Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT
Objective To evaluate whether the presence of a certified therapy dog specially trained for working in a dental setting may facilitate dental care of anxious pediatric patients. Methods The Norwegian Regional Committee for Medical and Health Research Ethics approved a randomized cross-over trial wit...
Published in: | Clinical and Experimental Dental Research |
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Online Access: | https://hdl.handle.net/10037/27527 https://doi.org/10.1002/cre2.679 |
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ftunivtroemsoe:oai:munin.uit.no:10037/27527 2023-05-15T17:43:38+02:00 Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT Gussgard, Anne Margrete Carlstedt, Kerstin Meirik, Malin 2022-10-19 https://hdl.handle.net/10037/27527 https://doi.org/10.1002/cre2.679 eng eng Wiley Clinical and Experimental Dental Research Gussgard, Carlstedt, Meirik. Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT. Clinical and Experimental Dental Research. 2022 FRIDAID 2064579 doi:10.1002/cre2.679 2057-4347 https://hdl.handle.net/10037/27527 Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2022 The Author(s) https://creativecommons.org/licenses/by/4.0 CC-BY Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1002/cre2.679 2022-12-01T00:02:23Z Objective To evaluate whether the presence of a certified therapy dog specially trained for working in a dental setting may facilitate dental care of anxious pediatric patients. Methods The Norwegian Regional Committee for Medical and Health Research Ethics approved a randomized cross-over trial with a study sample of n = 16 children aged between 6 and 12 years. The trial was registered on clinicaltrials.gov. Pediatric patients referred to specialist care at the Public Dental Service Competence Center of Northern Norway (TkNN) because of anxiety were invited to partake in the trial. Study participants met twice for an intraoral examination by a specialist pediatric dentist. Per random allocation, a therapy dog team was present in the clinic operatory during the clinical examination on the first or the second visit. The primary outcome was the assessment of patient compliance during the intraoral examination (yes/no). Secondary outcomes were measurements of child satisfaction and anxiety using the CFSS-DS scale (Dental subscale of Children's Fear Survey Schedule) completed by a parent/guardian. Supplementary outcomes were salivary cortisol level, heart rate variability, and skin conductance. Results Ten boys and six girls (mean age 8.5) were recruited. All completed both clinical visits and demonstrated full compliance while undergoing a dental examination. All study participants and guardians reported great satisfaction. The salivary cortisol level reduction during the clinical examination on the first visit decreased by 30% in the presence of the therapy dog and 20% without, while the decrease during the clinical examination on the second visit was 29% in the presence of the therapy dog and 3% without. Within the limitations of the experimental setup, the electrophysiological measurements were unreliable in the current study population. Conclusion Dog-assisted therapy in a dental care setting appears to have a positive effect on children with dental anxiety or children that avoid dental care. Article in Journal/Newspaper Northern Norway University of Tromsø: Munin Open Research Archive Norway Clinical and Experimental Dental Research |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
description |
Objective To evaluate whether the presence of a certified therapy dog specially trained for working in a dental setting may facilitate dental care of anxious pediatric patients. Methods The Norwegian Regional Committee for Medical and Health Research Ethics approved a randomized cross-over trial with a study sample of n = 16 children aged between 6 and 12 years. The trial was registered on clinicaltrials.gov. Pediatric patients referred to specialist care at the Public Dental Service Competence Center of Northern Norway (TkNN) because of anxiety were invited to partake in the trial. Study participants met twice for an intraoral examination by a specialist pediatric dentist. Per random allocation, a therapy dog team was present in the clinic operatory during the clinical examination on the first or the second visit. The primary outcome was the assessment of patient compliance during the intraoral examination (yes/no). Secondary outcomes were measurements of child satisfaction and anxiety using the CFSS-DS scale (Dental subscale of Children's Fear Survey Schedule) completed by a parent/guardian. Supplementary outcomes were salivary cortisol level, heart rate variability, and skin conductance. Results Ten boys and six girls (mean age 8.5) were recruited. All completed both clinical visits and demonstrated full compliance while undergoing a dental examination. All study participants and guardians reported great satisfaction. The salivary cortisol level reduction during the clinical examination on the first visit decreased by 30% in the presence of the therapy dog and 20% without, while the decrease during the clinical examination on the second visit was 29% in the presence of the therapy dog and 3% without. Within the limitations of the experimental setup, the electrophysiological measurements were unreliable in the current study population. Conclusion Dog-assisted therapy in a dental care setting appears to have a positive effect on children with dental anxiety or children that avoid dental care. |
format |
Article in Journal/Newspaper |
author |
Gussgard, Anne Margrete Carlstedt, Kerstin Meirik, Malin |
spellingShingle |
Gussgard, Anne Margrete Carlstedt, Kerstin Meirik, Malin Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT |
author_facet |
Gussgard, Anne Margrete Carlstedt, Kerstin Meirik, Malin |
author_sort |
Gussgard, Anne Margrete |
title |
Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT |
title_short |
Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT |
title_full |
Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT |
title_fullStr |
Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT |
title_full_unstemmed |
Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT |
title_sort |
intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: a pilot rct |
publisher |
Wiley |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/27527 https://doi.org/10.1002/cre2.679 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
Clinical and Experimental Dental Research Gussgard, Carlstedt, Meirik. Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT. Clinical and Experimental Dental Research. 2022 FRIDAID 2064579 doi:10.1002/cre2.679 2057-4347 https://hdl.handle.net/10037/27527 |
op_rights |
Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2022 The Author(s) https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1002/cre2.679 |
container_title |
Clinical and Experimental Dental Research |
_version_ |
1766145758195613696 |