIKIRAN 
Designation  Assistant professor 
Affiliation  Narayana Dental College and Hospital 
Address  Department of Paediatric and Preventive dentistry, Division 7 Room no: 7, Narayana Dental College and Hospital, Chinthareddypalem , Nellore, Andhrapradesh.

Nellore
ANDHRA PRADESH
524003
India 
Phone  8125774535  
Fax    
Email  saikiran4u2008@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sivakumar Nuvvula 
Designation  Professor and Head of the department 
Affiliation  Narayana Dental College and Hospital 
Address  Department of Paediatric and Preventive Dentistry, Division 7, Room no: 7, Narayana Dental College and Hospital, Chinthareddypalem , Nellore, Andhrapradesh.

Nellore
ANDHRA PRADESH
524003
India 
Phone  9441624429  
Fax    
Email  dentist4kids@gmail.com  
 
Source of Monetary or Material Support  
Self funded study 
 
Primary Sponsor  
Name  Niharika  
Address  Chintareddypalem, Narayana Dental College and Hospital 
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 
Niharika  Narayana Dental College and Hospital  Department of Paediatric and Preventive dentistry, Division 7, Room no:7.
Nellore
ANDHRA PRADESH 
9398463787

niharikaelicherla13@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE(IEC, NDCH)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K026||Dental caries on smooth surface,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ask Tell Ask group  The child was inquired to share his/ her emotions and fears regarding the dental procedure. To make children feel at ease with the dentist and the dental setting, they were free to express themselves without feeling compelled or afraid. After being addressed, the child was queried again about his views towards the treatment, and the procedure was explained using euphemisms appropriate to his cognitive level. 
Comparator Agent  Tell Show Do group  The child received verbal explanations of the treatment procedure and an explanation of precisely what would be done. Following this, the child received demonstrations of the visual, auditory, and tactile aspects of the procedure, meaning that the child was demonstrated with all the equipment and materials needed for the treatment, informed about the noise produced by the airotor, and shown how the suction, three-way syringe, and airotor work. 
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  11.00 Year(s)
Gender  Both 
Details  1. Children without any dental antiquity
2. Children in the age range of 7-11 years.
3. Children who exhibited positive (+) or negative (-) grounded on Wright’s modification of the Frankl behaviour rating scale [13].
4. Children who agreed to take part in the study
5. Obtained informed written consent from their parents
 
 
ExclusionCriteria 
Details  1. Children presenting with any of the systemic or mental disorders.
2. Children who illustrated positive (++) or negative (- -) based on Wright’s modification of the Frankl behaviour rating scale [13].
3. Children unable to cope up with the treatment procedures.
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Reduction of dental fear and anxiety  2 months 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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   Phase 1 
Date of First Enrollment (India)   31/01/2024 
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 Applicable 
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  

Background: The objective of behaviour guidance is to establish effective communication that aligns with the child’s requirements in order to manage their disruptive behavior.

Objective: The objective of this study was to evalute the effectiveness of the tell show do and ask tell ask techniques in managing anxiety among children during their initial dentist appointment.

Methods: The study comprised  fifty children (28 boy child and 22 girl child) between the ages of 7 to 11 years, in their first dental visit without any prior experience. The children were randomly categorized into two groups: Group 1: Tell Show Do; Group 2: Ask-Tell-Ask. Later, all the children underwent non-invasive treatment procedures like restorations, sealants, and oral prophylaxis. Further, behaviour management techniques were employed based on the allocated group. Finally, anxiety levels for all the children were assessed using the RMS pictorial scale and a heart rate at three different intervals (before, during, and after). The obtained data were entered in Microsoft Excel, and statistical analysis was executed by employing the SPSS software.


 
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