Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial
Abstract Background Dental fear and anxiety can significantly hinder the treatment of children. The aim of this research is to compare the effect of puppet play therapy (PPT) and tell-show-do (TSD) behavior guidance technique on child’s behavior and anxiety in emergency dental clinics during local a...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-025-05849-5 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849389264675012608 |
|---|---|
| author | Layla N. Khogeer Heba Jafar Sabbagh Osama M. Felemban Najat M. Farsi |
| author_facet | Layla N. Khogeer Heba Jafar Sabbagh Osama M. Felemban Najat M. Farsi |
| author_sort | Layla N. Khogeer |
| collection | DOAJ |
| description | Abstract Background Dental fear and anxiety can significantly hinder the treatment of children. The aim of this research is to compare the effect of puppet play therapy (PPT) and tell-show-do (TSD) behavior guidance technique on child’s behavior and anxiety in emergency dental clinics during local anesthesia (LA) administration. Methods This randomized clinical trial included 50 children aged 3–6 years in need of emergency dental treatment under LA. The subjects were randomized into 2 equal groups: the PPT group, where behavior management was provided using PPT, and the TSD group where TSD was used as the behavior guidance technique. Dental anxiety levels were evaluated using the Facial Index Scale (FIS) and Venham Anxiety Rating Scale. Pulse rates were measured before, during and after anesthesia administration. Patient behavior was also scored using the Frankl Behavior Rating Scale and Venham Behavior Rating Scale. The Face, Legs, Activity, Cry, Consolability (FLACC) scale was used to assess pain. Results The mean heart rates were lower for patients who received PPT (94.12 ± 15.71; 106.88 ± 12.67 and 103.16 ± 13.6) compared to TSD (103.4 ± 20.94, 112.5 ± 23.17 and 111.48 ± 25.07) before, during and after the LA, respectively. Anxiety levels measured by FIS were significantly reduced using PPT (p < 0.001) compared to TSD. Conclusions This study presents a behavior modification method demonstrating efficacy in reducing anxiety among young children who had no previous dental exposure and underwent immediate invasive dental procedures, utilizing puppet play therapy. Trial registration ClinicalTrials.gov with registration number NCT06326307 on March 21, 2024. |
| format | Article |
| id | doaj-art-9e646459e4ac4d1481aa27a6e08e97f8 |
| institution | Kabale University |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-9e646459e4ac4d1481aa27a6e08e97f82025-08-20T03:42:00ZengBMCBMC Pediatrics1471-24312025-07-012511710.1186/s12887-025-05849-5Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trialLayla N. Khogeer0Heba Jafar Sabbagh1Osama M. Felemban2Najat M. Farsi3Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz UniversityPediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz UniversityPediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz UniversityPediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz UniversityAbstract Background Dental fear and anxiety can significantly hinder the treatment of children. The aim of this research is to compare the effect of puppet play therapy (PPT) and tell-show-do (TSD) behavior guidance technique on child’s behavior and anxiety in emergency dental clinics during local anesthesia (LA) administration. Methods This randomized clinical trial included 50 children aged 3–6 years in need of emergency dental treatment under LA. The subjects were randomized into 2 equal groups: the PPT group, where behavior management was provided using PPT, and the TSD group where TSD was used as the behavior guidance technique. Dental anxiety levels were evaluated using the Facial Index Scale (FIS) and Venham Anxiety Rating Scale. Pulse rates were measured before, during and after anesthesia administration. Patient behavior was also scored using the Frankl Behavior Rating Scale and Venham Behavior Rating Scale. The Face, Legs, Activity, Cry, Consolability (FLACC) scale was used to assess pain. Results The mean heart rates were lower for patients who received PPT (94.12 ± 15.71; 106.88 ± 12.67 and 103.16 ± 13.6) compared to TSD (103.4 ± 20.94, 112.5 ± 23.17 and 111.48 ± 25.07) before, during and after the LA, respectively. Anxiety levels measured by FIS were significantly reduced using PPT (p < 0.001) compared to TSD. Conclusions This study presents a behavior modification method demonstrating efficacy in reducing anxiety among young children who had no previous dental exposure and underwent immediate invasive dental procedures, utilizing puppet play therapy. Trial registration ClinicalTrials.gov with registration number NCT06326307 on March 21, 2024.https://doi.org/10.1186/s12887-025-05849-5AnxietyBehaviorChildrenDental careEmergencyPediatric |
| spellingShingle | Layla N. Khogeer Heba Jafar Sabbagh Osama M. Felemban Najat M. Farsi Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial BMC Pediatrics Anxiety Behavior Children Dental care Emergency Pediatric |
| title | Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial |
| title_full | Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial |
| title_fullStr | Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial |
| title_full_unstemmed | Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial |
| title_short | Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial |
| title_sort | puppet play therapy in emergency pediatric dental clinic a randomized clinical trial |
| topic | Anxiety Behavior Children Dental care Emergency Pediatric |
| url | https://doi.org/10.1186/s12887-025-05849-5 |
| work_keys_str_mv | AT laylankhogeer puppetplaytherapyinemergencypediatricdentalclinicarandomizedclinicaltrial AT hebajafarsabbagh puppetplaytherapyinemergencypediatricdentalclinicarandomizedclinicaltrial AT osamamfelemban puppetplaytherapyinemergencypediatricdentalclinicarandomizedclinicaltrial AT najatmfarsi puppetplaytherapyinemergencypediatricdentalclinicarandomizedclinicaltrial |