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1.
Cient. dent. (Ed. impr.) ; 17(1): 27-34, ene.-abr. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-189746

RESUMO

INTRODUCCIÓN: El objetivo del presente trabajo fue evaluar las técnicas convencionales más utilizadas por el odontólogo para el manejo de la conducta del paciente infantil en la consulta dental. Diversas técnicas pueden ser aplicadas dependiendo del desarrollo físico y emocional del paciente y de la capacidad del profesional. La Academia Americana de Odontopediatría, en su guía sobre técnicas del comportamiento, las divide en: técnicas de comunicación, otras técnicas básicas y técnicas avanzadas, recomendando las pertenecientes al primer grupo. MATERIAL Y MÉTODO: Se realizó un cuestionario en la plataforma de Google, remitido vía email a 190 odonto/estomatólogos que tratasen pacientes infantiles, obteniendo un total de 115 respuestas adecuadas para el análisis de 8 técnicas convencionales de manejo de la conducta. El estudio estadístico se realizó en el programa SPSS aplicando el test de ANOVA para una significación de p= 0,05. RESULTADOS: La técnica más utilizada por los diferentes profesionales fue la técnica decir-mostrar-hacer seguida de refuerzo positivo y control de voz. Técnicas de modificación de la conducta ocuparon un segundo término: desensibilización seguida muy de cerca por imitación. La técnica menos empleada fue la anestesia general. No encontramos diferencias significativas en relación al sexo en ninguna de las técnicas analizadas excepto en el uso de premedicación (p: 0,027), siendo los varones los que más frecuentemente la utilizaban. No se encontraron diferencias significativas en relación a la especialidad ni con la edad de los profesionales. CONCLUSIONES: Las técnicas comunicativas fueron las preferidas por los odontoestomatólogos siendo las técnicas avanzadas las menos utilizadas


INTRODUCTION: The objective of this work was to evaluate the conventional techniques most used by the dentist for the management of the behavior of the child patient in the dental office. Various techniques can be applied depending on the physical and emotional development of the patient and the professional's ability. The American Academy of Pediatric Dentistry, in its guide on behavioral techniques, divides them into: communication techniques, other basic techniques and advanced techniques, recommending those belonging to the first group. MATERIAL AND METHOD: A questionnaire was carried out on the Google platform, sent via email to 190 dentists / stomatologists who treated child patients, obtaining a total of 115 appropriate responses for the analysis of 8 conventional behavior management techniques. The statistical study was carried out in the SPSS program by applying the ANOVA test for a significance of p = 0.05. RESULTS: The technique most used by different professionals was the say-show-do technique followed by positive reinforcement and voice control. Behaviour modification techniques occupied a second term: desensitization followed closely by imitation. The least used technique was general anesthesia. We found no significant differences in relation to sex in any of the techniques analyzed, except in the use of premedication (p: 0.027), with men being the most frequently used. No significant differences were found in relation to the specialty or the age of the professionals. CONCLUSIONS: The communication techniques were preferred by the professionals, with the advanced techniques being the least used


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Infantil/psicologia , Odontólogos/psicologia , Assistência Odontológica para Crianças/psicologia , Odontólogos/estatística & dados numéricos , Inquéritos e Questionários , Análise de Variância , Odontopediatria/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos
2.
J Clin Pediatr Dent ; 43(3): 147-154, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30964718

RESUMO

Dentinogenesis Imperfecta type II (DI2), also known as hereditary opalescent dentin, is one of the most common genetic disorders affecting the structure of dentin, not related with osteogenesis imperfecta, which involves both primary and permanent dentitions. The purpose of this article is to perform a scoping review of the published peer-reviewed literature (1986-2017) on DI2 management in children and to outline the most relevant clinical findings extracted from this review. Forty four articles were included in the present scoping review. According to the extracted data, the following are the most important tasks to be performed in clinical pediatric dentistry: to re-establish the oral mastication, esthetics, and speech, and the development of vertical growth of alveolar bone and facial muscles; to reduce the tendency to develop caries, periapical lesions and pain; to preserve vitality, form, and size of the dentition; to avoid interfering with the eruption process of permanent teeth; to decrease the risk of tooth fractures and occlusion disturbances; to return the facial profile to a more normal appearance; and to prevent or treat possible temporomandibular joint problems. Therefore, Pediatric Dentists should bear in mind that early diagnosis and treatment, together a long-term follow-up of DI2 in children, continue to be the best approaches for achieving enhanced patient psychological well-being and, in consequence, their quality of life.


Assuntos
Assistência Odontológica para Crianças , Dentinogênese Imperfeita , Criança , Pré-Escolar , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Crianças/psicologia , Dentinogênese Imperfeita/psicologia , Dentinogênese Imperfeita/terapia , Dentição Permanente , Estética Dentária , Humanos , Qualidade de Vida
3.
J Clin Pediatr Dent ; 43(3): 155-160, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30964719

RESUMO

Background: The staining associated with its caries arrest may be a deterrent for the use of Silver Diamine Fluoride (SDF). This study aims to elucidate the concerns that inform parents' perceptions and acceptance of SDF as a treatment option for their child. Study Design: We analyzed qualitative data obtained through an investigation in which parents attending a pediatric dental appointment participated in a survey, which included an open-ended question to evaluate their opinions about SDF staining. Thematic analysis of the comments, offered by the subsample of participants who replied to this question (n=43), yielded insights about perception of SDF therapy. Results: Most parents who provided comments were mothers (83.7%), college graduates (72.1%), primarily white (48.8%) or Hispanic (27.9%). Six themes emerged from the thematic analysis of the parents' responses: Esthetic Concerns, Psychosocial Concerns, SDF Treatment Process, Risks and Side Effects, Situational Benefits, and Dental Treatment Process. While many of the parents' comments are related to appearance, other topics that merit consideration when discussing SDF treatment were mentioned. Conclusions: Although parents are concerned about the esthetic impact of SDF, they understand the risks of alternative treatments and welcome information that will allow them to make an informed decision. Location of the cavities and visibility of the staining appear to heavily influence the decision to accept or reject this therapy.


Assuntos
Cariostáticos , Assistência Odontológica para Crianças , Estética Dentária , Aceitação pelo Paciente de Cuidados de Saúde , Criança , Assistência Odontológica para Crianças/psicologia , Estética Dentária/psicologia , Feminino , Fluoretos Tópicos , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Compostos de Amônio Quaternário , Compostos de Prata
4.
J Clin Pediatr Dent ; 43(3): 167-172, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30964721

RESUMO

Objective(s): To assess the effect of three behavior guidance techniques on anxiety indicators of children undergoing diagnosis and preventive dental care. Study Design: Sixty-three subjects (7-9 years) were divided into three groups as per the behavior guidance technique namely tell-show-do, live and filmed modeling (using Tablet Computer) to receive diagnostic (Oral examination & radiographic assessment using intraoral periapical radiographs) and preventive dental care (Oral prophylaxis and topical fluoride application). Anxiety indicators-Facial Image Scale (FIS) scores and heart rate were recorded before, during and after diagnosis/preventive treatment. Three-way repeated measures ANOVA with post-hoc analysis was performed at significance of p-value < 0.05. Results: There was a statistically significant difference in the anxiety indicators of children under the influence of different behavior guidance approaches undergoing diagnosis/preventive treatments except for mean heart rate of children while oral examination. Multiple comparison results reveal that the mean FIS scores and heart rate of children with modeling techniques were significantly better as compared to tell-show-do technique with no significant difference between the two modeling techniques. Conclusion: This study suggests that the modeling techniques (filmed and live) seem to be an efficient behavioral guidance approach for children aged 7-9 years undergoing routine diagnosis and preventive dental care as compared to tell-show-do technique.


Assuntos
Controle Comportamental , Ansiedade ao Tratamento Odontológico , Assistência Odontológica para Crianças , Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico/terapia , Assistência Odontológica , Assistência Odontológica para Crianças/psicologia , Fluoretos , Fluoretos Tópicos , Humanos
5.
J Indian Soc Pedod Prev Dent ; 37(1): 3-7, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30804300

RESUMO

Objective: The objective of this study was to determine the knowledge, attitude, and practical behavior of parents regarding their children's oral health in New Delhi. Methodology: A cross-sectional study was conducted among 500 parents who reported in outpatient department in the Department of General Medicine at Maulana Azad Medical College and in the Department of Pedodontics and Preventive Dentistry at Maulana Azad Institute of Dental Sciences, New Delhi. Data were collected through a self-administered questionnaire. The statistical analysis was performed using the Statistical Package for Social Sciences software (21.0 version; Inc., Chicago IL, USA) for descriptive and multivariate analysis, and the level of statistical significance used in this study was chosen at P < 0.005. Results: The results of this explorative research showed that the sample selected had a relatively good knowledge regarding the importance of the primary teeth, the fact that problems in primary teeth can affect the permanent teeth, brushing frequency on daily basis, and brushing aids. Participants were aware about the effect of prolonged bottle feeding and sticky foods on the dentition. On the other hand, the majority of participants failed to recognize the ideal time of first dental visit. Parents showed positive attitudes regarding the importance of regular dental visit and their role in their children's daily oral hygiene habits. Conclusion: In New Delhi, parental awareness and attitudes regarding their children's oral health are relatively good. However, the high dental caries prevalence in children in Central New Delhi contradict the study findings, which prove the fact that changing parental behavior and attitudes toward their children's oral health is far more important than increasing their knowledge only.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal , Pais/psicologia , Criança , Pré-Escolar , Estudos Transversais , Assistência Odontológica para Crianças/psicologia , Feminino , Humanos , Lactente , Masculino , Saúde Bucal/estatística & dados numéricos , Inquéritos e Questionários , Escovação Dentária/psicologia
6.
J Indian Soc Pedod Prev Dent ; 37(1): 8-11, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30804301

RESUMO

Aim: The aim of this study was to assess the prevalence of pacifier use among Saudi children and analyze the effects of maternal education and dental visits on the age of pacifier withdrawal. Methods: The dental histories of mothers of 300 children with age group of 2-7 years were obtained along with their educational level, frequency of dental checkups, and age of pacifier withdrawal. Data were analyzed using the cross-tabulation and Chi-square tests. Results: Forty percent (n = 133) of the children used pacifier. There was an effect of maternal education on the age of pacifier withdrawal: higher the maternal education, younger the age of pacifier withdrawal. The frequency of dental visits influenced the relationship between maternal education and age of pacifier withdrawal. Conclusions: Unhealthy oral habits such as prolonged pacifier use can be reduced with regular dental checkups and higher levels of mother education. Hence, we recommend that children should start dental visits at an early age and maintain visits at regular intervals.


Assuntos
Assistência Odontológica para Crianças , Mães/educação , Chupetas/estatística & dados numéricos , Fatores Etários , Criança , Pré-Escolar , Assistência Odontológica para Crianças/psicologia , Escolaridade , Feminino , Humanos , Lactente , Recém-Nascido , Mães/psicologia , Chupetas/efeitos adversos , Prevalência , Arábia Saudita , Inquéritos e Questionários
7.
BMC Oral Health ; 19(1): 294, 2019 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-31888588

RESUMO

BACKGROUND: In addition to visit purpose, one of the environmental factors that can cause anxiety prior to dental treatment includes the waiting room experience, specifically the amount of time spent awaiting treatment and the waiting room environment. The purpose of this study was to compare the effect of the waiting room's environment on the level of anxiety experienced by children in multisensory and traditional waiting rooms. METHODS: Case control study. Test group waited for treatment in a multisensory waiting room, which consisted of a lighting column that children could touch and climb; as well as, rhythmic music played on loudspeakers. Control group waited for treatment in a traditional waiting room. Study participants were asked to answer the "Venham Picture Test", a dental anxiety scale, while in the waiting room prior to entering the treatment room. Chi-squared, Fisher's Exact tests, and linear regression were utilized. A p-value less than 0.05 was considered statistically significant. RESULTS: No significant difference in dental anxiety scores was found between the test and control groups according to waiting room type (p > .05). Dental anxiety was significantly higher in patients who had longer waiting time prior to treatment (p = 0.019). In addition, dental anxiety was significantly associated with visit purpose (p < .001): children waiting for dental examination or those scheduled for dental treatment with conscious sedation were less anxious than children waiting for emergency treatment. CONCLUSIONS: A sensory adapted waiting room environment may be less important in reducing children's anxiety prior to dental treatment. Children's dental anxiety can be reduced by preventing emergency treatments, scheduling routine dental visits and decreasing waiting time. TRIAL REGISTRATION: TRN NCT03197129, date of registration June 20, 2017.


Assuntos
Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica para Crianças/psicologia , Consultórios Odontológicos , Ambiente de Instituições de Saúde , Estudos de Casos e Controles , Criança , Comportamento Infantil , Sedação Consciente , Ansiedade ao Tratamento Odontológico/diagnóstico , Feminino , Humanos , Masculino , Escala de Ansiedade Manifesta
8.
Cochrane Database Syst Rev ; 12: CD003877, 2018 12 17.
Artigo em Inglês | MEDLINE | ID: mdl-30566228

RESUMO

BACKGROUND: Children's fear about dental treatment may lead to behaviour management problems for the dentist, which can be a barrier to the successful dental treatment of children. Sedation can be used to relieve anxiety and manage behaviour in children undergoing dental treatment. There is a need to determine from published research which agents, dosages and regimens are effective. This is the second update of the Cochrane Review first published in 2005 and previously updated in 2012. OBJECTIVES: To evaluate the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry. SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 22 February 2018); the Cochrane Central Register of Controlled Trials (CENTRAL; 2018, Issue 1) in the Cochrane Library (searched 22 February 2018); MEDLINE Ovid (1946 to 22 February 2018); and Embase Ovid (1980 to 22 February 2018). The US National Institutes of Health Ongoing Trials Register (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA: Studies were selected if they met the following criteria: randomised controlled trials of conscious sedation comparing two or more drugs/techniques/placebo undertaken by the dentist or one of the dental team in children up to 16 years of age. We excluded cross-over trials. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted, in duplicate, information regarding methods, participants, interventions, outcome measures and results. Where information in trial reports was unclear or incomplete authors of trials were contacted. Trials were assessed for risk of bias. Cochrane statistical guidelines were followed. MAIN RESULTS: We included 50 studies with a total of 3704 participants. Forty studies (81%) were at high risk of bias, nine (18%) were at unclear risk of bias, with just one assessed as at low risk of bias. There were 34 different sedatives used with or without inhalational nitrous oxide. Dosages, mode of administration and time of administration varied widely. Studies were grouped into placebo-controlled, dosage and head-to-head comparisons. Meta-analysis of the available data for the primary outcome (behaviour) was possible for studies investigating oral midazolam versus placebo only. There is moderate-certainty evidence from six small clinically heterogeneous studies at high or unclear risk of bias, that the use of oral midazolam in doses between 0.25 mg/kg to 1 mg/kg is associated with more co-operative behaviour compared to placebo; standardized mean difference (SMD) favoured midazolam (SMD 1.96, 95% confidence interval (CI) 1.59 to 2.33, P < 0.0001, I2 = 90%; 6 studies; 202 participants). It was not possible to draw conclusions regarding the secondary outcomes due to inconsistent or inadequate reporting or both. AUTHORS' CONCLUSIONS: There is some moderate-certainty evidence that oral midazolam is an effective sedative agent for children undergoing dental treatment. There is a need for further well-designed and well-reported clinical trials to evaluate other potential sedation agents. Further recommendations for future research are described and it is suggested that future trials evaluate experimental regimens in comparison with oral midazolam or inhaled nitrous oxide.


Assuntos
Ansiolíticos/uso terapêutico , Ansiedade ao Tratamento Odontológico/tratamento farmacológico , Assistência Odontológica para Crianças/psicologia , Hipnóticos e Sedativos/uso terapêutico , Analgésicos não Entorpecentes/administração & dosagem , Ansiolíticos/administração & dosagem , Criança , Hidrato de Cloral/administração & dosagem , Assistência Odontológica para Crianças/métodos , Humanos , Hidroxizina/administração & dosagem , Hipnóticos e Sedativos/administração & dosagem , Meperidina/administração & dosagem , Midazolam/administração & dosagem , Óxido Nitroso/administração & dosagem , Medicação Pré-Anestésica/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto
10.
Gen Dent ; 66(6): 19-22, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30444702

RESUMO

Most children are able to cooperate during conventional, in-office dental treatment using traditional, communicative behavior guidance techniques that are carefully selected and applied to the developmental needs of a particular child. Children who are unable to cooperate during conventional treatment due to a lack of psychological or emotional maturity and/or the existence of a mental, physical, or medical disability may require pharmacologic techniques such as procedural sedation or general anesthesia to complete rehabilitative dental treatment. Patient safety dictates that careful preparation and robust case selection processes guide clinical decision-making related to pharmacologic behavior guidance. Before using these techniques, the sedation provider must demonstrate an adequate understanding of these techniques, from definitions and best practices to case selection and patient safety. This article presents essential information-with an emphasis on best practices and patient safety-for dentists who are considering pharmacologic behavior guidance for the children they treat.


Assuntos
Sedação Consciente , Assistência Odontológica para Crianças/métodos , Anestesia Dentária/métodos , Criança , Sedação Consciente/efeitos adversos , Sedação Consciente/métodos , Assistência Odontológica para Crianças/psicologia , Humanos , Hipnóticos e Sedativos/efeitos adversos , Hipnóticos e Sedativos/uso terapêutico , Segurança do Paciente , Guias de Prática Clínica como Assunto
11.
Gen Dent ; 66(6): 39-45, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30444705

RESUMO

Pediatric dentistry has evolved. Seasoned pediatric dentists believe that patients, parents, and behavior techniques have changed over their practice lifetimes. The purpose of this article is to provide dentists with a framework in which to adapt to the changes in society. Understanding cultural diversity, current societal values, technology and media influences, and contemporary parenting philosophies is essential to fostering communication with patients and their families. Building and honing behavior guidance skills are part of the process by which dentists help turn child patients into fearless adult patients with excellent oral health. This article reviews basic techniques and offers practical examples of implementing these in daily practice. The discussion also addresses changing parental and societal acceptance of various techniques and dentists' responsibility for informed consent regarding the risks and benefits of advanced behavior guidance techniques. Treating a patient from childhood to adulthood is the ultimate opportunity for the dentist to play a vital role in advancing the health and wellness of another human being.


Assuntos
Assistência Odontológica para Crianças , Comportamentos Relacionados com a Saúde , Higiene Bucal , Criança , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Crianças/psicologia , Relações Dentista-Paciente , Humanos , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/prevenção & controle
12.
Wiad Lek ; 71(7): 1305-1309, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30448801

RESUMO

OBJECTIVE: Introduction: Paediatric dentistry is a special field of dental practice. The scope of professional activities within this field covers not only high level of expertise and technical skills tailored to the needs of young patients, but requires searching and creating positive psychological environment and communicative management of each child in order to improve daily service methods. The aim of this study is to identify and describe the main psychological characteristics of the age developmental periods of child's personality that dental professionals should regard dealing with the paediatric patients. PATIENTS AND METHODS: Materials and methods: The study involved 124 paediatric participants aged 2,5 - 15 years, who were referred to get specialized dental care at the Department of Paediatric Dentistry at the Municipal Paediatric Dentistry Hospital, Poltava. We have collected and identified behavioural patterns of children of all age groups during their contacts with dentists at the dental offices as well as studied the characteristics of childhood psyche age periods through the available literature. The data obtained were thoroughly As a result of the analysis of the obtained data, the principles for managing paediatric patients' behaviour at the dental office have been elaborated and introduced into the practice. RESULTS: Results: Outer evaluation of the children's activities performed is perceived by children as an assessment of personality, so any negative doctor's remark can provoke anxiety, irritability, and discomfort, apathy. Therefore, the paediatric specialists should remain attentive to physical and emotional indicators of stress when dealing with young patients. CONCLUSION: Conclusions: Hence, among the key tasks of a paediatric dentist is to create the friendliest and most comfortable conditions for small patients, where they have the opportunity to play toys and receive little gifts for patience and courage.


Assuntos
Comportamento Infantil , Assistência Odontológica para Crianças/psicologia , Relações Dentista-Paciente , Odontopediatria , Adolescente , Criança , Pré-Escolar , Comunicação , Humanos
13.
Pediatr Dent ; 40(4): 265-272, 2018 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-30345965

RESUMO

Purpose: The purpose of this study was to determine how ethnicity influences parental acceptability of behavior management techniques (BMTs) used during dental treatment of children. This is the first known study to compare ethnic differences in acceptance levels of the BMTs. Methods: Parental acceptance of 10 BMTs (tell-show-do, voice control, non-verbal communication, positive reinforcement, distraction, parental presence/absence, nitrous oxide, protective stabilization, sedation, and general anesthesia) was rated using a visual analogue scale (VAS) after watching vignettes of each technique. Parental preferences were stratified by ethnicity and analyzed. Results: Among the 104 parents (21 Caucasians, 29 Hispanics, 30 Asians, and 24 African Americans) who qualified and completed the study, we observed that, overall, non-invasive techniques (positive reinforcement and tell-show-do) were most accepted by parents, while invasive techniques (voice control and protective stabilization) were least accepted (P<0.001). Within each ethnicity, there were significant differences between the BMTs (P<0.001). Additionally, conscious sedation was the only BMT to show a significant difference between the ethnic groups (P=0.047), with Asian parents having a lower mean score than Caucasian and Hispanic parents. Conclusions: Our results suggest that considering the ethnic/cultural differences of patients and their parents is an instrumental component for pediatric dentists to provide quality care to children patients.


Assuntos
Controle Comportamental/métodos , Controle Comportamental/psicologia , Terapia Comportamental/métodos , Comportamento Infantil/psicologia , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Crianças/psicologia , Grupos Étnicos/psicologia , Pais/psicologia , Adolescente , Adulto , Afro-Americanos , Idoso , Anestesia Geral/métodos , Grupo com Ancestrais do Continente Asiático , Criança , Sedação Consciente/métodos , Grupo com Ancestrais do Continente Europeu , Feminino , Hispano-Americanos , Humanos , Masculino , Pessoa de Meia-Idade , Óxido Nitroso/uso terapêutico , Comunicação não Verbal , Preferência do Paciente , Reforço Psicológico , Inquéritos e Questionários , Escala Visual Analógica , Adulto Jovem
14.
Int J Paediatr Dent ; 28(6): 624-632, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30175414

RESUMO

BACKGROUND: Early-life dental service utilization could improve child dental health. AIM: Identify contextual, socioeconomic, and child characteristics associated with dental visitation by age 3 years. DESIGN: Within a Brazilian birth cohort (N = 435), multivariable regression models were fitted to identify independent predictors of having made a dental visit at age 3 years. Contextual variables considered included health center type (Traditional vs. Family Health Strategy, which perform home visits) and composition of oral health teams at the heath center where mothers accessed prenatal care. RESULTS: Dental visitation was positively associated with Family Health Strategy health centers (36% vs. 23%) and with higher maternal education and family social class. Visitation was lowest among families served by a health center without a dentist, but number of dentists and oral health team composition were not associated with visitation among facilities with ≥1 dentists. Dental visitation was not statistically significantly associated with caries experience but was higher if parents reported worse oral health-related quality of life. The vast majority of dental decay remained untreated. CONCLUSIONS: Dental visits were underutilized, and socioeconomic inequalities were evident. Dental visitation was more common when mothers received prenatal care at Family Health Strategy health centers, suggesting a possible oral health benefit.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Saúde da Família , Visita a Consultório Médico , Saúde Bucal , Brasil , Pré-Escolar , Assistência Odontológica para Crianças/psicologia , Cárie Dentária/prevenção & controle , Consultórios Odontológicos , Odontólogos , Escolaridade , Feminino , Humanos , Masculino , Mães/educação , Mães/psicologia , Análise Multivariada , Saúde Bucal/estatística & dados numéricos , Pais , Cuidado Pré-Natal , Qualidade de Vida , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários
15.
J Indian Soc Pedod Prev Dent ; 36(2): 167-172, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29970634

RESUMO

Background: Child presents a unique challenge to accept a dental treatment, and such a challenge gets modified by the presence or the absence of a parent in the operatory. Many dentists have reportedly and controversially used parental separation anxiety as a tool to control behavior of an uncooperative child and also to deliver quality dental treatment in young children. But is the parental separation beneficial for dentist to gain child cooperation? Aims and Objectives: The objective is to evaluate the influence of parental presence or absence in the operating room on child's behavior during dental procedure on children of 4 years and above. Materials and Methods: The study was carried out on 30 children of 4-7 years of age group, 16 (4-6 years) preschoolers, and 14 (6-7 years) early schoolers. Two consecutive restorative procedures were carried out. On a first visit, parents were present and on a second visit, separation of parents was done. Behavior rating was done by commonly used Frankel's Behavior Rating Scale. Results: Chi-square test was performed for the statistical analysis. There was no significant difference found in the child's behavior by the presence or absence of parents in the perception of dental treatment in the dental operatory. In contrast to that there was a significant increase in cooperative behavior of some children due to other factors influencing the behavior of the child with a Chi-square value = 35.296, P < 0.001. Conclusion: Parents can be excluded from the dental operatory to eliminate many behavior-related problems during the course of treatment.


Assuntos
Ansiedade de Separação/psicologia , Comportamento Infantil , Ansiedade ao Tratamento Odontológico/prevenção & controle , Assistência Odontológica para Crianças/psicologia , Procedimentos Cirúrgicos Bucais/psicologia , Pais , Criança , Pré-Escolar , Feminino , Humanos , Masculino
16.
Eur Arch Paediatr Dent ; 19(3): 171-175, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29766415

RESUMO

AIM: To evaluate the reliability and validity of a newly proposed classification system for categorisation of parental behaviour (CCPB) in the dental setting. METHODS: Parents of patients aged 5-14 years were included. 127 parents were evaluated and rated on two scales: Parental Cooperation Scale (PCS; 1-4) and CCPB (0-5) by two trained examiners during the initial interaction of the parent with the examiners at their first visit in the dental setting. Kappa Score measurement of agreement was used to assess the inter-rater reliability. Spearman's rho correlation was used to assess the correlations between PCS and CCPB. RESULTS: The Kappa score between independent raters was 0.774 (substantial agreement) and Spearman's rho correlation coefficient was 0.778, which was statistically significant (p < 0.001). CONCLUSIONS: The CCPB refers to the same domain as the PCS and was found to be a reliable tool to be used in future research.


Assuntos
Atitude Frente a Saúde , Comportamento , Assistência Odontológica para Crianças , Pais/psicologia , Adolescente , Adulto , Criança , Pré-Escolar , Assistência Odontológica para Crianças/psicologia , Feminino , Humanos , Masculino , Cooperação do Paciente , Relações Profissional-Família , Reprodutibilidade dos Testes , Estatísticas não Paramétricas
17.
Eur J Paediatr Dent ; 19(2): 139-144, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29790778

RESUMO

AIM: Treatment under general anaesthesia (DGA) is a rising trend in Finland. There is a great need to investigate the causes leading to it. Our purpose was to examine family-related factors reported by parents, such as the family size and favoring DGA in the family, and their influence on children being treated under DGA. This survey was based on a questionnaire targeted to parents of children whose dental treatment could not be performed in a conventional setting. MATERIALS AND METHODS: Guardians of 87 healthy children treated under DGA at a municipal health center in the city of Oulu, Finland, between November 2014 and December 2015 answered the questionnaire on family-related background factors and on the respondent's own as well as their child's presumed dental fear. RESULTS: According to most guardians (83.9% of the cases), the reason for DGA was caries. Male gender, vague family structure, large number of siblings (?4), and DGA history in the family were all important family-related background factors leading to DGA. Self-reported parental dental fear was quite common (25.3%). Children's dental fear reported by parents was associated with DGA in almost half of the cases (46.0%). CONCLUSIONS: The survey highlights the role of the entire family in association with children ending up being treated under DGA. It is essential for the success of dental health care to also consider family-related factors when planning the treatment, particularly with children demanding DGA.


Assuntos
Anestesia Dentária/psicologia , Anestesia Geral/psicologia , Assistência Odontológica para Crianças/psicologia , Pais/psicologia , Criança , Ansiedade ao Tratamento Odontológico/psicologia , Feminino , Finlândia , Humanos , Masculino , Inquéritos e Questionários
18.
J Clin Pediatr Dent ; 42(5): 339-343, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29763347

RESUMO

PURPOSE: To assess the effect of a single pre-operative instruction given to parents to be a passive observer on satisfaction with their child's dental visit. STUDY DESIGN: Parents of 105 healthy three to nine year-old patients presenting for their first restorative appointment were randomly assigned to the test or control group. The former received an oral instruction at the beginning of the appointment from the treating dentist to be a passive observer while the latter received a mock instruction. The dentist assessed whether the parent remained a passive observer during the visit. Parents completed a survey assessing satisfaction with their child's dental visit. RESULTS: More parents were rated as passive in the test group than in the control group, 67.3% vs. 32.1%, (P<0.01). However, no statistically significant difference was found in parental satisfaction between the test and the control group. CONCLUSION: Asking parents to act as passive observers may help preserve the advantages of parental presence in the operatory while eliminating many of the disadvantages. A single preoperative instruction given orally by the treating dentist to be a passive observer was effective and did not lead to a reduction in parental satisfaction.


Assuntos
Assistência Odontológica para Crianças/psicologia , Pais/psicologia , Satisfação do Paciente , Adulto , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Ansiedade ao Tratamento Odontológico , Humanos , Pessoa de Meia-Idade , Adulto Jovem
19.
J Contemp Dent Pract ; 19(2): 237-241, 2018 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-29422477

RESUMO

INTRODUCTION: Parental presence/absence in the dental operatory (also called: Parent-in-parent-out technique) is an extremely controversial aspect of the nonpharmacological BMTs. Historically, dentists used to exclude parents from dental operatory to avoid their interference with the dentist's aptitude to build a rapport and relationship with the child, hence increasing the child management problems by disrupting treatment and making the dentist unfocused and uncomfortable. AIM: The purpose of this article is to review and emphasize on the importance of parental presence/absence in the dental operatory, especially in a certain age group, as a behavior management technique (BMT) in pediatric dentistry, and to present a modified view of this technique. RESULTS: This article reviews the current literature concerning behavior management in pediatric dentistry. It includes a medline database search and review of the comprehensive textbooks in pediatric dentistry. Some recommendations were based on the opinions of experienced researchers and clinicians. CONCLUSION: Parent-in-parent-out technique in dental operatory is advocated to gain emotional support and avoid the effect of traumatic separation, especially in younger children or special health-care needs patients. CLINICAL SIGNIFICANCE: The parent-in-parent-out technique in dental operatory is underused, or misused. This article clarifies the proper use of this technique along with a minor modification to it to make it more effective on young apprehensive dental patients.


Assuntos
Comportamento Infantil/psicologia , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica para Crianças/psicologia , Relações Dentista-Paciente , Relações Pais-Filho , Pais/psicologia , Criança , Pré-Escolar , Consultórios Odontológicos , Humanos , Lactente
20.
Int J Paediatr Dent ; 28(2): 189-197, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28840947

RESUMO

BACKGROUND: In recent years, conceptions of childhood have been evolving towards an increased recognition of children as active agents, capable of participating in the determination of their wellbeing. In pediatric dentistry, the extent to which these conceptions are being discursively endorsed is not well known. AIM: The aim of this investigation was to examine the discursive construction of childhood in seminal North American pedagogical dentistry materials. DESIGN: We conducted a qualitative discourse analysis of a sample of prominent texts using a sociological discourse analysis approach. RESULTS: We analyzed the latest edition of Macdonald and Avery's textbook (Chapter: Non pharmacologic management of children's behaviors) and the clinical practice guidelines published by the American Academy of Pediatric Dentistry, AAPD (Behavior guidance for the pediatric dental patient). The analysis produced five salient discursive categories: socialization through behavior modification; development and behavior; paternalism; the utility of child-centered communication; and consequentialism. While there were instances of a child-centered focus in the texts, the main discourses were rooted in developmentalism and behaviorism. There was scant acknowledgment of the importance of children's agency or voice, which runs contrary to child-centered discourses and practices in related disciplines (e.g., pediatric medicine, nursing). CONCLUSION: Predominant discourses in pediatric dentistry suggest a paternalistic, behaviorist approach to the 'management' of children in the dental office, focused primarily on completing interventions. Priorities for the future development of pediatric dentistry are discussed, integrating more child-centered approaches.


Assuntos
Odontopediatria , Livros de Texto como Assunto , Criança , Comportamento Infantil , Assistência Odontológica para Crianças/psicologia , Humanos
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