{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:04:31Z","timestamp":1788995071525,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"Abstract<\/jats:title>\n \n Aim:<\/jats:title>\n The aim of the study was to evaluate the efficacy of cognitive-behavioral play therapy (CBPT) and Tell-Show-Do (TSD) technique in the behavior modification of uncooperative children during restorative procedures using airotor.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Sixty-two children (6\u201311 years) with dental caries (international caries detection and assessment system score 3) requiring restorations without local anesthesia, were divided into two groups: Group I \u2013 CBPT, and Group II \u2013 TSD. Children in Group I were introduced to the dental instrument using verbal explanations and a demonstration on a customized toy. They were then allowed to role-play as the dentist on the customized toy. Children in Group II received an explanation and a demonstration of the procedure before undergoing it. The behavior and anxiety levels of the children were assessed at three different points during the course of the trial. Pulse rate record served as an objective measure of anxiety.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The intergroup comparison of the behavior and anxiety scores between Group 1 and Group 2 exhibited a significant difference in the posttreatment scores. Group 1 showed a greater improvement in the behavior and anxiety scores in comparison to Group 2.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The CBPT by way of role-play promotes a change in the cognitive and behavioral patterns of children in the dental clinic.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_293_24","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T03:00:12Z","timestamp":1749610812000},"page":"110-115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A Randomized Controlled Trial on Comparative Evaluation of the Efficacy of Cognitive Behavioral Play Therapy and Tell-show-do Technique in the Behavior Modification of Uncooperative Children during Restorative Procedure Using Airotor"],"prefix":"10.4103","volume":"25","author":[{"given":"Umme","family":"Azher","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Sri Rajiv Gandhi College of Dental Sciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. K.","family":"Srinath","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihir S.","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Sri Rajiv Gandhi College of Dental Sciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,11]]},"reference":[{"key":"R1-20260109","first-page":"429","article-title":"Evaluation of dental anxiety and hemodynamic changes (Sympatho-Adrenal response) during various dental procedures using smartphone applications versus traditional behaviour management techniques in pediatric patients","volume":"3","author":"Shah","year":"2017","journal-title":"Int J Appl Res"},{"key":"R2-20260109","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1111\/j.2044-8341.1982.tb01490.x","article-title":"Fear of dentistry","volume":"55","author":"Wardle","year":"1982","journal-title":"Br J Med Psychol"},{"key":"R3-20260109","doi-asserted-by":"crossref","first-page":"317","DOI":"10.14219\/jada.archive.2008.0161","article-title":"Brief relaxation versus music distraction in the treatment of dental anxiety: A randomized controlled clinical trial","volume":"139","author":"Lahmann","year":"2008","journal-title":"J Am Dent Assoc"},{"key":"R4-20260109","doi-asserted-by":"crossref","first-page":"143","DOI":"10.4103\/JISPPD.JISPPD_257_16","article-title":"Effectiveness of two different behavioral modification techniques among 5-7-year-old children: A randomized controlled trial","volume":"35","author":"Vishwakarma","year":"2017","journal-title":"J Indian Soc Pedod Prev Dent"},{"key":"R5-20260109","doi-asserted-by":"crossref","first-page":"455","DOI":"10.2174\/1874210601509010455","article-title":"Application of behavior management techniques for paediatric dental patients by Tanzanian dental practitioners","volume":"9","author":"Kawia","year":"2015","journal-title":"Open Dent J"},{"key":"R6-20260109","first-page":"57","article-title":"Clinical Affairs Committee-Behavior Management Subcommittee, American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient","volume":"37","year":"2015","journal-title":"Pediatr Dent"},{"key":"R7-20260109","doi-asserted-by":"crossref","first-page":"69","DOI":"10.9790\/0853-1510026973","article-title":"Effectiveness of distraction techniques in the management of anxious children in the dental operatory","volume":"15","author":"Allani","year":"2016","journal-title":"IOSR J Dent Med Sci"},{"key":"R8-20260109","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/2277-9175.107968","article-title":"Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: A randomized controlled clinical trial","volume":"2","author":"Jafarzadeh","year":"2013","journal-title":"Adv Biomed Res"},{"key":"R9-20260109","first-page":"72","article-title":"Live modeling versus tell-show-do technique for behaviour management of children in the first dental visit","volume":"1","author":"Alrshah","year":"2014","journal-title":"Mansoura J Dent"},{"key":"R11-20260109","doi-asserted-by":"crossref","first-page":"29","DOI":"10.17245\/jdapm.2019.19.1.29","article-title":"Comparison of three behavior modification techniques for management of anxious children aged 4-8 years","volume":"19","author":"Radhakrishna","year":"2019","journal-title":"J Dent Anesth Pain Med"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_293_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:00:28Z","timestamp":1786647628000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_293_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,11]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_293_24","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,11]]},"assertion":[{"value":"2024-12-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}