scholarly journals Behavior and reaction of children to dental care, when submitted to play workshops before and after treatment

2020 ◽  
Vol 68 ◽  
Author(s):  
Laura SOUZA ◽  
Filipe NOGUEIRA ◽  
Laíza MARTINS ◽  
Danielly FERREIRA ◽  
Fabiana OLIVEIRA ◽  
...  
Keyword(s):  
Child Behavior ◽  
Dental Care ◽  
Positive Emotions ◽  
Dental Treatment ◽  
Cooperative Behavior ◽  
Negative Emotions ◽  
Pediatric Dentistry ◽  
Before And After ◽  
Three Stages ◽  
The One

ABSTRACT Objective Strategies to prepare the child with play activities in order to establish an initial friendly relationship between patient and dentist are widely used as a means to soften the inconsistent behaviors and negative emotions during dental treatment. Thus, the objectives of this study were to evaluate the emotions of children before and after performing play activities and at the end of dental treatment, as well as assessing child behavior. Methods A total of 74 children, both boys and girls, aged 4 to 10 years old, participated in this study and attended the Pediatric Dentistry Clinic for two consecutive semesters. The children responded as they felt through the Emotions Deck during the three stages. In addition, data on behavior and procedures were also collected. Results A total of 468 emotions were evaluated, of which 69 (14.75%) were negative and 399 (85.25%) were positive; the joy was the one of greater frequency in the three evaluated moments. A total of 128 (82.05%) positive emotions were observed before, 133 (85.25%) after the play activities and 136 (87.18%) of the positive emotions were after the dental treatment. As for negative emotions, 28 (17.94%) were before, 23 (14.74%) after play activities and 20 (12.82%) after treatment. Regarding behavior, only 9 (5.77%) were not registered as cooperative, while 147 collaborated (94.23%). Conclusion Therefore, it was possible to conclude that the majority of the patients presented positive emotions at the different moments evaluated and the negative emotions were observed mainly before the ludic activities, having a reduction after the dental care. Most patients demonstrated cooperative behavior.

Change of Emotional Experience in Major Depression and Borderline Personality Disorder During Psychotherapy: Associations With Depression Severity and Personality Functioning

2019 ◽  
pp. 1-20 ◽  
Author(s):  
Ulrike Dinger ◽  
Magdalena Fuchs ◽  
Johanna Köhling ◽  
Henning Schauenburg ◽  
Johannes C. Ehrenthal
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Positive Emotions ◽  
Emotional Experience ◽  
Negative Emotions ◽  
Borderline Personality ◽  
Depression Severity ◽  
Personality Functioning ◽  
Before And After ◽  
Patient Groups

This study examines emotional experience in major depressive disorder (MDD) with and without comorbid borderline personality disorder (BPD). It investigates if depression severity or personality functioning mediates group differences and which aspects of emotional experience change during psychotherapy. The emotional experience of MDD-BPD patients (n = 44) was compared to MDD-only patients (n = 35) before and after multimodal short-term psychotherapy. Emotions were classified based on valence and an active/passive polarity. MDD-BPD patients exhibited more active-negative emotions. This group difference was mediated by the level of personality functioning, but not by depression severity. Although passive-negative emotions decreased and positive emotions increased during therapy, there was no significant change in active-negative emotions. The two patient groups did not significantly differ in the change of emotional experience. Lower levels of personality functioning in depressed patients with BPD are associated with a broader spectrum of negative emotions, specifically more active-negative emotions.

scholarly journals Niños con hemofilia y su atención odontológica por estomatología pediátrica. Revisión de la literatura / Children with Hemophilia and their Dental Care by Pediatric Stomatology. Review of Literature

2016 ◽  
Vol 35 (74) ◽  
Author(s):  
Ángela Liliana Grandas Ramírez
Keyword(s):  
Factor Viii ◽  
Dental Care ◽  
Hemophilia A ◽  
Dental Treatment ◽  
Coagulation Factor ◽  
Coagulation Factors ◽  
Pediatric Dentistry ◽  
Review Of Literature ◽  
National University ◽  
Treatment Considerations

<strong>ABSTRACT. </strong><strong><em>Purpose</em></strong>: To carry out systematic review of literature about diagnostics, severity, and dental treatment considerations of children with Hemophilia A. <strong><em>Methods</em></strong>: The search for articles and other document was conducted through the databases available at the National Library System of the National University of Colombia. The English and Spanish terms used in the search were “pediatric dentistry,” “hemophilia A,” dental care,” “coagulation factors,” and/or “coagulation disorders.” <strong><em>Results</em></strong>: The sample consisted of 29 articles that met the inclusion criteria. Hemophilia A is a congenital disorder caused by a deficiency of coagulation factor VIII. Treatment of hemophilia depends on its severity and focuses on avoiding risking life of children due to preventable bleeding by timely applying local therapies such as tranexamic acid or factor VIII, depending on dental needs. Dental treatment of hemophilia A should be interdisciplinary and must emphasize primary health care, health promotion, and prevention in order to avoid invasive dental treatments that could cause bleeding. In addition, treatments seek to maintain oral health and to provide quality of life to children living with hemophilia A.

scholarly journals O uso de desenhos como técnica projetiva em odontopediatria

2020 ◽  
Vol 61 (2) ◽  
pp. 103-112
Author(s):  
Larissa Moreira Pinto ◽  
Stéffani Serpa ◽  
Natália Baschirotto Custódio
Keyword(s):  
Clinical Practice ◽  
Dental Care ◽  
Preventive Measures ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Projective Techniques ◽  
Pediatric Dentist ◽  
Effective Instrument ◽  
Positive Return ◽  
Dental Environment

The dental environment can be considered a stressor for children, and can trigger unwanted behaviors. Pediatric Dentistry is a specialty that requires professionals to know preventive measures and restorative skills to perform dental treatment in children or adolescents. In addition, it is especially important that the professional is concerned with the child’s feelings and reactions, allowing the pediatric dentist to identify situations that may generate stress for the patient during the care, and manage the presented behaviors. Recent studies have measured children’s reactions and feelings during dental treatments using projective techniques. Given the importance of drawing to identify children’s emotions, the objective of this study was to search the literature about the use of drawings as a projective technique in Pediatric Dentistry. Therefore, projective techniques, with an emphasis on drawing, have proved to be an effective instrument to be used in clinical practice to better understand the reactions presented by children during dental care and their relationship with dentists. Thus, avoiding unexpected situations in the office and allowing greater chances of obtaining a positive return from the patient.

"Students with Academic Difficulties: Benefits of a Study Skills Group Compared to an Emotional Skills Group"

2021 ◽  
Vol 21 (2) ◽  
pp. 101-116
Author(s):  
Chiara Meneghetti ◽  
Nicole Casali ◽  
Mara Fabris ◽  
Debora Palamà ◽  
Roberta Rizzato ◽  
...  
Keyword(s):  
Learning Strategies ◽  
Study Skills ◽  
Positive Emotions ◽  
Negative Emotions ◽  
Academic Difficulties ◽  
Emotional Skills ◽  
Self Regulated Learning ◽  
Regulated Learning ◽  
Before And After ◽  
Skills Group

"Students can encounter difficulties in their academic careers, regarding their studying skills, for instance, or experiencing negative emotions. Both are amenable to training and related to one another. This study aimed to examine the efficacy of two interventions focusing on studying skills or emotional skills. Two groups of students with academic difficulties participated: 30 worked on study-related aspects (Study skills group); and the other 30 attended lessons on emotions in everyday life (Emotional skills group). They were tested before and after the training on measures of their motivation to learn, self–regulated learning strategies, and emotions (positive and negative emotions). The results showed that both groups benefited from the training. The Study skills group improved specifically in incremental theory of intelligence (d=0.94, p<0.001), self–regulated learning strategies (organization: d=0.74, p<0.001; elaboration: d=0.58, p<0.001; preparing for exams: d=0.78, p<0.001, specific effects), and more positive emotions about their academic performance (d=0.64, p<0.001, transfer effect). The Emotional skills group showed smaller effects on study-related aspects (0.10≤d≤0.49), with a large effect on negative emotions about the self (d=– .87). These results offer insight on how to approach students’ academic difficulties."

scholarly journals Post-sedation Events in Children Sedated for Dental Care

2013 ◽  
Vol 60 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Priyanshi Ritwik ◽  
Linda T. Cao ◽  
Ronald Curran ◽  
Robert J. Musselman
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Fisher Exact Test ◽  
Healthy Children ◽  
Treatment Needs ◽  
Convenience Sample ◽  
Exact Test ◽  
Safe Delivery ◽  
Dental Patients

Abstract Moderate oral sedation is used in pediatric dentistry for safe delivery of dental care to children. However, there is a paucity of data on the effects of pediatric dental sedations after discharge of children from the dental office. The purpose of this study was to evaluate and compare the incidence of adverse events occurring with meperidine and hydroxyzine versus midazolam alone 8 and 24 hours after sedation in pediatric dental patients. In this prospective study, a convenience sample of 46 healthy children presenting to a private pediatric dental practice for dental treatment needs was selected. A telephone survey of the parents of children sedated with either meperidine and hydroxyzine or midazolam alone was conducted 8 and 24 hours after the administration of sedation medications. Data analysis included descriptive statistics, frequency and proportion analysis, and Fisher exact test. Forty children were sedated with meperidine and hydroxyzine, and 6 who were sedated with midazolam. In both groups, 50% of the children slept in the car on the way home. Three children in the meperidine and hydroxyzine group vomited in the car. A significantly larger proportion of children in the meperidine and hydroxyzine group experienced prolonged sleep at home (P = .015). More children in the midazolam group exhibited irritability in the first 8 hours (P = .07). There were no statistical differences between the 2 groups with respect to incidence of pain, fever, vomiting, sleeping in the car, snoring, and difficulty in waking up. The lingering effects of orally administered sedation medications can lead to prolonged sleep, irritability, and vomiting in children after they have been discharged from the dental clinic. Most of these events occurred within the first 8 hours, but in some children the effects were seen up to 24 hours later.

scholarly journals Quality of dental care services and satisfaction of patients visiting dental treatment center of Kahuripan public health center, Tawang sub district, Tasikmalaya city

2020 ◽  
Vol 5 (2) ◽  
pp. 62
Author(s):  
Anang Anang ◽  
Fitri Haryanti ◽  
Andreasta Meliala Meliala
Keyword(s):  
Patient Satisfaction ◽  
Health Center ◽  
Dental Care ◽  
Dental Treatment ◽  
Treatment Center ◽  
Waiting Room ◽  
Five Dimensions ◽  
Care Services ◽  
Three Stages

Patients, especially those who use health insurance have felt that the quality of primary care services tends to be less satisfying in terms of both public services and dental care services. Based on the results of the annual report at the Kahuripan Health Center, the number of patient visits to BPG decreased from 2016 to 2017 by 802 people. This study aimed to determine the quality of dental care services and the satisfaction of patients visiting BPG Kahuripan Health Center. This case study used a qualitative method and an explanatory research design. The sample in this study consisted of 40 patients as the respondents responding to the questionnaires about service quality and patient satisfaction, and 12 people were interviewed. The results showed that all dimensions of the quality of dental care services at the Kahuripan Health Center were categorized as very good i.e. real dimensions (82.71%), reliability (83.21%), responsiveness (87.12%), assurance (84.93%), and empathy (83.54%). As for patient satisfaction, three stages of patient satisfaction were categorized as very satisfied, namely the anamnesis and diagnosis stage (83.02%), action (83%), and completion of action (82.62%). The stages categorized as satisfying were the registration and waiting room stage (78.87%), and the stage of preparation of treatment (72.50%). The result of interview showed that the average respondents stated that the quality of dental care services was very good. All the five dimensions of the quality of dental care services were categorized as very good. Patients who visited BPG expressed satisfaction with the five stages, namely they were very satisfied with the three stages and satisfied with the other two stages.

scholarly journals Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment

2015 ◽  
Vol 6 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Sutharshana Vellingiri
Keyword(s):  
Patient Satisfaction ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Dental Care ◽  
Dental Treatment ◽  
Well Being ◽  
Healthcare Services ◽  
Pediatric Dentistry ◽  
Parental Satisfaction ◽  
Dental Practitioners

ABSTRACT Background Investigators have begun to address the relationship of parental satisfaction with dental care for children since the dentist/physician and the patient are all aware of the services being provided. These determining characters are essential for compliance of the patient, as patient satisfaction is directly related to health-related issues, needs, and practice. Patient satisfaction has an important role in determining the utilization of the healthcare services and the compliance behavior of the patients. Factors which can influence the patients’ decision to seek care and follow through to the completion of the treatment process can affect the physiologic and functional outcomes of the treatment. Hence, this survey was done to evaluate parent's preference to general or local anesthesia in their children's dental treatments. Materials and methods In this survey, a modified and adapted questionnaire from a previously tested survey that was used to assess parental satisfaction with dental treatments under general anesthesia in pediatric dentistry, was used to assess parents’ preference to general or local anesthesia. Parents whose children were going to undergo treatments in Department of Pedodontics, Saveetha Dental College, was issued with this questionnaire and clinical examination of teeth present and treatment to be done was examined. Results Ninety-seven percent of the parents preferred local anesthesia to general anesthesia. Parents preferred general anesthesia most only in case child below the age of 3 and when multiple settings are required of and their knowledge about anesthesia and its side effects was found to low and preferred local anesthesia in most cases. Conclusion Parents play a unique role in dental care and over all well being of the child. Some parents and dental practitioners prefer the presence of a parent with their child during the delivery of in-office dental care. Parents are aware of their child's previous dental experiences and are also aware of the child's interest and fear. Most of the parent's preference was to local anesthesia (97%) and preferred general anesthesia under given circumstances. How to cite this article Vellingiri S, Gurunathan D. Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment. World J Dent 2015;6(3):154-160.

scholarly journals Salivary cortisol level and uncooperative behavior in pediatric dental practice

2016 ◽  
Vol 15 (1) ◽  
pp. 57
Author(s):  
Ludmila Tavares Costa Ercolin ◽  
Gláucia Maria Bovi Ambrosano ◽  
Livia Fernandes Probst ◽  
Margarete C. Ribeiro-Dasilva ◽  
Scott L. Tomar ◽  
...  
Keyword(s):  
Cortisol Level ◽  
Dental Care ◽  
Salivary Cortisol ◽  
Repeated Measures ◽  
Dental Treatment ◽  
Cooperative Behavior ◽  
Preventive Dental Care ◽  
Salivary Cortisol Level ◽  
Preventive Dental ◽  
At Home

Aim: To investigate the relation between uncooperative behavior and salivary cortisol level in children who underwent preventive dental care. Methods: The sample was composed by 10 children of both sexes 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 the day of the sessions treatment; b) 30 min after the end of the session, when there was manifestation of uncooperative behavior; c) 30 min after the end of the session, when there was a cooperative behavior of the child. A sample of saliva was centrifuged for 5 minutes at 2400 rpm, 1 of mL of saliva was pipetted in an Eppendorf tube and stored in a freezer at -20 ° C. For the determination of the levels 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 the uncooperative 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 of sessions, using repeated-measures ANOVA and Tukey’s test (p<0.05). Results: During expression of uncooperative behavior in preventive dental care sessions the salivary cortisol level was significantly higher (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.

scholarly journals Sedation versus protective stabilization for dental treatment of children with caries and challenging behavior at the dentist (CHOOSE): a study protocol for a non-randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gabriela Seabra da Silva ◽  
◽  
Anna Alice Anabuki ◽  
Karolline Alves Viana ◽  
Patricia Corrêa-Faria ◽  
...  
Keyword(s):  
Early Childhood ◽  
Dental Care ◽  
Challenging Behavior ◽  
Behavior Management ◽  
Rating Scale ◽  
Dental Treatment ◽  
Physiological Stress ◽  
Pediatric Dentistry ◽  
Moderate Sedation ◽  
Unified Health System

Abstract Background There is a lack of evidence on the effectiveness of moderate sedation in pediatric dentistry, compared to protective stabilization, which remains routinely used in Brazil despite moral questions. This prospective non-randomized clinical trial's objective is to evaluate the effectiveness of moderate sedation, compared to the protective stabilization, in the dental care of children with dental behavior management problems. Methods Participants will be 152 children under seven years of age with early childhood caries (ECC) who need specialized dental treatment due to a history of challenging behavior during dental care. The interventions to be compared are moderate sedation with oral administration of ketamine and midazolam and protective stabilization. The primary endpoint will be the child's behavior during treatment assessed using the Ohio State University Behavioral Rating Scale (OSUBRS). The secondary outcomes are (A) child's – behavior according to the visual analogue scale, anxiety, pain, and physiological stress; (B) parent's – satisfaction and anxiety; (C) family and child – impact on oral health-related quality of life (OHRQoL); (D) dentist's – satisfaction and stress; (E) procedure – adverse events of the intervention and dental treatment longevity. A cost-effectiveness analysis will be performed from the perspective of the Brazilian Unified Health System (SUS). Discussion Considering the primary outcome, this study hypothesis is that sedated children have better behavior during dental treatment than children whose behavior was managed by protective stabilization without sedation. Additionally, at the end of 12 months, we expect to identify participants' reported outcomes and objective measures related to dental behavior in early childhood. Trial registration Clinicaltrials.gov registration NCT04119180 on October 8th, 2019. https://clinicaltrials.gov/ct2/show/NCT04119180

scholarly journals Dog-Assisted Therapy and Dental Anxiety: A Pilot Study

Animals ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. 512
Author(s):  
Cruz-Fierro ◽  
Vanegas-Farfano ◽  
González-Ramírez
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Dental Procedure ◽  
Therapy Dog ◽  
Dental Procedures ◽  
Before And After ◽  
History Of ◽  
Three Stages

Animal-assisted therapy aimed at improving individuals’ mental or physical health has been widely reported. However, the data on how a therapy dog could help control anxiety during dental procedures is scarce. The objective of this work was to evaluate the effect of dog-assisted therapy on people with a history of dental anxiety while receiving preventive dental treatment. Twelve adults participated (women: n = 11 (91.7%) and men: n = 1 (8.3%), mean age = 31.25 years, D.E. = 5.78). The Corah Dental Anxiety Scale was applied, the patient’s mood was assessed with a Likert scale before and after receiving the dental treatment, and their blood pressure was recorded for each of the three stages of treatment. A therapy dog accompanied the participants during the dental procedure. The main results indicated that a decrease in discomfort was perceived during the intervention, and there was also an improvement in the patient’s evaluation of the experience. The results are based on the decrease in patients’ blood pressure when taken in the middle of the dental treatment.

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