Journal of South Asian Association of Pediatric Dentistry

Register      Login

VOLUME 7 , ISSUE 1 ( January-April, 2024 ) > List of Articles

ORIGINAL RESEARCH

Process Drama as a Tool in the Management of Dental Fear and Anxiety

Kalyani Boorela, Aron AK Vasa, Suzan Sahana

Keywords : Dental anxiety, Dramatic framing, Process drama

Citation Information : Boorela K, Vasa AA, Sahana S. Process Drama as a Tool in the Management of Dental Fear and Anxiety. J South Asian Assoc Pediatr Dent 2024; 7 (1):16-20.

DOI: 10.5005/jp-journals-10077-3289

License: CC BY-NC 4.0

Published Online: 27-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Fear of a dental visit leads to avoidance or delay in seeking treatment, which adversely affects a child's oral and psychological health. Children who are worried about going to the dentist may benefit from preliminary knowledge and coping mechanisms created through dramatic framing. Objectives: The aim was to identify children's actual causes of dental fear and anxiety (DFA) and to develop anxiety-minimizing strategies outside a dental setting through process drama. Materials and methods: A total of 60 children between the ages of 8 and 11 were chosen to take part in the process drama workshop. A classroom depicting the scenario of a pediatric dental clinic and a child anxiously waiting for her first dental visit was dramatized in sequence. Through roleplay activity, causes of dental anxiety were identified, and strategies for minimizing it were developed by children. The levels of anxiety were measured using three different rating scales at various intervals. Statistical analysis: The data analysis was done using Statistical Package for the Social Sciences (SPSS) v22 software, analysis of variance (ANOVA), repeated ANOVA, and post hoc Tukey's tests were used for comparative analysis of scores. Results: A statistically significant difference was found in the anxiety scores of children, which were higher at the beginning of the workshop compared to levels after the session. Conclusion: Process drama was found to be effective both in identifying the causes as well as developing strategies to minimize DFA; hence, it can be recommended as a tool to sensitize children awaiting dental visits.


PDF Share
  1. Carter AE, Carter G, Boschen M, et al. Pathways of fear and anxiety in dentistry: a review. World J Clin Cases 2014;2(11):642–653. DOI: 10.12998/wjcc.v2.i11.642
  2. Sadana G, Grover R, Mehra M, et al. A novel Chotta Bheem-Chutki scale for dental anxiety determination in children. J Int Soc Prev Community Dent 2016;6(3):200–205. DOI: 10.4103/2231-0762.183108
  3. Ummat A, Dey S, Nayak PA, et al. Association between dental fear and anxiety and behavior amongst children during their dental visit. Biomed Pharmacol J 2019;12(2):907–913. DOI: 10.13005/bpj/1716
  4. Carrillo-Díaz M, Migueláñez-Medrán BC, Nieto-Moraleda C, et al. How can we reduce dental fear in children? the importance of the first dental visit. Children (Basel) 2021;8(12): DOI: 10.3390/children8121167
  5. Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent 2016;8:35–50. DOI: 10.2147/CCIDE.S63626
  6. Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent 2002;12(1):47–52. DOI: 10.1046/j.0960-7439.2001.00322
  7. Asl Aminabadi N, Erfanparast L, Sohrabi A, et al. The impact of virtual reality distraction on pain and anxiety during dental treatment in 4-6 year-old children: a randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospects 2012;6(4):117–124. DOI: 10.5681/joddd.2012.025
  8. Wu L, Gao X. Children's dental fear and anxiety: exploring family related factors. BMC Oral Health 2018;18(1):100. DOI: 10.1186/s12903-018-0553-z
  9. Tahmassebi JF, Malik M, Berg N, et al. Using process drama to explore the causes of dental anxiety in primary-school children. Eur Arch Paediatr Dent 2021;22(5):869–877. DOI: 10.1007/s40368-021-00623-4
  10. Morgan AG, Rodd HD, Porritt JM, et al. Children's experiences of dental anxiety. Int J Paediatr Dent 2017;27(2):87–97. DOI: 10.1111/ipd.12238
  11. Pani SC, AlAnazi GS, AlBaragash A, et al. Objective assessment of the influence of the parental presence on the fear and behavior of anxious children during their first restorative dental visit. J Int Soc Prev Community Dent 2016;6(Suppl 2):S148–S152. DOI: 10.4103/2231-0762.189750
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.