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Cognitive Behavioral Therapy for Children with Dental Anxiety: A Randomized Controlled Trial
S Shahnavaz1, E Hedman2, M Grindefjord1,3
1Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, Stockholm, Sweden.
Cognitive behavioral therapy (CBT) significantly reduces dental anxiety in children. This treatment led to greater improvements in managing dental procedures and overall well-being compared to usual care.
Area of Science:
- Pediatric Dentistry
- Child Psychology
- Behavioral Health
Background:
- Dental anxiety affects 9% of children, leading to poor oral health and psychosocial issues.
- Effective treatments are needed to manage childhood dental anxiety in specialist settings.
Purpose of the Study:
- To evaluate the efficacy of cognitive behavioral therapy (CBT) for children with dental anxiety.
- To compare CBT with treatment as usual (TAU) in a pediatric dentistry context.
Main Methods:
- A parallel-group superiority randomized controlled trial was conducted.
- Participants (n=30) aged 7-18 were randomized to CBT or TAU.
- The behavioral avoidance test (BAT) was the primary outcome measure, with assessments at baseline, 3 months, and 1 year.
Main Results:
- CBT demonstrated statistically significant improvements in the BAT compared to TAU (P < 0.01).
- 73% of CBT participants successfully completed all dental procedures in the BAT versus 13% in TAU.
- 91% of CBT participants no longer met dental anxiety criteria at 1-year follow-up, compared to 25% in TAU.
Conclusions:
- Cognitive behavioral therapy (CBT) is an effective treatment for pediatric dental anxiety.
- CBT should be integrated into specialist pediatric dental services for improved patient outcomes.
- Findings support the use of CBT for children and adolescents experiencing dental anxiety.
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