Dog-assisted therapy: experience in pediatric dentistry

Abstract

Introduction: In pediatric dentistry, anticipatory anxiety and situational fear are common among patients, affecting their behavior, pain tolerance, and trust in the professional. These responses, influenced by the clinical environment, are associated with reduced cooperation, higher risk of caries, and increased need for invasive treatments. Effective management requires a joint approach involving both the pediatric dentist and the family. Canine-assisted therapy has emerged as a promising complementary intervention, with evidence showing reductions in anxiety, heart rate, and cortisol levels. It also enhances the patient-professional relationship and may reduce the need for sedation in some cases. Objective: To familiarize pediatric dentistry students with this technique. Project description: At Universidad del Desarrollo (Concepción, Chile), a practical experience was implemented for postgraduate students in pediatric dentistry. Students first experienced the technique as patients and later applied it while treating children. The therapy dog accompanied the child from the waiting area to the dental operatory, using tactile and visual distraction techniques. Conclusions: The activity enabled reflection on the positive impact of canine-assisted therapy in various clinical contexts. Given its growing yet insufficiently regulated implementation in Chile, the need for professional training, clinical protocols, and animal welfare is emphasized to ensure safe, ethical, and patient-centered pediatric dental care.