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1.
Arq. odontol ; 56: 1-9, jan.-dez. 2020. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1087809

RESUMO

Objetivo: Avaliar o comportamento infantil durante os tratamentos odontológicos de profilaxia e de exodontia. Métodos: Este estudo transversal contou com 58 crianças, entre 6 e 9 anos de idade. Dentre essas, 29 crianças foram submetidas ao procedimento de exodontia e 29 ao procedimento de profilaxia. O comportamento infantil frente ao tratamento odontológico proposto foi avaliado por um cirurgião-dentista treinado através da versão brasileira e validada da Escala Comportamental de Venham (Venham's Behavior Rating Scale (BvVBRS). Avaliou-se também a ansiedade infantil prévia ao tratamento odontológico através da Venham Picture Test modificada (VPTm). A condição bucal foi avaliada pelo índice CPO-D e ceo-d, por pesquisador previamente calibrado (Kappa > 0,7). Os pais/responsáveis responderam a um questionário socioeconômico e questões relacionadas a experiência odontológica prévia das crianças. Realizou-se análise descritiva e teste Qui-quadrado com nível de significância de 5%. Resultados: Em relação ao comportamento o grupo submetido à profilaxia apresentou 100% das crianças com um comportamento positivo, enquanto no grupo submetido à exodontia houve 75,9% das crianças com comportamento positivo (p = 0,010). Idade, gênero e presença de ansiedade prévia aos procedimentos não tiveram relação estatisticamente significante com o comportamento infantil. A presença de cárie na dentição decídua esteve associada ao comportamento negativo durante os procedimentos odontológicos (p = 0,013). Conclusão: Foi observado que durante o procedimento de profilaxia os pacientes demonstraram um comportamento mais colaborador quando comparado ao procedimento de exodontia.


Aim:To investigate the behavior of children during dental treatments of prophylaxis and dental extraction. Methods: Fifty-eight children, 6 to 9 years of age, and their caregivers participated of this cross-sectional study. Of these, 29 children underwent prophylaxis and 29 dental extraction. Child behavior was assessed through the Brazilian version of the Venham's Behavior Rating Scale (BvVBRS), and dental anxiety was measured by the Venham Picture Test modified (VPTm). Clinical examination was performed by a calibrated examiner (Kappa > 0.7), using the decay, missing, filled index for primary and permanent dentition dmft/DMFT index. The caregivers answered a socioeconomic questionnaire and questions related to the previous dental experience of the children. Descriptive data analysis and Chi-square test were performed, with a significance level of 5%. Results:Regarding behavior, the prophylaxis group presented 100% of children with a positive behavior, while the extraction group contained 75.9% of children with positive behavior, and this difference was statistically significant (p = 0.010). Age, gender, and presence of anxiety prior to the procedures had no statistically significant relationship to the presented child behavior. The presence of caries in the deciduous dentition was associated with child behavior during dental procedures (p = 0.013). Conclusion: It was observed that the type of procedure interfered directly in the negative behavior of the children, with a difference in cooperation with invasive (dental extraction) and non-invasive (prophylaxis) procedures.


Assuntos
Criança , Cirurgia Bucal , Extração Dentária , Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Profilaxia Dentária , Escala de Avaliação Comportamental , Estudos Transversais , Inquéritos e Questionários
2.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4427, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-998241

RESUMO

Objective: To identify the social representations of children in relation to the image of the dentist. Material and Methods: This is a descriptive cross-sectional study with quantitativequalitative approach. The sample consisted of 80 children of both sexes aged 7-10 years attended at a clinic-school of a university in eastern Minas Gerais, Brazil. For data collection, the Test of Free Words Association (TALP) was used, with the word "dentist" as its inducing theme. The four items included in the research instrument were: 1) evoke up to five words or expressions related to the dentist; 2) to order each of them numerically, with number one being the most important and number five being the least important; 3) to conceptualize the one elected as number one; and 4) to justify the reason for that choice. The EVOC software was used to carry out quantitative analyses and the Analysis of Content of Bardin for qualitative analyses. Results: The words that composed the central nucleus of social representations were "tooth", "pain", "brushing" and "treats". This grouping of ideas points to the following conceptual formulation: "The dentist is someone who 'brushes' and 'treats' teeth, but sometimes performs procedures that cause 'pain'. The categories abstracted from participants' discourse were "oral health", "personal characteristics of the dentist" and "child-dentist interaction". Conclusion: Children presented predominantly positive image regarding the dentist.


Assuntos
Humanos , Masculino , Feminino , Criança , Criança , Comportamento Infantil/psicologia , Psicologia da Criança , Relações Dentista-Paciente , Odontólogos , Brasil , Estudos de Avaliação como Assunto , Estudos Transversais/métodos
3.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4649, 01 Fevereiro 2019.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997887

RESUMO

In 1895, the first definition of behavior management was mentioned by McElroy with the following words: "although the operative dentistry may be perfect, the appointment is a failure if the child departs in tears" [1]. This approach, which argues that the success of dental treatment in pediatric patients depends on the attitude created in children rather than in the technical or clinical evaluation, was supported by the following words in American Academy of Pediatric Dentistry (AAPD)'s guideline about 100 years later: "Behavior guidance techniques, both nonpharmalogical and pharmalogical, are used to alleviate anxiety, nurture a positive dental attitude, and perform quality oral health care safely and efficiently for infants, children, adolescents, and persons with special health care needs" [2]. The terms of behavior management, which is the global term of choice, or behavior guidance which is now used by AAPD are widely used in dental literature.


Assuntos
Higiene Bucal/métodos , Criança , Comportamento Infantil/psicologia , Saúde Bucal/educação , Ansiedade ao Tratamento Odontológico/psicologia , Odontopediatria
4.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4506, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997968

RESUMO

Objective: To interpret the change in child's behaviour in presence/absence of parents during dental care. Material and Methods: Sixty children were examined till the age of 12 years visiting the out patient department of pediatric dentistry where parents along with the child were allowed in the operatory. After sometime parents were asked to leave and behavioural changes were noted. During revisit again the behaviour was noted according to Frankl scale. McNemar test was applied to test the behaviour response of children with parental absence/presence. The significance level was set at 5 %. Results: In 1st visit, 78.3% showed positive behaviour and 21.7% showed negative behaviour in parental absence, indicating that the child has more likelihood of showing positive behaviour in the presence of parents (p<0.001). More positive behaviour of the children is noticed, when the parents are present in 3 -5 year age group. In other 6-8 and 9-12 year age group, no difference was noticed in the presence or absence of the parents (p>0.05). In second visit, the negative behaviour reduced. When parents were absent 21.7% showed negative behaviour (p=0.000). This indicated that the child has more likelihood of showing positive behaviour in the presence of parents. Age group-wise analysis revealed that in the 3-5 years age group presence or absence of parents is a significant factor for child's behaviour. This factor is a non-issue in the elder age group like 6-8 years and 9-12 years. When the parents are absent, no significant difference was observed (p>0.05). Conclusion: There was no significant difference in parental presence/absence in elder children while the same can't be said for younger children.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Criança , Comportamento Infantil/psicologia , Assistência Odontológica para Crianças , Odontólogos , Índia , Pais , Estudos Transversais/métodos , Estatísticas não Paramétricas
5.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 4489, 15/01/2018. graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-967096

RESUMO

Objective: To find out the barriers in treating early childhood caries in children by general dentists. Material and Methods: A cross sectional descriptive study was undertaken among fifty general dentists in Bhubaneswar, Odisha, India, following a simple random sampling. Each selected candidate was given a barrier in childhood caries treatment (BaCCT) questionnaire. Descriptive statistics were used to calculate the absolute and relative frequencies, mean, median and standard deviation. Results: The general dentists exhibited quite a few barriers in providing treatment for early childhood caries. The children don't like to sit on dental chair (74%), they don't like the sound of drill (78%) and they are fearful of dental treatment (86%). Providing care for children can be stressful and troublesome for the dentist (80%) and that they feel time constrained, i.e they do not spend much time with children (70%). Training in the field of management of child behaviour enhances their ability to handle early childhood caries. Conclusion: The general dentists should be given proper training in handling children in their curriculum or through continuing education programmes so that they can act as a larger workforce to be able to treat early childhood caries effectively and efficiently for the benefit of society.


Assuntos
Humanos , Masculino , Feminino , Criança , Comportamento Infantil/psicologia , Ansiedade ao Tratamento Odontológico/etiologia , Cárie Dentária/prevenção & controle , Odontólogos , Índia , Inquéritos e Questionários
6.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3818, 13/01/2017. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914465

RESUMO

Objective: To assess and compare cortisol levels in urine before dentistry consultation in children with signs of anxiety and without it. Material and Methods: Participation of 36 children (18 boys and 18 girls) aged 3 - 10 years. They were divided into two groups: patients with anxiety and patients previously adapted to the visit according to the Hamilton Anxiety Scale. A urine sample was taken from each patient 10 minutes before the dentistry consultation. The samples were preserved in cold and were then analyzed by chemiluminescence to determine cortisol serum levels. The data were analyzed by using Mann-Whitney U test, with SPSS software. A 5% confidence level was used, taking p<0.05 values as statistically significant. Results: 18 patients (50%) were classified as anxious patients and 18 (50%) as no anxious. Urine mean cortisol levels in anxious patients were 16.55 ± 8.47 mcg/dL and 3.88 ± 2.08 mcg/dL, in children without stress signs. Statistical significance was observed when both groups were compared (p≤0.0001). Cortisol levels were higher in girls with signs of anxiety (19.74 ± 9.16 mcg/dL) versus boys under the same condition (13.37 ± 6.75 mcg/dL). With regard to the levels of cortisol according to the age group, the results were 13.28 ± 5.24 mcg/dl in the first group (3 to 5 years old), 14.67 ± 7.23 mcg/dl in the second (6 to 8 years old) and 30.13 ± 5.78 mcg/dl in the third (9 and 10 years old) in anxious patients. Conclusion: High serum cortisol levels are directly related with anxiety and stress signs in children before dentistry consultation.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Comportamento Infantil/psicologia , Estudos Transversais/métodos , Ansiedade ao Tratamento Odontológico , Hidrocortisona , Urina , Assistência Odontológica para Crianças , Estatísticas não Paramétricas , Venezuela
7.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3486, 13/01/2017. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914288

RESUMO

Objective: To evaluate the parents' view regarding factors influencing child behaviour in dental clinic. Materials and Methods: This was a cross-sectional study conducted among parents who brought their children to the Paediatric Dental Clinic in Malaysia. Parents completed a close-ended questionnaire (n=274). The questionnaire was divided into 4 separate categories. The questionnaire assessed parental views on the following 4 parameters: dentist, dental clinical settings, dental treatments and child related factors. Data were analyzed using descriptive statistics. Results: According to parent's perception, dental treatment plays the most significant role on a child's behaviour in the clinic when compared to other parameters. No significant difference between the "yes" and "no" responses for dentist, dental settings and child related factors as agreed by parents. Conclusion: Parental attitudes are constantly changing as the society evolves. So it is important to reassess their beliefs regularly and update our understanding of their attitudes. This will help to modify and shape the patient's attitude toward dental care and dental caregivers.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Comportamento Infantil/psicologia , Assistência Odontológica para Crianças/psicologia , Clínicas Odontológicas , Pais , Percepção , Brasil , Estudos Transversais/métodos , Inquéritos e Questionários
8.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3728, 13/01/2017. ilus, tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914293

RESUMO

Objective: To assess the parents' acceptance towards the behavior management techniques commonly used in the pediatric dentistry. Materials and Methods: Fifty parents participated in the study. Parents were asked to view a power-point presentation on 10 behavior management techniques: 1) Voice control, 2) Tell-Show-Do, 3) Positive reinforcement, 4) Mouth prop, 5) Modelling, 6) HOME, 7) Physical restraint, 8) Oral premedication 9) N2O-O2 sedation and 10) General anesthesia. Parents were asked to arrange various behavior management techniques from most accepted technique to least accepted technique. Results: In the present study population, the preferred behavior management technique was Tell-Show-Do followed by positive reinforcement and the least preferred behavior management technique was HOME followed by voice control and physical restraint. Conclusion: The parental acceptance of various behaviour management techniques have changed. Tell-show-do technique is still the most acceptable technique; however, sedation and general anesthesia acceptance has increased as shown in this study.


Assuntos
Humanos , Masculino , Feminino , Adulto , Prevenção Primária/métodos , Comportamento Infantil/psicologia , Odontopediatria , Técnicas de Observação do Comportamento/métodos , Índia , Pais , Estudos Transversais/métodos , Inquéritos e Questionários , Controle Comportamental/psicologia
9.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3189, 13/01/2017. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914302

RESUMO

Objective: To assess the child's behavior during primary tooth extractions, taking into account child's psychosocial and demographic factors and maternal characteristics. Material and Methods: An observational cross-sectional study involving children aged 7-13 years attending at the dental clinics of the School of Dentistry, Federal University of Pelotas. Children who underwent primary tooth extraction under local anesthesia and accompanied by their mothers were included. Data collection consisted of a questionnaire applied to mothers, assessment of child's behavior (Frankl Scale) and record of the presence of the mother. Data were analyzed using Stata 12.0 software. Descriptive analysis of the variables of interest and the Chi-square and Fisher Exact tests were performed to investigate the effect of independent variables on the outcome. The association between independent variables and the outcome was observed by crude and adjusted multivariate analysis by Poisson Regression (prevalence ratio). A 5% significance level was adopted. Results: Of 333 children evaluated, 124 were included in this study. Most were female (54.5%) aged 7-10 years (65.8%). The adjusted multivariate analysis, maternal dental anxiety and presence of the mother were the variables that remained associated with the child's behavior. Conclusion: This study suggests that presence of the mother and maternal dental anxiety negatively affect the behavior of children aged 7-13 years during primary tooth extraction.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Extração Dentária/métodos , Criança , Comportamento Infantil/psicologia , Ansiedade ao Tratamento Odontológico/psicologia , Relações Mãe-Filho/psicologia , Brasil/etnologia , Distribuição de Qui-Quadrado , Distribuição de Poisson , Análise Multivariada , Estatísticas não Paramétricas , Estudos Observacionais como Assunto/métodos
10.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3181, 13/01/2017. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914443

RESUMO

Objective: To evaluate the behavior during toothbrushing of preterm and full-term infants through maternal report. Material and Methods: This study is based on secondary data collected from dental records of infants aged 12-38 months. The collected data of demographic and socioeconomic status, prematurity, tooth brushing habit and infant behavior during toothbrushing were tabulated using the SPSS-21.0 software and analyzed using descriptive and inferential statistics, carried out by the Chisquare, Fisher's exact or maximum likelihood ratio statistical tests, with significant level of 5%. Results: The types of infant behavior during toothbrushing were: cooperative, participative, resistant, inflexible and independent. Variables maternal education, family income and frequency of day care attendance showed significant differences regarding the infant's behavior (p=0.031, 0.033 and 0.004, respectively). No significant differences were found between infant's behavior during toothbrushing and maternal occupation/study (p=0.301), primiparity (p=0.109), infant's gender (p=0,233), prematurity (p=0,479), weight/gestational age ratio (p=0.231), toothbrushing before bed (p=0.83), dental biofilm (p=0,189) and presence of caries or extensive dental changes (p=0.566). Conclusion: There was no evidence that there is a difference in the behavior during toothbrushing of preterm and full term infants. Collaborative behavior was influenced by socioeconomic factors such as higher maternal schooling and family income, and in infants who attended day care.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Escovação Dentária/métodos , Comportamento Infantil/psicologia , Cárie Dentária/prevenção & controle , Nascimento Prematuro , Fatores Socioeconômicos , Brasil , Recém-Nascido Prematuro , Distribuição de Qui-Quadrado , Estatísticas não Paramétricas
11.
Pesqui. bras. odontopediatria clín. integr ; 17(1): 3646, 13/01/2017. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914448

RESUMO

Objective: To evaluate the association between child's behavior and level of maternal and child anxiety during dental care. Material and Methods: The sample consisted of 100 children aged 6-11 years of both gender, scheduled for the first dental appointment at the dental clinic in a private school of Salvador, Brazil. The emotional reactions of patients were evaluated before the dental visit through the Venham Picture Test (VPT) instrument of anxiety evaluation. Mothers completed a specific questionnaire (Corah anxiety scale) to assess their anxiety about dental treatment. During dental care, prophylaxis and clinical examination by DMF-T and dmf-t indexes were performed. The child's behavior during the dental treatment was evaluated by the Frankl's Behavior Rating Scale. Fisher's exact test and chi-square were used to evaluate the association between variables (α = 5%). Results: It was observed that 24.0% of children presented anxiety according to VPT. There was a significant association between level of anxiety and pain and dental caries as the main dental complaint (p <0.001), and between child's behavior and variables maternal anxiety (p = 0.01) and childhood anxiety (p <0.001). Conclusion: It could be concluded that there was a positive association between child's non-cooperative behavior during dental care and maternal and child anxiety.


Assuntos
Humanos , Masculino , Feminino , Criança , Comportamento Infantil/psicologia , Ansiedade ao Tratamento Odontológico , Odontopediatria , Consultórios Odontológicos , Brasil , Inquéritos e Questionários
12.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3651, 13/01/2017. ilus, tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914463

RESUMO

Objective: To evaluate anxiety and behavior in groups of children undergoing various distraction techniques during dental treatment in a public clinic. Material and Methods: The research was a randomized study with a systematic convenience sample consisting of 62 children with 4-6 years (5.18±0.77) in both genders; they were divided in four groups (G1 - control group and three experimental Groups: G2 - mirror and conversation, G3 - toys and G4 - children's stories) and evaluated in the first 2 visits to the dentist. Age and previous experience were also evaluated. The Facial Image Scale (FIS) and the Behavior Rating Scale (BRS) were applied, the data was analyzed using the Chi-square test with a significance level of p < 0.05 and the Spearman correlation coefficient. Results: In comparison to the studied variables (anxiety and behavior), the distraction technique during dental care could not reduce anxiety and improve the behavior in all groups in the first visit, but the group receiving the distraction technique with a hand mirror reached the best results in behavior in the second visit (p=0.022; Raj:-2.68). There is no influence on anxiety among children with or without previous experience (p = 0.603), but the age of 4 years showed higher levels of anxiety (p=0.039). Conclusion: Only the distraction technique with the mirror was able to reduce anxiety and improve behavior in the second visit.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico/psicologia , Odontólogos , Distribuição de Qui-Quadrado , Estatísticas não Paramétricas
13.
Bauru; s.n; 2017. 104 p. tab, ilus, graf.
Tese em Português | BBO - Odontologia | ID: biblio-880375

RESUMO

O escopo dessa pesquisa foi investigar por meio da revisão sistemática e metanálise a relação existente entre violência escolar, no período de 2006 2016, o rendimento e a qualidade de vida do aluno dentro da instituição enquanto fator pertinente para o processo de ensino e aprendizagem. O levantamento bibliográfico foi conduzido em bases eletrônicas de dados (LILACS, SciELO e PubMed) resultando na escolha tanto de artigos científicos quanto de livros. Por meio de uma busca bibliográfica padronizada, utilizou-se palavras-chave (descritores) específicas em estudos pertinentes à questão proposta. Para a seleção e avaliação dos estudos científicos levantados na busca foram estabelecidos critérios, contemplando os aspectos: estudos realizados em território brasileiro, tipo de estudo, participantes, intervenção adotada e avaliação dos resultados. Dos títulos obtidos a partir desta busca foram selecionados somente aqueles cujo material tivesse relação com o objeto do presente estudo. Após a leitura do texto completo, os mesmos foram resenhados de acordo com ficha protocolar e classificados com relação ao nível de evidência e grau de recomendação. Como resultado 15 (quinze) estudos foram incluídos na revisão sistemática e, em seguida, para a metanálise. Por meio dos resultados e da discussão, notou-se que existe uma escassez de estudos com o enfoque da violência escolar, rendimento do aluno e qualidade de vida; contudo os resultados obtidos demonstraram que a violência no âmbito escolar interfere no clima educacional ao qual o aluno encontra-se exposto e resulta na queda da qualidade de vida do aluno e contribui para seu baixo desempenho escolar. O processo ensino e aprendizagem também foi prejudicado quando o aluno é exposto à violência intrafamiliar.(AU)


The scope of this research was to investigate by a systematic review and meta-analysis the relation between school violence, during 2006 2016, income and quality of life of the student into the institution as a relevant factor for teaching and learning process. The bibliographical survey was conducted in electronic databases (LILACS, SciELO and PubMed), and resulting in the selection of both scientific articles and books. Through a standardized bibliographic search, specific keywords (descriptors) were used in relevant studies to the proposed question. For the selection and evaluation of the scientific studies raised in the search criteria were established, covering the following aspects: studies carried out in Brazil, type of study, participants, intervention adopted and evaluation of the results. From the titles obtained from this search were selected only those whose material had relation with the object of the present study. After reading the full text, they were reviewed concerning the protocol form and classified in relation to the level of evidence and degree of recommendation. Thus, 15 (fifteen) studies were included in the systematic review and then for meta-analysis. Through the results and discussion, it was noted that there is a shortage of studies with the focus on school violence, student achievement and quality of life; However, the results show that school violence interferes with the educational atmosphere to which the student is exposed and results in a drop in student's quality of life and contributes to their poor school performance. The learning and teaching process was impaired when the student was exposed to intrafamiliar violence.(AU)


Assuntos
Humanos , Masculino , Feminino , Qualidade de Vida/psicologia , Instituições Acadêmicas , Estudantes/psicologia , Violência/psicologia , Brasil , Comportamento Infantil , Aprendizagem , Fatores de Risco
14.
Braz. j. oral sci ; 15(1): 57-61, Jan.-Mar. 2016. ilus, tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-831003

RESUMO

Aim: To investigate the relation between uncooperative behavior and salivary cortisol level in childrenwho underwent preventive dental care. Methods: The sample was composed by 10 children of bothsexes aged 40 to 52 months, presenting uncooperative behavior during dental preventive treatments.The saliva collection was performed using a cotton wheel and an Eppendorf tube (Sarstedt Salivete®)in 3 different moments: a) at home, on a day without dental treatment and at the same time on theday of the sessions treatment; b) 30 min after the end of the session, when there was manifestationof uncooperative behavior; c) 30 min after the end of the session, when there was a cooperativebehavior of the child. A sample of saliva was centrifuged for 5 minutes at 2400 rpm, 1 of mL of salivawas pipetted in an Eppendorf tube and stored in a freezer at -20 ° C. For the determination of thelevels of salivary cortisol was used an Active® kit for cortisol enzyme immunoassay (EIA) DSL-10-67100, composed of specific rabbit antibody anti-cortisol. Data were analyzed statistically for theuncooperative behavior issued in the beginning and at the end of sessions, using the paired t test(p<0.05) and for cortisol levels in saliva samples at home, after the beginning and at the end ofsessions, using repeated-measures ANOVA and Tukey’s test (p<0.05). Results: During expression ofuncooperative behavior in preventive dental care sessions the salivary cortisol level was significantlyhigher (0.65 ± 0.25 µg/dL) compared with expression of collaborative behavior (0.24 ± 0.10 µg/dL).Conclusions: It is possible to conclude that, even under preventive intervention, the stress must becontrolled in order to reduce dental anxiety and fear.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Assistência Odontológica para Crianças , Hidrocortisona/análise , Odontopediatria , Saliva , Eliminação Salivar , Comportamento Infantil , Saúde Bucal , Odontologia Preventiva
15.
Pesqui. bras. odontopediatria clín. integr ; 16(1): 167-175, jan.-dez. 2016. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-911333

RESUMO

Objective: To determine anxiety in children undergoing dental treatment and to evaluate associated factors. Material and Methods: The sample consisted of 48 children during dental appointment in dental clinics of the Franciscano University Center, 48 caregivers, and 46 dentistry students. The modified Venham Picture Test was used to determine anxiety of children during dental appointment, before and after treatment. For determining anxiety related to dental care among caregivers, the modified Corah's dental anxiety scale was used. The Lipp`s stress symptoms inventory for adults was applied to determine the stress level of dentistry students. In addition, the individual characteristics of participants were recorded to determine their association with the presence of anxiety. Results: Anxiety was observed in 60.4% of children, and it was related to invasive dental procedures (p = 0.021), history of dental pain (p = 0.002), presence of bruxism (p = 0.028), anxious caregivers (p = 0.023), and stress of the dental student that conducted the appointment (p = 0.005). Conclusion: Overall, the majority of pediatric patients showed anxiety, which was directly related to misbehavior during dental care. Moreover, anxiety was related to individual characteristics of children and was influenced by the anxiety level of caregivers, as well as the emotional state of dentistry students during the dental appointment.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Criança , Comportamento Infantil/psicologia , Ansiedade ao Tratamento Odontológico/prevenção & controle , Ansiedade ao Tratamento Odontológico/psicologia , Consultórios Odontológicos , Odontopediatria/métodos , Ansiedade/psicologia , Brasil , Relações Dentista-Paciente , Medo/psicologia , Estudo Observacional , Dor/psicologia , Fatores Socioeconômicos
16.
Bauru; s.n; 2016. 53 p. ilus.
Tese em Português | BBO - Odontologia | ID: biblio-881403

RESUMO

Uma das questões relevantes para a prática da Odontopediatria, e aqui abordada, se refere à indução e controle do comportamento da criança antes e durante o procedimento clínico. Os chamados comportamentos não-colaborativos da criança apresentam-se como um dos principais desafios que o profissional, odontopediatra, enfrenta em seu dia-a-dia. Espera-se que ele conheça a criança em seu contexto, inserida no seu ambiente social e familiar, de modo a exercer a Odontopediatria de forma humanizada como uma abordagem holística da criança para levar não só ela, como também seus acompanhantes a uma condição de bem estar. Uma das formas de favorecer a colaboração da criança é, o uso de ferramentas alternativas, como por exemplo, oferecer informações sobre os procedimentos que serão realizados de forma lúdica e de fácil compreensão para ela. O presente trabalho teve como objetivo apresentar a proposta da elaboração de uma ferramenta audiovisual para a introdução da criança ao ambiente odontopediátrico, dentro da proposta de condicionamento FALAR -MOSTRAR FAZER. A ferramenta audiovisual é o centro deste estudo, sendo que poderá ser utilizada em diversas situações no consultório odontopediátrico: em sala de espera, antecedendo o atendimento, ou até durante o mesmo, distraindo a criança e tentando diminuir a ansiedade e o medo com a probabilidade de incentivar comportamentos colaborativos. Pensando em ferramentas para a distração e condicionamento positivo do comportamento de crianças em consultório odontológico, o audiovisual passou a ser mais presente em ambientes clínicos, ainda na primeira década do século XXI. Sendo assim, este trabalho consistiu na elaboração e construção de um seriado denominado Wesley vai ao Dentista, composto por 4 vídeos educativos que são eles: 1- Bem-vindo ao Dentista Wesley; 2- Levanta a mão Wesley; 3- Vamos limpar os dentes Wesley e 4- Final feliz no Dentista Wesley. Nos vídeos o personagem Wesley é um boneco e o Doutor Sorriso, um menino, isto com a finalidade de criar maior identificação pelas crianças e dar uma linguagem lúdica à ferramenta.(AU)


One of the relevant questions to the practice of Pediatric Dentistry is related to the induction and control of child positive behavior before and during the clinical procedure. The so-called "non-collaborative behavior" of the child is presented as one of the main challenges to the pediatric dentist in the daily practice. It is expected that the pediatric dentist knows the child in full psychological and social context, inserted in the childs family and social environment in order to practice more humanized treatment, thus offering physical and emotional comfort to the child and parents before, during and after treatment. One way to improve the child's collaboration is through the use of alternative tools, such as providing information on the procedures to be performed using ludic tools that are easily understood by the child. This study aimed to present the proposal of an audiovisual tool for introducing children to the dental environment by using the strategy: To TALK - To SHOW - To DO. The audiovisual tool is the main purpose of this study, and may be used in different situations in the pediatric dental office: waiting room, prior dental care or even during it, distracting the child and trying to decrease anxiety and fear and increase the probability to encourage collaborative behavior. Considering tools for distraction and positive behavior conditioning of children in the dental office, audiovisual aids have become more present in clinical settings in the first decade of the twenty-first century. Therefore, this work aimed to develop and create a series called "Wesley Goes to the Dentist", which consists of four educational videos to show the child that going to the pediatric dentist is not a bad thing. The videos are: 1- Welcome to the Dentist, Wesley; 2- Raise your hand, Wesley; 3- We will clean your teeth, Wesley 4- Happy End in the dentist, Wesley. In these videos, the character Wesley is a puppet while Doctor Smile is a boy for the purpose of creating greater identification with children and giving a playful language to the tool.(AU)


Assuntos
Humanos , Comportamento Infantil , Filme e Vídeo Educativo , Cooperação do Paciente/psicologia , Odontopediatria , Ansiedade ao Tratamento Odontológico/psicologia , Educação em Saúde Bucal/métodos , Reprodutibilidade dos Testes
17.
Artigo em Português | LILACS, BBO - Odontologia | ID: lil-545277

RESUMO

Objective: To determine the different behavior management techniques employed by dentists in Nigeria for their child patients. Method: One hundred and fifty questi onnaires were hand delivered to dentists in different locations in Nigeria. Information required include respondent's bio data, years post graduation, behavior management techniques employed, and reasons for choice of technique. Results: A total of 128 (85.3%) were returned completed, comprising 53.2% females and 46.8% males, in age groups, < 30 years (25%), 30-39 years (48.4%), 40-49 years (19.5%) and 50 years and above (7.1%). Thirty five (27.3%) practiced in health centers, 88 (68.8%) in teaching hospitals and 5 (3.9%) in private hospitals. Majority (98.4%) attended to child patients and 29.6% rated their patients as uncooperative. The most frequently used behavior management technique was 'tell-show-do'. (73.4%) followed by positive reinforcements (35.9%), modeling (31.2%), desensitization (18.7%), restraints (13.2%), sedation (11.7%) and 'hand over mouth' (4.6%). Only 3.2% used general anesthesia. The major factors influencing choice of behavior management technique was age of child (78%), convenience to dentists (28%), availability of facilities (25.8%), and acceptability by parents/child (18.8%). Only 25.8% rated their facilities as adequate. Conclusion: The 'tell-show-do' technique was practiced by majority of respondents in this study. Improvements of facilities may increase the number of dentists employing pharmacological methods of management.


Objetivo: Determinar as diferentes técnicas de manejo do comportamento utilizadas por cirurgiões-dentistas nigerianos em seus pacientes infantis. Método: Cento e cinquenta questionários foram enviados a cirurgiões-dentistas em diferentes regiões da Nigéria. As informações requisitadas incluíam dados do respondente, pós-graduação, técnicas de manejo do comportamento utilizadas e motivos para a escolha da técnica. Resultados: Um total de 128 (85,3%) questionários foram devolvidos preenchidos, dos quais 53,2% eram de mulheres e 46,8% de homens, em relação à faixa etária, < 30 anos (25%), 30-39 anos (48,4%), 40-49 anos (19,5%) and 50 anos ou mais (7,1%). Trinta e cinco profissionais (27,3%) exercia a profissão em centros de saúde, 88 (68,8%) em hospitais escola e 5 (3,9%) em hospitais privados. A maioria (98,4%) atendia crianças e 29,6% classificaram seus pacientes como não cooperadores. A técnica mais utilizada foi a do 'falar-mostrar-fazer' (73,4%) seguida pelo regorço positivo (35,9%), modelagem (31,2%), desensibilização (18,7%), contenção (13,2%), sedação (11,7%) e ?mão sobre a boca? (4,6%). Somente 3,2% utilizam anestesia geral. Os principais fatores influenciadores quando da escolha da técnica foram a idade da criança (78%), a conveniência do profissional (28%), disponibilidade de instalações (25,8%), e aceitação pelos pais/criança (18,8%). Apenas 25,8% avaliaram suas instalações como adequadas. Conclusão: A técnica 'falar-mostrar-fazer' é utilizada pela maioria dos profissionais. A melhoria das instalações poderia aumentar o número de cirurgiões-dentistas que utilizam técnicas farmacológicas de manejo comportamental.


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Infantil , Relações Dentista-Paciente , Assistência ao Paciente , Inquéritos e Questionários
18.
Pesqui. bras. odontopediatria clín. integr ; 9(3): 271-276, set.-dez. 2009.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-873936

RESUMO

Objective: To determine the different behavior management techniques employed by dentists in Nigeria for their child patients. Method: One hundred and fifty questi onnaires were hand delivered to dentists in different locations in Nigeria. Information required include respondent's bio data, years post graduation, behavior management techniques employed, and reasons for choice of technique. Results: A total of 128 (85.3%) were returned completed, comprising 53.2% females and 46.8% males, in age groups, < 30 years (25%), 30-39 years (48.4%), 40-49 years (19.5%) and 50 years and above (7.1%). Thirty five (27.3%) practiced in health centers, 88 (68.8%) in teaching hospitals and 5 (3.9%) in private hospitals. Majority (98.4%) attended to child patients and 29.6% rated their patients as uncooperative. The most frequently used behavior management technique was 'tell-show-do'. (73.4%) followed by positive reinforcements (35.9%), modeling (31.2%), desensitization (18.7%), restraints (13.2%), sedation (11.7%) and 'hand over mouth' (4.6%). Only 3.2% used general anesthesia. The major factors influencing choice of behavior management technique was age of child (78%), convenience to dentists (28%), availability of facilities (25.8%), and acceptability by parents/child (18.8%). Only 25.8% rated their facilities as adequate. Conclusion: The 'tell-show-do' technique was practiced by majority of respondents in this study. Improvements of facilities may increase the number of dentists employing pharmacological methods of management.


Objetivo: Determinar as diferentes técnicas de manejo do comportamento utilizadas por cirurgiões-dentistas nigerianos em seus pacientes infantis. Método: Cento e cinquenta questionários foram enviados a cirurgiões-dentistas em diferentes regiões da Nigéria. As informações requisitadas incluíam dados do respondente, pós-graduação, técnicas de manejo do comportamento utilizadas e motivos para a escolha da técnica. Resultados: Um total de 128 (85,3%) questionários foram devolvidos preenchidos, dos quais 53,2% eram de mulheres e 46,8% de homens, em relação à faixa etária, < 30 anos (25%), 30-39 anos (48,4%), 40-49 anos (19,5%) and 50 anos ou mais (7,1%). Trinta e cinco profissionais (27,3%) exercia a profissão em centros de saúde, 88 (68,8%) em hospitais escola e 5 (3,9%) em hospitais privados. A maioria (98,4%) atendia crianças e 29,6% classificaram seus pacientes como não cooperadores. A técnica mais utilizada foi a do 'falar-mostrar-fazer' (73,4%) seguida pelo regorço positivo (35,9%), modelagem (31,2%), desensibilização (18,7%), contenção (13,2%), sedação (11,7%) e ?mão sobre a boca? (4,6%). Somente 3,2% utilizam anestesia geral. Os principais fatores influenciadores quando da escolha da técnica foram a idade da criança (78%), a conveniência do profissional (28%), disponibilidade de instalações (25,8%), e aceitação pelos pais/criança (18,8%). Apenas 25,8% avaliaram suas instalações como adequadas. Conclusão: A técnica 'falar-mostrar-fazer' é utilizada pela maioria dos profissionais. A melhoria das instalações poderia aumentar o número de cirurgiões-dentistas que utilizam técnicas farmacológicas de manejo comportamental.


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Infantil , Relações Dentista-Paciente , Assistência ao Paciente , Inquéritos e Questionários
19.
Odontol. clín.-cient ; 8(3): 251-255, jul.-set. 2009. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: lil-528584

RESUMO

Procurando favorecer um comportamento infantil colaborador no consultório odontológico, o odontopediatra deve buscar técnicas preventivas e equipamentos avançados que proporcionem tratamentos rápidos, conservadores e, acima de tudo, mais confortáveis para o paciente. Desta forma, novos métodos de preparo cavitário são utilizados na odontologia, como laser microabrasão a ar, remoção químico-mecânica da cárie dentária e a ponta de diamante-CVD. Este estudo teve como objetivo avaliar o comportamento infantil frente ao uso do sistema CVDentus® (brocas de diamante-CVD acopladas ao aparelho de ultra-som). Participaram do estudo 27 pacientes com idade entre 4 e 12 anos (média de 7,6 ± 2,56 anos), sendo 16 (59,3%) do genêro masculino e 11 (40,7%) do genêro fminino. As crianças tiveram seu comportamento avaliado durante o tratamento odontológico com o uso do sistema CVDentus® através das Escalas de Frankl e Houpt. Na análise dos resultados foi utilizado o software Epiinfo 6.04. De acordo com os resultados obtidos, foi possível concluir que houve uma boa aceitação do sistema CVDentus® pelas crianças, as quais apresentaram um menor percentual de choro e de movimentos bruscos, bem como uma maior cooperação. Observou-se associação entre as duas escalas em relação aos ítens cooperação (p=0,003) choro (p=0,001) e apreensão (p=0,02) indicando confiabilidade e validade das mesmas.


Trying to have a collaborating child behavior in dentist's office, the pediatric dentist should look for preventive techniques and advanced equipment that provide quickly, and conservatives treatments and, above all, more comfort for the patient. Thus, new methods of cavity preparation are being used in dentistry, such as laser, abrasive air, chemo-mechanical removal of dental caries and the CVD-diamond burs. This study aimed to evaluate the children's behavior towards the use of the CVDentus® system (CVD-diamond burs coupled to an ultrasound device). The study had 27 patients aged between 4 and 12 years (mean 7.6± 2.56 years), 16 (59.3%) were males and 11 (40.7%) were females. The children had their behavior observed during dental treatment using the system CVDentus® through Frankl and Houpt scales. The Epiinfo 6.4d software were used to analyze the results. According to results, it was possible to conclude that there was a good acceptance of the CVDentus® system from the children, which had a lower percentage of cryng, sudden movements and lack of cooperation. There was association between the two scales in relation to cooperation (p=0,003), crying (p=0,001) and apprehension (p=0,02) indicating reliability and validity of them.


Assuntos
Criança , Comportamento Infantil , Odontopediatria
20.
Rev. paul. odontol ; 31(2): 15-18, abr.-jun. 2009. graf
Artigo em Português | LILACS, BBO - Odontologia | ID: lil-532715

RESUMO

Participaram do estudo 164 escolares que escreveram uma redação sobre suas experiências em consultório odontológico e identificaram em desenhos os instrumentais que provocavam mais medo. Após análise dos dados, constatou-se que a seringa carpule, a sonda exploratória e o micromotor foram os instrumentos mais citados pelas crianças como desencadeadores de medo, tanto por alunos de ensino particular (65,6 por cento, 54,7 por cento, 40,6 por cento respectivamente) quanto para as de ensino público (69 por cento, 54 por cento, 72 por cento). A palavra mais citada nas redações sob o ponto de vista positivo dos escolares foi dentista. Concluiu-se assim que, embora o instrumental de rotina no consultório ainda cause medo nas crianças, o Cirurgião-dentista representa o principal meio para amenizar e controlar o medo das crianças frente ao tratamento odontológico.


Assuntos
Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Medo , Saúde Bucal , Odontopediatria
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