{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:00:44Z","timestamp":1791572444632,"version":"4.3.4"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background:<\/jats:title>\n Dental anxiety and fear are the major treatment challenges faced by pediatric dentists. Oral hygiene in children with Down\u2019s syndrome is highly compromised in comparison to their healthy counterparts. Animal-assisted therapy, through dogs, has been beneficial in alleviating dental fear and anxiety in healthy pediatric population.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n The aim of the study was to assess the impact of dog-assisted therapy (DAT) on children with Down\u2019s syndrome undergoing dental examination and fluoride varnish application in dental operatory.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Twenty children with Down\u2019s syndrome between 5 and 12 years of age were selected. Group A (intervention group): DAT was carried out in the dental operatory. Group B (control group): Dental treatment was performed in the absence of a therapy dog in the dental operatory. Anxiety levels were evaluated by recording the pulse rate and revised modified faces version of the Modified Child Dental Anxiety Scale (MCDAS[f]).<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis:<\/jats:title>\n \n The intergroup comparison of pulse rate was done using an unpaired\n t<\/jats:italic>\n -test, whereas the variation in intragroup pulse rate was analyzed using the Analysis of Variance test. The anxiety scores were subjected to a paired\n t<\/jats:italic>\n -test for intragroup comparison with\n P<\/jats:italic>\n < 0.05 considered to be statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Reduction in dental anxiety was observed in the intervention group (\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n DAT can be used as an effective behavior management technique for children with Down\u2019s syndrome undergoing dental examination and simple dental procedures in the dental operatory.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_493_23","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T07:00:57Z","timestamp":1705561257000},"page":"322-327","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of dental anxiety in children with Down\u2019s syndrome using dog-assisted therapy: A pilot study"],"prefix":"10.4103","volume":"41","author":[{"given":"Shilpa S.","family":"Naik","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, DY Patil University - School of Dentistry, Navi Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amil","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, DY Patil University - School of Dentistry, Navi Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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