Behavior of children during dental care using a rubber dam or cotton roll to isolate the tooth

ISRCTN ISRCTN15046229
DOI https://doi.org/10.1186/ISRCTN15046229
Secondary identifying numbers B076201734515
Submission date
25/12/2020
Registration date
07/01/2021
Last edited
28/02/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
A dental dam is used in dentistry to isolate the tooth being operated on from the rest of the mouth to improve dentist working conditions and for patient protection. The aim of this study is to analyze the behavior of children during dental care with or without a dam.

Who can participate?
All children with temporary molar tooth decay

What does the study involve?
Patients are randomly allocated to receive treatment using the rubber dental dam or using a cotton wool dam. During the procedure the behavior and heart rate of the patient is measured.

What are the possible benefits and risks of participating?
None

Where is the study run from?
CHU Saint-Pierre (Belgium)

When is the study starting and how long is it expected to run for?
October 2017 to March 2018

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Tania Vanhee
Tania.Vanhee@ulb.be

Contact information

Dr Tania Vanhee
Scientific

Université Libre de Bruxelles
Faculté de Médecine
CP 622 808 Route de Lennik
Brussels
1070
Belgium

ORCiD logoORCID ID 0000-0001-7608-4368
Phone +32 (0)478613102
Email Tania.Vanhee@ulb.be

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet ISRCTN15046229_PIS.docx
Scientific titleThe effect on behavior and heart rate of using isolation with a rubber dam or isolation with cotton rolls in children with caries on primary molars, a randomized study
Study hypothesisThis study aims to determine the behavioral and physiological indicators of stress in children during dental care with or without a rubber dam with the hypothesis that rubber dam decreases stress. The null hypothesis is that there is no difference between the outcomes measured in the two groups.
Ethics approval(s)Approved 24/11/2017, Ethics committee of CHU Saint-Pierre (322, rue Haute, 1000, Brussels, Belgium; no telephone number provided; christopher_vandenberghe@stpierre-bru.be), ref: B076201734515
ConditionStress in children during dental care
InterventionBased on the sample size of comparable studies, a cohort of 51 children, 30 boys and 21 girls, from 3 to 10 years old is recruited form patients consulting in the pediatric dentistry department of CHU Saint-Pierre, César de Paepe site (Brussels, Belgium). Patients needing operative treatment on at least one primary molar are eligible to participate. Children with infected or mobile decayed teeth as well as those outside the age range studied are excluded.
The patients included in the study are randomized at the beginning of the day by random draw and assigned either: the test group with rubber dam and the control group with cotton roll isolation. Treatments are performed by 12 practitioners belonging to the pediatric dentistry team. All treatments are followed by a single observer who collected the data.
Intervention typeProcedure/Surgery
Primary outcome measureBehavior measured using the modified Venham hetero-evaluation scale at five different time points (T0 to T4). T0: patient installed in the dental chair, T1: during local anesthesia, T2: before placing isolation, T3: with isolation installed and T4: during the treatment
Secondary outcome measuresHeart rate recorded using a Digital Finger Pulse Oxygen Saturation Monitor OLED display (Elera, China) at five different time points (T0 to T4). T0: patient installed in the dental chair, T1: during local anesthesia, T2: before placing isolation, T3: with isolation installed and T4: during the treatment
Overall study start date09/10/2017
Overall study end date07/03/2018

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit3 Years
Upper age limit10 Years
SexBoth
Target number of participants51
Total final enrolment51
Participant inclusion criteriaPatients aged 3 - 10 years, needing operative treatment on at least one primary molar
Participant exclusion criteria1. Children with infected or mobile decayed teeth
2. Outside the age range studied
Recruitment start date17/11/2017
Recruitment end date07/03/2018

Locations

Countries of recruitment

  • Belgium

Study participating centre

CHU Saint-Pierre
Pediatric Dentistry department
Stomatology service
César de Paepe site
11, Alexiensstreet
Brussels
1000
Belgium

Sponsor information

Université Libre de Bruxelles
University/education

Faculté de Médecine
808 Route de Lennik
Brussels
1070
Belgium

Phone +32 (0)25556799
Email admin.medecine@ulb.be
Website http://www.ulb.ac.be/
ROR logo "ROR" https://ror.org/01r9htc13

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/01/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 08/01/2021 No Yes
Basic results 02/08/2021 02/08/2021 No No
Results article 04/08/2021 28/02/2023 Yes No

Additional files

ISRCTN15046229_PIS.docx
Uploaded 08/01/2021
ISRCTN15046229_BasicResults_02Aug21.pdf

Editorial Notes

28/02/2023: Publication reference added.
02/08/2021: Basic results summary uploaded.
08/01/2021: The participant information sheet has been uploaded.
07/01/2021: Trial's existence confirmed by the ethics committee of CHU Saint-Pierre.