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Live Modeling Versus Tell-Show-Do Technique Based on Children's Heart Rates, Oxygen Saturation and Facial Image
Senchhema Limbu1, Parajeeta Dikshit1, Manisha Malla1
1Kantipur Dental College and Teaching Hospital, Basundhara, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|May 26, 2022
Summary
Live modeling, using a parent as a model, effectively reduces children's dental anxiety compared to the Tell-Show-Do technique. This method is a valuable alternative for managing behavior in pediatric dentistry.
Area of Science:
- Pediatric Dentistry
- Behavioral Science
- Child Psychology
Background:
- Tell-Show-Do is a common behavior management technique in pediatric dentistry.
- Live modeling is less frequently utilized but shows promise.
- Comparing these techniques is crucial for optimizing anxiety reduction in children.
Purpose of the Study:
- To compare the effectiveness of live modeling versus Tell-Show-Do in managing pediatric dental anxiety.
- To assess objective (pulse rate, oxygen saturation) and subjective (facial-image scale) anxiety parameters.
Main Methods:
- A cross-sectional study involved 138 children aged 5-10 years.
- Children were randomized into three groups: live modeling with mother, live modeling with father, and Tell-Show-Do.
- Anxiety was measured using pulse oximetry and facial-image scale before and after oral examination and rotary prophylaxis.
Main Results:
- Live modeling with a mother (Group A) showed significantly lower heart rates post-procedure compared to Tell-Show-Do (Group C).
- Facial-image scale scores indicated significantly lower anxiety in Group A compared to Groups B and C.
- Oxygen saturation levels did not differ significantly across the groups.
Conclusions:
- Live modeling is an effective behavior management technique for reducing dental anxiety in children.
- Both live modeling and Tell-Show-Do are viable options for managing pediatric dental anxiety.
- Anxiety levels were higher during procedural work than during oral examination.
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