Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception

Abstract Background To evaluate the effects of three different behavior guidance methods on children’s dental anxiety levels and pain perception. Methods This study included 63 children aged 6–8 years who required pulpotomy and were divided into three groups: tell–show–do (TSD; Group 1), TSD with vi...

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Main Authors: Mücella Yazar, Sema Aydınoğlu, Dilara Nil Günaçar
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06139-3
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author Mücella Yazar
Sema Aydınoğlu
Dilara Nil Günaçar
author_facet Mücella Yazar
Sema Aydınoğlu
Dilara Nil Günaçar
author_sort Mücella Yazar
collection DOAJ
description Abstract Background To evaluate the effects of three different behavior guidance methods on children’s dental anxiety levels and pain perception. Methods This study included 63 children aged 6–8 years who required pulpotomy and were divided into three groups: tell–show–do (TSD; Group 1), TSD with video modeling (Group 2), and TSD with mobile phone application (Group 3). Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and hemoglobin oxygen saturation (SPO2) of the participants were recorded before the procedure, after local anesthesia, after pulpotomy, and after the end of the procedure. Faces Version of the Modified Child Dental Anxiety (MCDASf), Wong-Baker Faces Pain Rating Scale (WBFPRS), and Face, Legs, Activity, Cry, Consolability (FLACC) pain scales were applied. Chi-squared test, one-way ANOVA, Kruskal–Wallis test, Friedman’s test, and repeated measurement analysis statistical tests were used. Results No significant difference was found between the steps in terms of BP, HR, and SPO2 within the groups (p > 0.05). When comparing the groups, there were significant differences in SBP (p = 0.040) and DBP (p = 0.027) measured at the beginning and end of the procedure, and between MCDASf (p = 0.041) and WBFPRS (p = 0.013) scores. These values ​​were lower in Group 3. Conclusion Dental anxiety and pain perception scores were lowest when using TSD with mobile phone application (Group 3). In line with developing technology, the use of mobile phone applications in pediatric dentistry can contribute to more harmonious treatment management in children. Trial registration The trial protocol was retrospectively registered ID NCT06912789 ( https://clinicaltrials.gov/ ); 2025-03-26.
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spelling doaj-art-9b1b8b02c041406fa025bdee8dc427112025-08-20T03:48:02ZengBMCBMC Oral Health1472-68312025-05-0125111010.1186/s12903-025-06139-3Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perceptionMücella Yazar0Sema Aydınoğlu1Dilara Nil Günaçar2Department of Pediatric Dentistry, Faculty of Dentistry, Recep Tayyip Erdoğan UniversityDepartment of Pediatric Dentistry, Faculty of Dentistry, Recep Tayyip Erdoğan UniversityDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Recep Tayyip Erdoğan UniversityAbstract Background To evaluate the effects of three different behavior guidance methods on children’s dental anxiety levels and pain perception. Methods This study included 63 children aged 6–8 years who required pulpotomy and were divided into three groups: tell–show–do (TSD; Group 1), TSD with video modeling (Group 2), and TSD with mobile phone application (Group 3). Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and hemoglobin oxygen saturation (SPO2) of the participants were recorded before the procedure, after local anesthesia, after pulpotomy, and after the end of the procedure. Faces Version of the Modified Child Dental Anxiety (MCDASf), Wong-Baker Faces Pain Rating Scale (WBFPRS), and Face, Legs, Activity, Cry, Consolability (FLACC) pain scales were applied. Chi-squared test, one-way ANOVA, Kruskal–Wallis test, Friedman’s test, and repeated measurement analysis statistical tests were used. Results No significant difference was found between the steps in terms of BP, HR, and SPO2 within the groups (p > 0.05). When comparing the groups, there were significant differences in SBP (p = 0.040) and DBP (p = 0.027) measured at the beginning and end of the procedure, and between MCDASf (p = 0.041) and WBFPRS (p = 0.013) scores. These values ​​were lower in Group 3. Conclusion Dental anxiety and pain perception scores were lowest when using TSD with mobile phone application (Group 3). In line with developing technology, the use of mobile phone applications in pediatric dentistry can contribute to more harmonious treatment management in children. Trial registration The trial protocol was retrospectively registered ID NCT06912789 ( https://clinicaltrials.gov/ ); 2025-03-26.https://doi.org/10.1186/s12903-025-06139-3BehaviorChildDental anxietyMobile applicationsPainVital signs
spellingShingle Mücella Yazar
Sema Aydınoğlu
Dilara Nil Günaçar
Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception
BMC Oral Health
Behavior
Child
Dental anxiety
Mobile applications
Pain
Vital signs
title Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception
title_full Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception
title_fullStr Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception
title_full_unstemmed Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception
title_short Are technological contributions in behavior guidance techniques superior to conventional methods?: Effects on dental anxiety and pain perception
title_sort are technological contributions in behavior guidance techniques superior to conventional methods effects on dental anxiety and pain perception
topic Behavior
Child
Dental anxiety
Mobile applications
Pain
Vital signs
url https://doi.org/10.1186/s12903-025-06139-3
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AT dilaranilgunacar aretechnologicalcontributionsinbehaviorguidancetechniquessuperiortoconventionalmethodseffectsondentalanxietyandpainperception