A Comparative Study of the CARD™ System and Tell-show-do Technique in the Behavior Management of 6-10-year-old Children.

Q3 Dentistry International Journal of Clinical Pediatric Dentistry Pub Date : 2025-01-01 Epub Date: 2025-02-14 DOI:10.5005/jp-journals-10005-3023

Asvitha Babu, Ar Senthil Eagappan, Daya Srinivasan, Lavanya Mangala Valli

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Abstract

Background: Dental fear and anxiety are common issues affecting pediatric dental care, leading to challenges in treatment delivery and patient compliance. Nonpharmacological techniques such as the tell-show-do (TSD) method and CARD™ system have emerged as effective strategies for managing child dental anxiety.

Aim: This study aims to compare the effectiveness of the CARD™ system and TSD technique in managing the behavior of 6-10-year-old children during dental procedures.

Methods: Forty children requiring invasive dental treatments were randomly assigned to either the TSD technique (group 1, n = 20) or CARD™ system (group 2, n = 20) groups. Physiological parameters (oxygen saturation and pulse rate) and behavioral responses (evaluated using the Facial Image Scale) were assessed before and after procedures. Data were analyzed using t-tests and Mann-Whitney U tests as appropriate.

Results: No statistically significant differences were found between the techniques regarding physiological parameters or behavioral responses. Both groups exhibited comparable oxygen saturation levels (CARD™: 98.00 ± 1.02; TSD: 98.00 ± 1.12) and pulse rates (CARD™: 87.45 ± 7.28 bpm; TSD: 90.30 ± 10.26 bpm) before procedures, with minimal changes observed postprocedure. Similarly, there were no significant differences in emotional responses assessed by the Facial Image Scale before (CARD™: 1.90 ± 0.85; TSD: 1.80 ± 0.76) or after procedures (CARD™: 2.80 ± 1.60; TSD: 2.95 ± 1.50).

Conclusion: This study suggests that the CARD™ system and TSD technique are equally effective in managing child dental anxiety. Both methods offer viable options for reducing anxiety and enhancing cooperation during dental procedures.

How to cite this article: Babu A, Eagappan SAR, Srinivasan D, et al. A Comparative Study of the CARD™ System and Tell-show-do Technique in the Behavior Management of 6-10-year-old Children. Int J Clin Pediatr Dent 2025;18(1):53-57.

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CARD系统与Tell-show-do技术在6-10岁儿童行为管理中的比较研究

背景：牙科恐惧和焦虑是影响儿童牙科护理的常见问题，导致治疗交付和患者依从性的挑战。非药物技术，如告诉-展示-做（TSD）方法和CARD™系统已经成为管理儿童牙科焦虑的有效策略。目的：本研究旨在比较CARD™系统和TSD技术在管理6-10岁儿童牙科手术过程中的行为方面的有效性。方法：将40名需要有创牙科治疗的儿童随机分为TSD技术组（1组，n = 20）和CARD™系统组（2组，n = 20）。在手术前后评估生理参数（血氧饱和度和脉搏率）和行为反应（使用面部图像量表评估）。数据分析采用t检验和Mann-Whitney U检验。结果：两种方法在生理参数和行为反应方面无统计学差异。两组的血氧饱和度相当(CARD™：98.00±1.02；TSD: 98.00±1.12)和脉搏率(CARD™：87.45±7.28 bpm；TSD: 90.30±10.26 bpm)手术前，手术后观察到最小的变化。同样，术前面部图像量表(CARD™：1.90±0.85；TSD: 1.80±0.76)或手术后(CARD™：2.80±1.60；Tsd: 2.95±1.50)。结论：本研究提示CARD™系统和TSD技术在治疗儿童牙科焦虑方面同样有效。这两种方法都提供了在牙科手术过程中减少焦虑和加强合作的可行选择。如何引用本文：Babu A， Eagappan SAR， Srinivasan D等。CARD系统与Tell-show-do技术在6-10岁儿童行为管理中的比较研究中华临床儿科杂志，2015;18(1):53-57。

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