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1.
Eur J Paediatr Dent ; 21(3): 187-191, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32893649

RESUMO

AIM: Low attendance and abandonment of dental treatment caused by dental fear varies from 6% to 20%. Various specific scales have been used to evaluate and measure dental fear, like Children´s Fear Survey Schedule - Dental Subscale, which is considered the "gold standard", due to its efficacy and validity. However, not all the studies that have been conducted have performed the Exploratory Factorial and Confirmation Analysis to infer the validity of the scale's content, which is why this study has as its main objective to analyse the confidentiality and validation of this scale. MATERIALS AND METHODS: In a sample of 163 school age children, from 6 to 12 years old, of both genders, from a public school, a Children's Fear Survey Schedule - Dental Subscale was applied to measure dental fear. The internal consistency of the scale was estimated with the Cronbach's alpha, we also performed the Exploratory Factorial Analysis with the method of the main component with Varimax rotation and the Confirmatory Factorial Analysis to confirm the structure of the factors. RESULTS: The Cronbach's alpha was obtained with a .837 (p?.05). The adequate coefficients were determined with the Kaiser-Meyer-Olkin (KMO = .843) and the Bartlett's test of specificity (?2 = 565,325, p= .000), in which there was a good adequate data, expressing an appropriate and intercorrelation between items or strongly related. The factorial structure showed four factors extracted, 4 factors explain the 53.57% of the accumulated variation; 14 items were above the .40. The statistics of the second and third model obtained adequate values in the statistics of goodness of fit index. CONCLUSION: The Mexican version of the CFSS-DS in the present study gives us data about the adaptation and validation of the dental fear scale of CFSSS-DS by the Exploratory Factorial Analysis through a model of structural equations. This means that this instrument is a trusting and valid tool to measure dental fear in the children's population of Mexico.


Assuntos
Ansiedade ao Tratamento Odontológico , Medo , Criança , Feminino , Humanos , Masculino , México , Reprodutibilidade dos Testes , Inquéritos e Questionários
2.
Pediatr Dent ; 42(4): 252-255, 2020 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-32847664

RESUMO

Purpose: The purpose of this pilot study was to assess whether child life intervention can be an effective alternative to pharmacologic behavior management in uncooperative pediatric dental patients. Methods: Thirty uncooperative four- to eight-year-old patients with no history of a negative invasive dental experience were randomly assigned into two groups: experimental (E) and control (C). Group E was given two 30- minute child life interventions (CLIs) by a certified child life specialist. Group C did not receive CLIs. Both groups then had an invasive restorative dental appointment, which was video recorded, edited, and viewed to assess behavior via the Houpt scale. Results: Group E demonstrated overall better cooperation for the appointment (Group C equals 3.63, and group E equals 4.07.) Conclusions: Child life interventions may be considered an adjunct to other behavior guidance techniques, but further investigations should be conducted to evaluate the effectiveness of CLIs on behavior in the dental setting.


Assuntos
Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Agendamento de Consultas , Criança , Pré-Escolar , Família , Humanos , Cooperação do Paciente , Projetos Piloto
3.
Prim Dent J ; 9(2): 56-61, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32643567

RESUMO

When faced with an anxious patient with complex needs who requires dental care, it can be difficult to decide on the most appropriate method to manage their pain and anxiety. There are a range of conscious sedation techniques that may be used, and on some occasions, general anaesthesia may be required. This paper describes the methods available and the factors influencing the decision-making process. The general dental practitioner (GDP) may not be able to offer care in their setting, but knowing more about the decision-making process and the information required to make that decision can help them guide patients and their families.


Assuntos
Anestesia Dentária , Anestésicos Gerais , Anestesia Geral , Sedação Consciente , Ansiedade ao Tratamento Odontológico , Odontólogos , Humanos , Papel Profissional
4.
Acta Odontol Scand ; 78(6): 474-480, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32730719

RESUMO

OBJECTIVE: We introduced a humanoid robot for the use of techno-psychological distraction techniques in children aged 4-10 to reduce their anxiety and improve their behaviour during dental treatment. MATERIALS AND METHODS: Two hundred children (98 boys, 102 girls; mean age: 6.5 ± 1.66 years) appointed for first time for dental caries were included and randomly divided into two groups [N = 100 for each group; RG: Robot Group (accompanied by the robot), CG: Control Group (without robot accompaniment)]. Half of the children were treated under local anaesthesia (infiltration anaesthesia) (n = 50 within each group) and half of the children were treated without any local anaesthesia (n = 50 within each group) within each group. The success rate of the new robotic distraction technique was evaluated by using Parental Corah Dental Anxiety Scale, Facial Image Scale (FIS), physiological pulse rate and Frankl Behaviour Rating Scale (FBRS). RESULT: Pulse rates, which measured during treatment and after treatment, were statistically higher in CG than in RG (p < .05). After dental treatment, the FIS score was significantly higher in CG than RG (p < .05). 88.3% of the children in RG stated that they wanted the robot to be with them at the next treatment session. CONCLUSIONS: Robotic technology can successfully help in coping with dental anxiety and stress, and helps children to behave better in dental office.


Assuntos
Ansiedade ao Tratamento Odontológico , Robótica , Anestesia Local , Criança , Pré-Escolar , Cárie Dentária , Feminino , Humanos , Masculino , Procedimentos Cirúrgicos Robóticos
5.
Eur J Paediatr Dent ; 21(2): 153-156, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32567948

RESUMO

AIM: To evaluate the effect of audiovisual distraction on the dental chairside behaviour of children with Down syndrome (DS) during dental restorations and its influence on the operator stress and the duration of the appointment. MATERIALS AND METHODS: Study design: This randomised controlled trial included 48 children with DS requiring dental restorations. The study group was treated while wearing video eyeglasses, the control group with conventional behaviour management techniques. The child behaviour was evaluated using the revised Face, Leg, Activity, Cry, Consolability scale (r-FLACC) and the Frankl scale. The operator stress was evaluated using a VAS scale and the duration of the appointment was recorded. RESULTS: In the study group 64% of the children refused to wear the video eyeglasses during the whole duration of the dental treatment, the median r-FLACC score was significantly higher (p= 0.01552; Mann Whitney U test) and significantly more children showed a negative behaviour (68%vs 30%: p =0.011; Chi-square test). CONCLUSION: Audiovisual distraction using video eyeglasses is not useful in managing the dental chairside behaviour of children with DS.


Assuntos
Anestesia Dentária , Síndrome de Down , Criança , Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Óculos , Humanos
6.
J Dent Educ ; 84(7): 805-811, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32400046

RESUMO

PURPOSE/OBJECTIVES: Dental anxiety is common and can propagate a vicious cycle of dental neglect and anxiety-provoking treatment. Patient, procedural, and operator factors are important contributions. This review aims to explore risk factors for dental anxiety in adult patients treated by dental students, in order to improve awareness of relevant factors and aid patient management. METHODS: Systematic searching of PubMed and Scopus databases was performed. Inclusion criteria were: studies assessing at least 1 risk factor for dental anxiety in patients aged 18 years and above treated by dental students, with use of a specific measurement scale for dental anxiety. Exclusion criteria were: duplicates, non-English publications, non-full-text publications, studies with a pediatric sample. RESULTS: Nine hundred thirty-one articles were identified. Eight eligible articles representing 1702 patients were included. Seven studies had a cross-sectional design and 1 study had a pretreatment/posttreatment design. Sixteen factors for dental anxiety were assessed. A significant correlation (P < 0.05) was found for: age (younger), gender (female), general/waiting room anxiety, irregular dental attendance, invasive treatment, poor emotional well-being, postponement of dental visit due to anxiety, previous negative dental experience and village residence. No significant correlation was found for: education, employment, income, perceived oral health, presence of a previous dental visit, symptom duration and time since last dental visit. CONCLUSIONS: These findings provide a good foundation for future research, but clinical generalization is limited by the heterogeneity among included studies. A well-structured comparison of risk factors for dental anxiety between patients treated by dental students and dentists is required.


Assuntos
Ansiedade ao Tratamento Odontológico , Estudantes de Odontologia , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Saúde Bucal , Fatores de Risco
7.
J Contemp Dent Pract ; 21(1): 17-21, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381795

RESUMO

Play is an inseparable part of childhood and can act as a mode through which children can be desensitized toward dental treatment. AIM: To assess and compare the efficacy of bubble breath play therapy (BBPT) and tell-show-do (TSD) technique in the dental management of anxious/fearful children. MATERIALS AND METHODS: Forty-eight children aged 6-8 years were randomly divided into group I: BBPT and group II: TSD. The effectiveness of the BBPT and TSD technique in reducing anxiety/fear in children was assessed pretreatment, during, and posttreatment evaluation of the child's anxiety levels using finger pulse oximeter and Venham's anxiety and behavior rating scale. All children underwent rotary restorative treatment. RESULTS: The mean pulse rate in the BBPT and TSD group was 106.96 mm Hg and 102.25 mm Hg, respectively, at baseline. A decrease in the pulse rate was observed in both the groups after the application of behavior modification strategies. However, after the dental treatment, the mean pulse rate slightly increased in the BBPT group, while it showed a further improvement in the TSD group. CONCLUSION: The BBPT acts as a distraction and can be considered to enhance rapport between the dentist and children during dental treatment. CLINICAL SIGNIFICANCE: Application of appropriate strategies to allay dental fear in children is essential to provide quality dental treatment and build a positive attitude toward oral health.


Assuntos
Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Ludoterapia , Criança , Medo , Humanos , Odontopediatria , Projetos Piloto
8.
J Appl Oral Sci ; 28: e20190601, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32401941

RESUMO

Objective The aim of this study was to compare the effects of music at 432 Hz, 440 Hz, and no music on the clinical perception of anxiety and salivary cortisol levels in patients undergoing tooth extraction. Methodology A parallel-group randomized clinical trial was conducted. Forty-two patients (average age: 23.8±7.8 years, 27 women) with a moderate level of anxiety were distributed in three groups: use of music for 15 minutes at a frequency of 432 Hz (n=15), at 440 Hz (n=15) and a control group without music (n=12). The CORAH Dental Anxiety Scale and salivary cortisol levels, estimated by the solid phase enzyme-linked immunosorbent assay (ELISA), were measured and compared before and after the music intervention between groups (two-way ANOVA-Tukey p<0.05, RStudio). Results Significantly lower anxiety level values were observed at 432 Hz (8.7±2.67) and 440 Hz (8.4±2.84) compared to the control group (17.2±4.60; p<0.05). The salivary cortisol level at 432 Hz (0.49±0.37 µg/dL) was significantly lower than 440 Hz (1.35±0.69 µg/dL) and the control group (1.59±0.7 µg/dL; p<0.05). Conclusion The use of music significantly decreased clinical anxiety levels, and the frequency of 432 Hz was effective in decreasing salivary cortisol levels before tooth extraction.


Assuntos
Ansiedade ao Tratamento Odontológico/terapia , Hidrocortisona/análise , Musicoterapia/métodos , Música/psicologia , Saliva/química , Extração Dentária/psicologia , Adolescente , Adulto , Análise de Variância , Ansiedade ao Tratamento Odontológico/psicologia , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Estresse Psicológico , Inquéritos e Questionários , Resultado do Tratamento , Adulto Jovem
9.
J Contemp Dent Pract ; 21(3): 253-260, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32434970

RESUMO

AIM: To investigate and compare the levels of dental anxiety (DA) in relation to khat and non-khat chewer subjects of both genders from Jazan subpopulation, Kingdom of Saudi Arabia (KSA). MATERIALS AND METHODS: A cross-sectional study was conducted to assess DA using the modified dental anxiety scale (MDAS). A total of 352 subjects from the city of Jazan who attended dental clinics for regular treatment were recruited for this study. A questionnaire was used to collect the required information, which consisted of three parts. Descriptive statistics including means, standard deviations, and percentages were calculated. Multiple group comparisons were analyzed using Chi-square tests using the Statistical Package for Social Science (SPSS) program. p < 0.05 was considered as the significance level. RESULTS: Among the participants, 75.6% was male, while 71.3% khat chewers, and most of them were male (91.2%). The percentage of the overall mean of MDAS was low; 40% to moderate; 38%, while sever anxiety were present in 4% only. Anxiety related to endodontic treatments represents 33.8% in both genders and 34.3% among the khat chewers, while fear was 42.1% among males and 45.4% among khat chewers. The local anesthesia injection in the gum and tooth drilling items of MDAS were represented by 36.6% for both khat and gender groups and resulted in a fairly and extremely anxious situation during dental treatments. All variables were significantly different. CONCLUSION: The overall DA level was low to moderate among the majority of the assessed subjects. Endodontic treatments were the first type of dental treatments for the subjects, while fear of pain was the most common cause of irregular dental visits. Significant differences were detected between khat and non-khat chewers and between genders in relation to anesthesia injection, and drilling of teeth in the MDAS items. CLINICAL SIGNIFICANCE: Community programs focusing on the high DA levels caused by khat chewing might be important in order to minimize the fear of dental treatments and improve and regularize the overall dental treatments.


Assuntos
Catha , Mastigação , Estudos Transversais , Ansiedade ao Tratamento Odontológico , Feminino , Humanos , Masculino , Arábia Saudita
11.
Acta Odontol Scand ; 78(6): 445-453, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32348168

RESUMO

Objective: To evaluate the influence of different local anaesthetic techniques in pain, disruptive behaviour and anxiety in children´s dental treatment.Material and methods: This was a randomised and parallel clinical trial. The sample consisted of 105 children (5-8 years old) that were divided into three groups (n = 35) according to the anaesthetic technique: conventional anaesthesia (CA); vibrational anaesthesia (VBA); computer-controlled local anaesthesia delivery (CCLAD). The outcomes were self-perception of pain (Wong-Baker Faces Pain Rating Scale - WBF; Numerical Rating Scale - NRS); disruptive behaviour (Face, Legg, Activity, Cry, Consolability Scale - FLACC); anxiety (Corah's Dental Anxiety Scale; modified Venham Picture test - VPTm) and physiological parameters (blood pressure - systolic - SBP and diastolic - DBP; heart rate - HR; oxygen saturation - SpO2; respiratory rate - RR). Data were statistically analysed with Kruskall-Wallis test and ANOVA for repeated measures with Tukey post hoc test (α = 0.05).Results: All the patients exhibited the same level of dental anxiety at baseline (Corah's Dental Anxiety Scale). There was no difference in self-perception pain, irrespective the evaluation tool used (WBF - p = .864; VAS - p = .761). No differences were detected in disruptive behaviour (FLACC - p = .318); anxiety (VPTm - p = .274); blood pressure (SBP - p = .239; DBP - p = .512); heart rate (p = .728); oxygen saturation (p = .348) and respiratory rate (p = .238) between anaesthetic techniques.Conclusion: Different anaesthetic dental local techniques do not affect the levels of pain, disruptive behaviour, anxiety and physiological parameters in children aged 5-8 years old.


Assuntos
Ansiedade ao Tratamento Odontológico , Comportamento Problema , Anestesia Dentária , Anestesia Local , Anestésicos Locais , Criança , Pré-Escolar , Humanos , Dor , Medição da Dor
12.
Swiss Dent J ; (4): 308-320, 2020 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-32241086

RESUMO

The main aim of the present study was to gain a better understanding of the management of dental anxiety reported by dental practitioners in western Switzerland. In 2013, an 18-item electronic questionnaire was sent to dental practitioners in the Swiss Romandy. A total of 140 (18.6%) questionnaires were included in the analysis. About four out of five practitioners (79.4%) involved with dental emergency service had at least one occurrence with dental phobic patients. The majority of the respondents stated that both dental anxiety and dental phobia increases stress in the dental practice with frequencies of 90.0% and 88.5%, respectively. Among the 119 respondents using anxiety reduction methods (85.0%), an overall of 51 (42.9%) reported using pharmacological methods while 89.9% (n = 107) used psychological methods. Female dentists were using psychological anxiety reduction methods three times more frequently than male dentists reaching borderline statistical significance (OR = 3.0, p = 0.0591). Out of 140 respondents, only 28 (20.1%) received education and training in dental anxiety reduction methods. The majority of these (66.4%; n = 83) stated that their education was inadequate and 55.8% (n = 77) requested further education and training. It can be concluded that more education and training of dental anxiety reduction methods are needed.


Assuntos
Atitude do Pessoal de Saúde , Ansiedade ao Tratamento Odontológico , Estudos Transversais , Odontólogos , Feminino , Humanos , Masculino , Inquéritos e Questionários , Suíça
13.
Pediatr Dent ; 42(2): 93-102, 2020 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-32276674

RESUMO

Purpose: The purpose of this review was to investigate the effect of virtual reality (VR) glasses as an audiovisual distraction technique on dental anxiety, pain perception, and behavior triggered during dental treatment in children up to 12 years old. The research question asked was: Can improvement be seen in the child's behavior, pain perception or anxiety when VR eyeglasses are used during dental treatment? Methods: Five databases were searched for studies published until September 2018. Studies were selected by titles and abstracts, followed by full-texts reading. Results: Meta-analysis was performed and combined results were presented as a pooled mean difference for each procedure, using random-effect models. Nine randomized clinical trials assessed the effect of VR glasses on children's behavior during dental care. No differences were observed in anxiety levels during local anesthesia, use of rubber dam, removal of caries and restorative procedures. Similar results were observed in children's behavior when local anesthesia and rubber dam were used. Conclusions: The use of virtual reality glasses is an effective tool for improving behavior and reducing pain perception during the dental treatment of children. Children who used VR eye-glasses behaved better during removal of caries and showed lower pain perception during restoration.


Assuntos
Realidade Virtual , Criança , Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Óculos , Humanos , Percepção da Dor
14.
Quintessence Int ; 51(6): 486-494, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32253388

RESUMO

OBJECTIVE: Distraction is a highly acceptable technique for diverting a patient's attention from what may be perceived as an unpleasant procedure, reducing anxiety and helping the patient relax. The objective of the present study was to evaluate the effect of watching television during dental treatment on pediatric patients' anxiety and cooperation compared to the commonly used conventional Tell-Show-Do (TSD) behavioral management method. METHOD AND MATERIALS: Sixty-nine children (mean age 6.8 years) scheduled to undergo restorative dental treatment were randomly divided into two intervention groups: a group that was managed by television distraction and a control group that was managed by TSD. During treatment, anxiety was assessed by the Facial Image Scale and cooperative behavior was assessed by the Frankl scale. Pulse rate and oxygen saturation were also measured during the treatment. RESULTS: Compared to TSD, television distraction significantly reduced anxiety by 1.27 (95% confidence interval [CI] 0.798 to 1.744, adjusted P < .001), decreased pulse rate by 6.44 beats per minute (bpm) (95% CI 4.60 to 8.28, adjusted P < .001), and significantly increased cooperation by 1.17 (95% CI -1.318 to -1.020, adjusted P < .001). A greater effect of television distraction on reduced anxiety and increased cooperation was observed during administration of the anesthetic injection. No effect of television distraction on saturation levels was noted. CONCLUSIONS: Television distraction is an effective method for reducing anxiety and improving cooperative behavior in children during dental treatments.


Assuntos
Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Criança , Frequência Cardíaca , Humanos , Injeções , Televisão
15.
Int J Paediatr Dent ; 30(5): 556-569, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32112461

RESUMO

BACKGROUND: Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. AIM: To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. DESIGN: A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. RESULTS: Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. CONCLUSION: Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners.


Assuntos
Ansiedade ao Tratamento Odontológico , Odontopediatria , Brasil , Criança , Comportamento Infantil , Currículo , Humanos
16.
BMC Oral Health ; 20(1): 75, 2020 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-32183770

RESUMO

BACKGROUND: Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions. METHODS: A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date. RESULTS: From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child's behaviour and other clinical conditions. CONCLUSIONS: Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/guidance/policies for ECC lesions.


Assuntos
Ansiedade ao Tratamento Odontológico/psicologia , Tratamento Dentário Restaurador sem Trauma , Cárie Dentária/terapia , Cimentos de Ionômeros de Vidro/uso terapêutico , Guias de Prática Clínica como Assunto , Criança , Pré-Escolar , Cárie Dentária/psicologia , Restauração Dentária Permanente , Humanos , Qualidade de Vida
17.
J Indian Soc Pedod Prev Dent ; 38(1): 71-78, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32174632

RESUMO

Background: Dental anxiety is a primary cause of missed dental appointments, delayed treatment, and untreated dental caries in children. Alternative techniques such as music therapy (MT) and Bach flower therapy (BFT) have potential to reduce anxiety. Lack of randomized controlled studies evaluating effectiveness of these methods in reducing dental anxiety led us to this study. Aim: To compare the effectiveness of BFT and MT on reduction of dental anxiety in pediatric patients. Materials and Methods: A total of 120 children (aged 4-6 years) were selected and randomly allocated to three groups: BFT, MT, and control. All children received oral prophylaxis and fluoride treatment. Dental anxiety was evaluated using North Carolina Behavior Rating Scale, Facial Image Scale (FIS), and physiological parameters. Results: Significantly better behavior was seen in children from the BFT group as compared to the control group (P = 0.014). FIS scores measured postoperatively did not show significant differences among the groups. Children from the BFT and MT groups showed a significant decrease in the pulse rates intraoperatively from the preoperative period. Intraoperative systolic blood pressure in children from the MT group was significantly lower than both the BFT and the control groups. Diastolic blood pressure significantly increased in the control group intraoperatively, whereas other groups showed a decrease. Conclusion: The results of this study demonstrate significant effects of both single dose of BFT and exposure to MT, on reduction of dental anxiety in children aged between 4 and 6 years.


Assuntos
Ansiedade ao Tratamento Odontológico , Cárie Dentária , Essências Florais , Musicoterapia , Criança , Pré-Escolar , Frequência Cardíaca , Humanos
18.
J Indian Soc Pedod Prev Dent ; 38(1): 41-47, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32174628

RESUMO

Context: Assessing dental anxiety as a predictor of the likely behavior of the child in the dental operatory is of paramount importance for a clinician to render quality care. Aim: This study aims to correlate the dental anxiety of preschool children as shown during the doll placement test with that of their behavioral patterns during the first dental visit. Settings and Design: This cross-sectional study was conducted between the ages of 3-7 years. Materials and Methods: During their first dental visit, the background variables were elicited from parent/guardian at the reception desk. Later at the play area, the child was given a set of dolls representing dentist, child, and mother to place them in a model dental office having a dental chair. The child was then taken for the initial oral examination, during which the behavior of the child was rated using Frankl's Behavior Rating Scale. The data collected were analyzed using Chi-square test and binary regression analysis. Results: The observed association between the doll placement pattern and the behavior of the patient during dental treatment was statistically significant (P < 0.001). The binary regression analysis showed that the child's unpleasant previous medical and parent's unpleasant dental experiences had higher odds favoring uncooperative behavior (46.63 and 41.93, respectively). Conclusions: The child's behavior on the dental chair is associated with the doll placement pattern, which is also influenced by experiences of the child during his/her encounter with the medical doctor and previous dental experiences of their parents.


Assuntos
Ansiedade ao Tratamento Odontológico , Assistência Odontológica para Crianças , Criança , Comportamento Infantil , Pré-Escolar , Estudos Transversais , Assistência Odontológica , Feminino , Humanos , Masculino , Pais
19.
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