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RECRUITING Not applicable ClinicalTrials.gov

AI-Generated Personalized Story Book to Improve Patient Behaviour

Sponsor: Eskisehir Osmangazi University • ClinicalTrials.gov ID: NCT07778134

Registry updated: 2026-08-21
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Description

Dental anxiety and uncooperative behavior frequently interfere with the successful delivery of dental treatment in children and may increase the need for pharmacological behavior management. Storytelling is a widely used non-pharmacological behavior guidance technique that can improve participants' familiarity with the dental environment and enhance cooperation. Recent advances in artificial intelligence (AI) enable the development of personalized storybooks tailored to each participant's individual characteristics and preferences, which may improve engagement with behavior guidance interventions. This randomized controlled trial aims to compare the effectiveness of three behavior guidance approaches in pediatric participants receiving dental treatment: (1) an AI-generated personalized dental storybook, (2) a standard dental storybook, and (3) standard behavior guidance alone. Eligible participants will be randomly allocated to one of the three study groups. The AI-generated storybook will be individually designed according to each participant's characteristics and interests, whereas the standard storybook will contain the same dental theme without personalization. Participants in the control group will receive routine non-pharmacological behavior guidance used in pediatric dental practice. Behavioral cooperation, dental anxiety, treatment acceptance, and other prespecified outcomes will be assessed using validated measurement tools before and during dental treatment.

Interventions

  • AI-Generated Personalized Dental Storybook (Behavioral)
    Before the dental procedure begins, the dentist will read an artificial intelligence-generated personalized dental storybook to the participant. The storybook will be individually developed based on the participant's age, interests, preferences, and personal characteristics to familiarize the participant with the dental environment and procedures as a behavior guidance intervention.
  • Standard Dental Storybook (Behavioral)
    Before the dental procedure begins, the dentist will read a standardized dental storybook to the participant. The storybook will provide general information about the dental environment and dental procedures without personalized content and will be used as a behavior guidance intervention.
  • Standard Behavior Guidance (Behavioral)
    Participants will receive routine non-pharmacological behavior guidance before and during the dental procedure according to standard pediatric dental practice. Standard behavior guidance techniques, including tell-show-do, positive reinforcement, distraction and age-appropriate communication strategies will be used as clinically indicated.

Eligibility criteria

Inclusion Criteria: * Participants classified as Frankl II (Negative) or Frankl III (Positive) according to the Frankl Behavior Rating Scale. * Systemically healthy participants classified as American Society of Anesthesiologists (ASA) Physical Status I. * Participants with at least two primary molars requiring Class I occlusal restorations for superficial carious lesions that do not require local anesthesia. * Parents or legal guardians who voluntarily provide written informed consent for participation in the study. Exclusion Criteria: * Participants younger than 4 years or older than 7 years of age. * Participants with systemic diseases or developmental delay. * Participants with a current psychiatric disorder or who have been under psychiatric follow-up within the previous 6 months. * Participants receiving psychotropic medication. * Participants diagnosed with neurodevelopmental disorders (e.g., autism spectrum disorder or moderate-to-severe attention-deficit/hyperactivity disorder). * Participants with communication or developmental impairments that may interfere with the reliable administration of the study assessment scales. * Children with special health care needs. * Participants with general or dental developmental anomalies (e.g., amelogenesis imperfecta, cleft lip and/or palate, osteogenesis imperfecta). * Participants classified as Frankl I (Definitely Negative) or Frankl IV (Definitely Positive) according to the Frankl Behavior Rating Scale. * Participants with a history of spontaneous dental pain or symptomatic teeth requiring emergency treatment. * Participants whose parent or legal guardian does not provide written informed consent.

Conditions

Dental Anxiety in Children Behavior Management Pediatric Dental Anxiety

Locations

  • epartment of Pediatric Dentistry, Eskişehir Osmangazi University Faculty of Dentistry — Eskişehir, Turkey (Türkiye)
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record