Document Type: Original Article


1 Assistant Professor, Department of Pedodontics, School of dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

2 Student Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant Professor of Pediatric Dentistry, Dental Materials Research Center, Mashhad University of Medical Sciences, Mashhad, Iran



Statement of the Problem: Modeling is one of the non-pharmacological approaches to manage anxiety behavior and encouraging children’s cooperation in dentistry. This method is based on social learning theory in which the child learns the skills of overcome anxiety and adapting his skills and behaviors during dental treatment.
Purpose: The aim of this study was to evaluate the effect of an animated-movie modeling approach (named Jilo) in cooperation and anxiety of children in comparison with the conventional Tell-Show-Do (TSD) method in dental setting.      
Materials and Method: In this randomized controlled trial, 50 healthy children (aged 4-6) with no history of dental treatment were recruited and randomly allocated to experimental (n= 24) and control (n= 24) groups. During the first visit, the experimental group watched the Jilo animated movie. After a 30-minute break, they received prophylaxis followed by fluoride therapy. One week later, a dental restoration, which required mandibular nerve block anesthesia, was performed.
The control group underwent prophylaxis and fluoride therapy during the first visit, but the TSD technique was applied. Afterwards, a similar dental restoration was carried out. Cooperation and anxiety levels of children were evaluated during two visits using Venham Clinical Cooperation Scale (VCCS) and Venham Clinical Anxiety Scale (VCAS).
Results: The mean VCAS in the experimental group was significantly lower compared to the control group during the first and second visits (p= 0.008 and p= 0.044, respectively). The mean VCCS was also significantly lower in the experimental group during the first (p= 0.015) and second visits (p= 0.019) compared to control group.
Conclusion: The application of animated-movie modeling (Jilo) can be recommended as an effective method for preparation prior to the dental treatment session in children.