scholarly journals Influence of parental anxiety on children’s behaviour during their visits to dental clinic: a short clinical study

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Lakshmi Thribhuvanan ◽  
M. S. Saravanakumar ◽  
G. Anjana

Abstract Background Anxiety and fear of dental treatment in children have been recognized as sources of serious health problems. Parents are known to subtly transmit feelings of fear and anxiety to their children Commonly which has influence on children’s dental anxiety are maintenance of general health of the child, past dental history, oral hygiene practices and attitudes in the family towards oral health and high dental anxiety of parents, all of these contributed to sustained and elevated levels of children’s dental anxiety. Aim This study was undertaken to evaluate the influence of parental anxiety on their children during their visit to dental clinics. Objective To determine the relationship between parental anxiety level and that of a child. Methods A short clinical study was performed to assess the influence of parental anxiety on their children during their visit to dental clinics. Twenty subjects were randomly selected and their parents were given the Modified Dental Anxiety Scale Questionnaire (MDAS) and their physiologic parameters were measured during each visit. Similarly, the children’s responses were analyzed using the Facial Image Scale (FIS) and their physiologic parameters were measured. Results The values show a positive correlation (P < 0.05) between the scores (MDAS and FIS) and physiologic parameters (blood pressure and heart rate) of parents and their children. Conclusion The dental anxiety levels in parents influence the anxiety levels in children.

2016 ◽  
Vol 30 (1) ◽  
Author(s):  
Gulser KILINÇ ◽  
Aynur AKAY ◽  
Ece EDEN ◽  
Nilgün SEVINÇ ◽  
Hülya ELLIDOKUZ

2021 ◽  
Vol 13 (3) ◽  
pp. 76-80
Author(s):  
Vida Arzani ◽  
Ali Bagherzadeh

Background: Radiological examinations expose the patient to the adverse effects of ionizing radiation, which is more severe among developing children. This can cause excessive and unreasonable fear and anxiety for parents and even disrupt the treatment process. This study aimed to evaluate the parents’ knowledge about dental radiographs for children referred to dentistry, and to assess the relevant factors. Methods: The present study is a cross-sectional analytical study examining parents of children referred to dental clinics from October 2019 to April 2020. The required information included demographic information, and nine statements for assessing parents’ level of knowledge. One-way analysis of variance (ANOVA), independent t-test, and linear regression were used to analyze the data. Ward’s cluster analysis method with a squared Euclidean distance was adopted to include the background and demographic variables. Results: A total of 108 parents of children referred to Ilam dental clinics – including 69 females (68.3%) and 32 males (31.7%) in the 24-51 age range, participated in this study. Among the studied variables, the level of educational attainment of the parents had a highly significant influence (P<0.01) on their knowledge of pediatric radiography. Furthermore, parents holding bachelor’s degrees or higher with an average score of 5.35 had more heightened awareness of radiography than those in other educational groups. Conclusions: Examining the parental radiographic knowledge revealed significant differences among three groups of parents with educational attainment in favor of those with higher educational achievement. In general, three biographical variables, namely age, gender, and household size were found to be less influential. Therefore, the dentists should learn about the educational attainment of the parents and provide them with the required information on treatment accordingly. Due to the relatively poor knowledge of the parents about children’s dental radiographs, it is recommended that plans be developed for raising the parental awareness of the issue in order for reducing their unreasonable fears which may create a burden for dental treatment procedures.


2017 ◽  
Vol 65 (3) ◽  
pp. 276-281
Author(s):  
Carolina VASCONCELLOS ◽  
José Carlos Petorossi IMPARATO ◽  
Karla Mayra REZENDE

ABSTRACT Infant fear and anxiety are two feelings that cause stress in pediatric dental treatment. Many management techniques have been described in the literature, with the aim of controlling this anxiety and fear that are ultimately a big challenge for the dental surgeon. The aim of this study is to present a clinical case of a five-year-old child who would not cooperate with the dental treatment. To this end, an incentive chart was devised that is specific for treatment. The chart focuses on encouraging the child to comply with rules in the pediatric dentist office and, as the child completes his objectives, the chart is filled with happy faces and at the end of the appointment, depending on the outcome, the patient is rewarded with something. We concluded that the use of the incentive chart was particularly satisfactory in terms of the patient’s conduct and developing maturity over the course of his dental treatment and it may be an additional option to use as an adjunct in the approach to behavior in private or public dental clinics, and even in Universities.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 614-622
Author(s):  
Harini P ◽  
Keerthi Sasanka L ◽  
Jothi Priya A

Lifestyle modifications, work pressure, stress may lead to adverse habits like smoking, drinking and tobacco chewing. These habits may lead to poor oral health. Not only poor oral health may also lead to dental fear and dental anxiety. Self-administered questionnaires were designed based on knowledge, attitude and practice. The questionnaire was distributed through an online platform. The study population included people belonging to the age group of 18-24 age groups. The participants were explained about the purpose of the study in detail. The questions were carefully studied and the participants marked the corresponding answers. The data were collected and statistically analysed using SPSS software. Results were collected as an ordinal data and reported that smoking and alcohol causes increased dental fear which leads to poor oral health and some anxiety management techniques should be employed by dental practitioners to make the procedures in a simple way. For a satisfactory dental treatment and good oral health status, the state of mind of the patient is very important and it is influenced by many factors, including smoking and alcohol use. The aim of the study is to evaluate whether students are aware that the increased level of dental fear and anxiety is associated with smoking and alcohol use.


2022 ◽  
Vol 15 (1) ◽  
Author(s):  
Alexander Zinke ◽  
Christin Bohl ◽  
Hendrik Berth

Abstract Objectives Information was collected to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief Symptom Inventory-18 and identifying a correlation between these groups as well as the gender and age. Data description This data contains a set of 1550 patients’ answers to questionnaires taken before dental treatment in a dental clinic. It is divided into male and female patients as well as according to their age. The level of Dental Anxiety can be interpreted by answers chosen in the Dental Anxiety Scale (DAS) and the level of psychological distress by answers chosen in the Brief Symptom Inventory-18 (BSI-18). This dataset should help to encourage more research in the field of dental anxiety and we hope to see more comparisons with our data in the future or in different regions of the world.


2020 ◽  
Author(s):  
Minmin Zhu ◽  
Hongbing Yu ◽  
Bo Xie ◽  
Hongwen Li ◽  
Qian He ◽  
...  

Abstract Background: Dental anxiety (DA) has an impact on the quality of dental treatment and may have long-lasting implications for children. A recent study introducing experiential learning (EL) into children’s oral health promotion resulted in better oral hygiene. The purpose of the study is to evaluate whether EL can reduce children's DA. Methods: In September 2018, we recruited 988 children aged 7-8 years from 24 classes to participate in a cluster-randomized trial. Classes were randomly assigned to EL (in which children received a lively presentation on oral health and participated in a role play in a simulated dental clinic in the classroom) or the Tell-Show-Do (TSD) group (in which children received a conventional TSD behavior management). The primary outcome was the prevalence of high DA after the procedure of pit and fissure sealant (PFS), assessed by a modified Children's Fear Survey Schedule-Dental Subscale. Secondary outcomes were changes in blood pressures (BP) and pulse rates (PR) before and after the PFS procedure. The intervention effects were estimated by means of mixed effect models, which included covariates of gender and school (and baseline value for BP and PR only), and a random cluster effect.Results: In 396 children of the EL group who received the PFS treatment, the prevalence of high DA (score ≥ 38) was 18.5%, compared with 24.3% in 391 children of the TSD group (OR=0.65; 95% confidence interval, 0.46-0.93; P=0.019). The increases in BP and PR after the PFS were also significantly less in the EL group. Conclusion: School-based experiential learning intervention before a dental visit is feasible and effective in reducing children’s dental anxiety during PFS.Trial registration: The trial was registered in Chinese Clinical Trial Registry on 5 January 2020 (No.: ChiCTR2000028878, retrospectively registered), http://www.chictr.org.cn/edit.aspx?pid=47970&htm=4.


Author(s):  
M.T. Hosey ◽  
G.J. Roberts

Pain and anxiety are natural physiological and psychological responses. Pain is a direct response to an adverse stimulus that has occurred; anxiety is the unpleasant feeling, the worry that something unpleasant might occur. Pain and anxiety are often intertwined, especially in the dental setting. The best way to manage child dental anxiety is to avoid its occurrence in the first place through prevention of dental disease, good behaviour management, pain-free operative care, and treatment planning that is tailored to the needs and developmental stage of each individual child. These issues are detailed in the previous chapters. This chapter specifically focuses on pharmacological pain and anxiety control and explores the roles of conscious sedation and general anaesthesia (GA) as adjuncts to behaviour management. A child’s perception of pain is subjective and varies widely, particularly with age. Infants up to about 2 years of age are believed to be unable to distinguish between pressure and pain. Older children begin to have some understanding of ‘hurt’ and begin to distinguish it from pressure or ‘a heavy push’. It is not always possible to identify which children are amenable to explanation and will respond by being cooperative when challenged with local anaesthesia (LA) and dental treatment in the form of drilling or extractions. Children over 10 years of age are much more likely to be able to think abstractly and participate more actively in the decision to use LA, sedation, or GA. As children enter their teenage years they are rapidly becoming more and more like adults and are able to determine more directly, sometimes emphatically, whether or not a particular method of pain control will be used. The response is further determined by the child’s coping ability influenced by family values, level of general anxiety and intelligence. There is a strong relationship between the perception of pain experienced and the degree of anxiety perceived by the patient. Painful procedures cause fear and anxiety; fear and anxiety intensify pain. This circle of cause and effect is central to the management of all patients. Good behaviour management reduces anxiety, which in turn reduces the perceived intensity of pain, which further reduces the experience of anxiety.


2020 ◽  
Vol 44 (6) ◽  
pp. 407-411
Author(s):  
Sigalit Blumer ◽  
Benjamin Peretz ◽  
Native Yukler ◽  
Sagit Nissan

Purpose: Dental student’s dental anxiety may negatively affect patient’s attitude towards dental treatment. We evaluated dental anxiety among dental students in different clinical stage of their studies. We assessed the student’s anxiety prior to treating patients. Study design: A cross-sectional study. Fourth to sixth-year dental students completed questionnaires containing: 1) Dental Anxiety Scale (DAS); 2) Dental Fear Survey (DFS); and 3) visual analogue scale questions relating to the student’s anxiety when performing dental treatments in children and adults. Results: 124 dental students completed the questionnaires (mean age, 26.4±3.1 years, 59.7% women). Average DAS in the study population was 7.55±2.15 with similar scores observed across the years. Average DFS score was highest among fourth-year students (1.62±0.65) and lowest among sixth year students (1.36±0.32). DFS scores decreased as the students progressed through the clinical years (p=0.059). The students’ average anxiety scores prior to treating children were significantly higher than the anxiety scores prior to treating adults (3.82±2.42 vs. 2.67±1.9, p&lt;0.001). Fifth-year students had significantly higher anxiety scores prior to treating children and adults compared to fourth and sixth-year students. Conclusion: Dental anxiety among dental students is relatively low and decreases gradually as they progress through the clinical years. Anxiety prior to treating patients, particularly children, is at its highest just before starting to treat patients for the first time. As dental students are future healthcare providers, it is important that they learn techniques to help them manage their own dental anxiety and fear as well as deal with anxiety related to treating patients.


2014 ◽  
Vol 60 (4) ◽  
pp. 151-156
Author(s):  
Réka Gyergyay ◽  
Melinda Székely ◽  
Krisztina Mártha

Abstract Aims The objectives of the present survey were: 1) a systematic epidemiological investigation of dental fear and anxiety among children living in the central part of Romania and 2) to identify the most fearful aspects of dental care perceived by these children. Methods In this cross-sectional study 406 schoolchildren, 170 males and 263 females, aged 11-18 yearsfrom two cities, Tirgu Mureş and Sfintu Gheorghe were assessed. The subjects’ dental fear was evaluated with the Romanian versions of Corah’s Dental Anxiety Scale (MDAS) and Kleinknecht’s Dental Fear Survey (DFS), the anxiety level with Spielberger`s State and Trait Anxiety Inventory (STAI-S, STAI-T) and their opinion about dentists with Getz’s Dental Beliefs Scale (DBS). Questionnaires were completed anonymously at school. The study was approved by theResearch Ethics Committeeof the University of Medicine and Pharmacy Tirgu Mureş. For statistical analysis t-test, one-way ANOVA and Pearson’s correlation test were used by SPSS/PC statistics v. 17.0. Results The mean (±SD) scores of the surveyed subjects (mean age 15.69±2.06 years) were high: MDAS 10.65 (±4.5), DFS 38.68 (±15.1), DBS 36.93 (±11.9), STAI-S 37.90 (±10.9) and STAI-T 41.04 (±9.9), respectively. There was a strong positive Pearson-correlation between MDAS and DFS scores (r=0.73; p≤0.01) and a somewhat lower correlation between these scales and the general anxiety scores. Except for DBS, statistically significantly higher scores were found in females for every questionnaire (t-test, p≤0.05). The 11-year-old group presented the lowest scores in every case, while the peak was around 14 years. Age was a statistically significant factor only in case of DBS, STAI-S and STAI-T (one-way ANOVA, p<0.05). Drilling and injection were considered the most fearful moments of a dental treatment. Subjects claimed dental practitioners working under time pressure and communication deficiencies. Conclusions Having their special features, our findings were consistent with the local and international data. The subjects claim lack of time and communication deficiencies with the dentists. Identifying the reasons of dental fear and anxiety, might lead to solutions of avoidance or control.


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