Clinical trial Recruiting at 1 site Interventional Ages 6 to 14

Clown therapy to help kids with autism sit for dental visits

Official title: Effectiveness of Clown Therapy in Facilitating Dental Visits for Children With Autism Spectrum Disorder

Run by University of Milan · NCT07906288 · Data updated 2026-11-12

This study tests whether clown therapy can help children with autism sit through a dental examination more easily than conventional familiarization methods.

More Autism Spectrum Disorder (ASD) trials

Quick facts

Study typeInterventional
Ages6 Years to 14 Years
SexAll
Enrollment46 (estimated)
SponsorUniversity of Milan
Academic / other
Locations1 site (Milan, Milan)
StatusRecruiting
StartedNovember 10, 2026
Main results expectedFebruary 20, 2027
Study endsMarch 30, 2027
Registry record updatedOctober 30, 2026
Trial IDNCT07906288 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children aged 6-14 with ASD Level II-III who are initially uncooperative and unable to complete steps of the dental examination.

Probably not a fit

Children with ASD Level I who are already cooperative, or those with coulrophobia, may not benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial compares familiarization sessions using clown therapy with traditional familiarization approaches in children with autism who struggle with dental visits. Eligible participants are 6-14 year olds with ASD Level II-III who are initially uncooperative and unable to complete parts of the dental exam. Outcomes focus on cooperation during the dental examination and progression through the protocol. The study is conducted at a Milan dental clinic, led by the University of Milan, with caregiver involvement required.

Why it matters

Potential benefit: If successful, clown therapy could improve cooperation during dental visits, reducing anxiety and facilitating better oral hygiene care.

How similar studies have gone: There is evidence that sensory-friendly and behavioral strategies can aid dental visits for ASD, but the effectiveness of clown therapy specifically is less established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female children aged 6-14 years;
* Diagnosis of Autism Spectrum Disorder (ASD) Level II-III;
* Baseline cooperation at T0 classified as Frankl Behavior Rating Scale score 1-2 (uncooperative child);
* Failure to complete at least two steps of the dental examination protocol;
* Absence of coulrophobia (fear of clowns);
* Absence of dental emergencies requiring immediate treatment;
* Availability of a parent or caregiver to accompany the child to the familiarization sessions;
* Written informed consent signed by the parent or caregiver for participation in the study.

Exclusion Criteria:

* Diagnosis of Autism Spectrum Disorder (ASD) Level I;
* Baseline cooperation at T0 classified as Frankl Behavior Rating Scale score 3-4 (cooperative child);
* Completion of more than two steps of the dental examination protocol;
* Presence of coulrophobia (fear of clowns);
* Presence of dental emergencies requiring immediate treatment;
* Unavailability of a parent or caregiver to accompany the child to the familiarization sessions;
* Lack of written informed consent signed by the parent or caregiver for participation in the study.

Where it's running

  • Dental Clinic G.Vogel, saint paul and charles hospital
    Milan, Milan, Italy
    Recruiting

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.