Abstract
AIM: 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. MATERIALS AND METHODS: Sixty-two children (6-11 years) with dental caries (international caries detection and assessment system score 3) requiring restorations without local anesthesia, were divided into two groups: Group I - CBPT, and Group II - 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. RESULTS: 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. CONCLUSION: The CBPT by way of role-play promotes a change in the cognitive and behavioral patterns of children in the dental clinic.