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N/A N=163 Randomized Treatment

Sensory Adapted Dental Environments to Enhance Oral Care for Children

Autism

Enrolled (actual)
163
Serious AEs
0.0%
Results posted
Aug 2025
Primary outcome: Primary: Electrodermal Activity (EDA) - Skin Conductance Level (SCL) — 8.96; 7.74 microsiemens (µS) — p=0.01

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Sensory Adapted Dental Environment (Behavioral)
Age
Pediatric · 6+ yrs
Sex
All
Sponsor
University of Southern California
Primary completion
Apr 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Electrodermal Activity (EDA) - Skin Conductance Level (SCL)
8.96; 7.74 0.01 sig
PRIMARY
Electrodermal Activity (EDA) - Non-specific Skin Conductance Responses (NS-SCR)
4.25; 3.90 0.25
SECONDARY
Children's Dental Behavior Rating Scale (CDBRS)
46.41; 46.10 0.87
SECONDARY
Whimper, Cry, Scream Duration
44.26; 19.70 <0.001 sig
SECONDARY
Whimper, Cry, Scream Frequency
9.83; 6.02 <0.001 sig
SECONDARY
Mouth Movement Frequency
5.43; 3.20 <0.001 sig
SECONDARY
Head Movement Frequency
16.36; 11.68 <0.001 sig
SECONDARY
Faces Pain Scale - Revised
2.37; 2.14 0.92
SECONDARY
Dental Sensory Sensitivity Scale
3.68; 3.06 0.16
SECONDARY
Anxiety and Cooperation Scale
2.03; 1.88 0.76
SECONDARY
Frankl Scale
2.61; 2.68 0.80
SECONDARY
Duration
10.51; 10.20 <0.0001 sig
SECONDARY
Number of Hands Used to Restrain Child
2.14; 1.83 0.61

Summary

The goal of this project is to examine the efficacy of a sensory adapted dental environment (SADE) for children who have difficulty tolerating oral care in the dental clinic. The investigators hypothesize that adapting the sensory environment in the dental office by modifying the sounds, sights,and tactile experiences will result in decreased anxiety, increased cooperation, and fewer behavior problems for children with Autism Spectrum Disorders (ASD). This has the potential to contribute to increased child comfort as well as safer, more efficient, and less costly treatment for a large population, as potentially more than one-fourth of all children may benefit from a sensory adapted dental environment.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of autism using ADOS;
  • Parents speak English or Spanish;
  • Have experienced at least one prior dental cleaning;
  • In need of an oral cleaning (no previous cleaning within past four months).

Exclusion Criteria

  • Cleft palate or other oral condition which makes dental care more difficult than usual practice;
  • Prescription of anti-cholinergic drugs (which may alter EDA);
  • Presence of orthodontia (braces);
  • Significant motor impairment, such as cerebral palsy;
  • Any known genetic, endocrine, or metabolic dysfunctions;
  • Participation in the R34 SADE pilot study;
  • Any medical condition such as significant cardiac problems that would place the individual at increased risk in the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02430051). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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