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Effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients: a randomized controlled trial

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Abstract

Purpose

The study aims to evaluate the effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients.

Methods

The study protocol received approval from the Institutional Ethical Committee under reference number 3010/IEC/2021. Pediatric patients (252) aged from 7 to 12 years, who reported to the dental department were randomized pre-operatively and presented either with brainwave entrainment (experimental), delivered using a “David delight plus device” or a standard behavior management protocol (control). Baseline and post-assessment of anxiety and fear levels were done using the Visual Facial Anxiety Scale and Frankl’s behavior rating scale with Wright’s modification. Vitals such as blood pressure and pulse rate were also measured.

Results

The study sample (n = 252) comprised 118 females and 134 males. The non-significant differences for values of (VFAS1, FRS1, HR1, and BP1) indicated similar baseline characteristics. In the brainwave entrainment group, the p values of the Mann–Whitney U test and Wilcoxon Signed Ranks test (p < 0.01) between the two-timepoints indicated a statistical difference for the values of (VFAS1, FBRS1, HR1, BP1) and (VFAS2, FBRS2, HR2, BP2).

Conclusions

Brainwave entrainment effectively reduces pre-operative fear and anxiety in pediatric dental patients. Therefore, they can be a non-pharmacological and non-invasive behavior management aid.

Trial Registration

Clinical Trial Registry of India database CTRI/2023/03/051066.

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Data availability

The data used and/or analyzed during the current study available from the corresponding author on reasonable request.

References

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Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

Authors

Contributions

Farah Shehani: conceptualization; data curation; funding acquisition; investigation; writing—original draft. Victor Samuel: conceptualization; resources; visualizations; writing—review and editing. Kavitha R: formal analysis; validation; writing review and editing. Rekha Mani: validation; writing review and editing.

Corresponding author

Correspondence to V. Samuel.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Ethics approval

Institutional Ethical Committee under reference number 3010/IEC/2021.

Consent to participate

Verbal assent was obtained from the children also written consent was obtained from all of the parents on behalf of their children included in this study.

Consent for publication

A written consent was obtained from all of the parents on behalf of their children included in this study.

Consent to patient

Written consent was obtained from parents and verbal assent from children.

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Cite this article

Shehani, F., Samuel, V., Kavitha, R. et al. Effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients: a randomized controlled trial. Eur Arch Paediatr Dent (2024). https://doi.org/10.1007/s40368-024-00921-7

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  • DOI: https://doi.org/10.1007/s40368-024-00921-7

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