Children's Responses to Sensory Stimuli and their Behavior in the Dental Office

2017 ◽  
Vol 41 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Sagit Nissan ◽  
Aviva Yochman ◽  
Sigalit Blumer ◽  
Johnny Kharouba ◽  
Benjamin Peretz
Keyword(s):  
Adverse Reaction ◽  
Adverse Reactions ◽  
Dental Treatment ◽  
Waiting Room ◽  
Sensory Stimuli ◽  
Dental Examination ◽  
Children's Behavior ◽  
Dental Office ◽  
Management Techniques ◽  
Anxiety And Fear

Objectives: To evaluate children's behavior during dental examinations, their reactions to various selected sensory stimuli and the association between them. Study design: Sixty-three children (28 boys and 35 girls) aged 5–12 years (mean age 7.9 ± 1.6 years) participated in the study. Their parents were asked to complete a questionnaire while in the dentist's waiting room. The dentists evaluated the children's behavior in the dental office using Frankl's behavioral scale and noted the children's reactions to the sensory stimuli of touch, noise, smell and backward tilting of the examination chair. Results: Most of the children cooperated during the dental examination. Lack of cooperation was associated with adverse reactions to all selected sensory stimuli. There was also an association between resistance to brushing teeth and adverse reaction to touch. Children who reacted negatively to sensory stimuli during dental examinations were more likely to have needed advanced management techniques during past dental treatment. Conclusions: Children's behavior during dental examinations is known to be affected by many factors, including age, previous experiences, anxiety and fear and others. This investigation demonstrates that it is also associated with their reactions to various sensory stimuli.

scholarly journals Motivation chart as a supporting tool in pediatric dentistry

2017 ◽  
Vol 65 (3) ◽  
pp. 276-281
Author(s):  
Carolina VASCONCELLOS ◽  
José Carlos Petorossi IMPARATO ◽  
Karla Mayra REZENDE
Keyword(s):  
Clinical Case ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Clinics ◽  
Pediatric Dentist ◽  
Management Techniques ◽  
Supporting Tool ◽  
Fear And Anxiety ◽  
Anxiety And Fear ◽  
Additional Option

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.

scholarly journals MANAGING CHILD IN DENTAL OFFICE BY NON-PHARMACOLOGICAL BEHAVIOR MANAGEMENT TECHNIQUES

2021 ◽  
Vol 9 (03) ◽  
pp. 546-560
Author(s):  
Layeeque Ahmad ◽  
◽  
Deepti Jawa ◽  
Rani Somani ◽  
Shipra Jaidka ◽  
...  
Keyword(s):  
Parent Education ◽  
Behavior Management ◽  
Dental Treatment ◽  
Disruptive Behaviour ◽  
Behaviour Management ◽  
Dental Chair ◽  
Dental Office ◽  
Management Techniques ◽  
Behavior Management Techniques

Behaviour management of a child in the dental office refers to methods of obtaining a childs approval of treatment in the dental chair which is based on proper communication, patient/ parent education with empathy, coaching and listening. The concept behind guiding a childs behaviour is treating them rather than just operating the tooth alone. The outcome of these techniques could maintain a proper communication or extinguish disruptive behaviour related to dental treatment.

scholarly journals Effectiveness of Hypnosis in Combination with Conventional Techniques of Behavior Management in Anxiety/Pain Reduction during Dental Anesthetic Infiltration

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
A. Ramírez-Carrasco ◽  
C. Butrón-Téllez Girón ◽  
O. Sanchez-Armass ◽  
M. Pierdant-Pérez
Keyword(s):  
Heart Rate ◽  
Skin Conductance ◽  
Pain Control ◽  
Behavior Management ◽  
Statistical Difference ◽  
Dental Treatment ◽  
Management Techniques ◽  
Conventional Behavior ◽  
Behavior Management Techniques ◽  
Experimental Group

Background and Objective. Anxiety/pain are experiences that make dental treatment difficult for children, especially during the time of anesthesia. Hypnosis is used in pediatric clinical situations to modify thinking, behavior, and perception as well as, recently, in dentistry; therefore the aim of this study was to evaluate the effectiveness of hypnosis combined with conventional behavior management techniques during infiltration anesthetic.Methods. Anxiety/pain were assessed with the FLACC scale during the anesthetic moment, as well as heart rate variability and skin conductance before and during the anesthetic moment, between the control and experimental group.Results. A marginal statistical difference (p=0.05) was found in the heart rate between baseline and anesthetic moment, being lower in the hypnosis group. No statistically significant differences were found with the FLACC scale or in the skin conductance (p>0.05).Conclusion. Hypnosis combined with conventional behavior management techniques decreases heart rate during anesthetic infiltration showing that there may be an improvement in anxiety/pain control through hypnotic therapy.

scholarly journals CORRELATION BETWEEN ANXIETY IN MOTHERS AND CHILDREN WITH SENSORY IMPAIRMENTS BEFORE DENTAL TREATMENT

2018 ◽  
Vol 9 ◽  
pp. 144
Author(s):  
Margaretha Sovaria ◽  
Eka S Shofiyah ◽  
Mochamad F Rizal ◽  
Sarworini B Budiardjo
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
The Body ◽  
Waiting Room ◽  
Sensory Impairments ◽  
Mothers And Children ◽  
Pediatric Dentists ◽  
Children's Development ◽  
Children’S Development

Objective: Mothers have very important roles in their children’s development. Their instinctive love develops strong emotional connections with their children, especially when their children have sensory impairments (SI). Feelings experienced by mothers, such as anxiety toward dental treatment, can affect their children’s emotions. Salivary alpha amylase (sAA) has been proposed as a biomarker of stress due to its sensitivity to changes in the body, such as dental anxiety. This study aimed to analyze the relationship between sAA levels in mothers and children with SI before dental treatment.Methods: Measurement of sAA from sixty pairs of children with SI and their mothers was taken together in the waiting room before the children’s dental treatment. Spearman’s analysis was used to find the correlation between their sAA levels.Results: In this study, sAA levels in mothers accompanying their children with SI correlated significantly with their children’s sAA levels (r=0.533; p<0.002).Conclusions: The correlation between dental anxiety in mothers and children with SI before dental treatment was found to be significant.Practical Implications: Anxiety toward dental care is a phenomenon that frequently arises in children. Mothers, the main influencers of their children’s development, are thought to be one cause of high anxiety in children. Children with special needs are at a higher risk for developing dental problems. Therefore, an understanding of these children’s levels of anxiety can be used by pediatric dentists to improve dental care.

scholarly journals SALIVARY ALPHA-AMYLASE AS A MEASURE OF ANXIETY BEFORE AND AFTER DENTAL TREATMENT FOR VISUALLY AND HEARING-IMPAIRED CHILDREN AND THEIR MOTHERS

2018 ◽  
Vol 9 ◽  
pp. 128
Author(s):  
Eka S Shofiyah ◽  
Margaretha Sovaria ◽  
Mochamad F Rizal ◽  
Sarworini B Budiardjo
Keyword(s):  
Dental Treatment ◽  
Post Treatment ◽  
Hearing Impaired ◽  
Alpha Amylase ◽  
Hearing Impairments ◽  
Waiting Room ◽  
Salivary Alpha Amylase ◽  
Before And After ◽  
Impaired Children ◽  
Hearing Impaired Children

Objective: Visual and hearing impairments are known to profoundly affect children’s psychological development, including their anxiety. However, strong emotional relationship with their mother found in these children may help them cope. Measuring salivary alpha-amylase (sAA) in saliva samples is widely used in clinical settings as a reliable, non-invasive biomarker of anxiety level.Methods: Our objective was to evaluate sAA levels in visually and hearing-impaired children and their mothers before and after dental treatment. This study included 60 children with visual and hearing impairments and their mothers. sAA level of both children and mothers was sampled while they were together in the waiting room before treatment. The children then underwent dental prophylaxis in a separate room, and their post-treatment sAA was measured immediately afterward. At that time, their mother’s post-treatment sAA was sampled in the waiting room. Data were analyzed using a Wilcoxon test.Results: sAA levels were found to differ significantly between pre- and post-dental treatment (p<0.05).Conclusion: This difference indicates that reducing maternal anxiety would be of great benefit in reducing anxiety in visually and hearing-impaired children. Practical implications: Appropriately managing anxiety in this group of children can be of great benefit to dentists in daily practice, helping them provide the care that these children need.

scholarly journals Assessment of the oral health status of visually impaired students after oral care instructions given to them.

2019 ◽  
Author(s):  
Bhakti Datar ◽  
Amit Kumar ◽  
Bhumika Badiyani
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Visually Impaired ◽  
Dental Treatment ◽  
Statistical Significance ◽  
Oral Care ◽  
Oral Health Status ◽  
Tooth Brushing ◽  
Dental Examination ◽  
Visually Impaired Students

Good oral care and adapting to proper tooth brushing technique can be a difficult task for the visually impaired individuals. Unlike the normal individuals, visually impaired ones cannot suspect the early dental problem in their oral cavity till it is symptomatic simply because they cannot visualize the intricacies of it. Hence, assessment of the oral health status in the visually impaired individuals and teaching them preventive oral care are extremely important for them. Objective: The study was undertaken to compare and assess the oral health status of the visually impaired students before and after giving them oral care instructions. Materials and Methods: A group of 120 visually impaired students was selected. They were subjected to simple dental examination and were given oral care instructions verbally. Proper tooth-brushing technique was taught to them individually. The subjects were evaluated as per the need of dental restorations, extractions, orthodontic treatment, oral prophylaxis and good dentition subjects needing no dental treatment. The same subjects were re-evaluated after four months under similar guidelines. The data collected from both the phases of dental examination was compared and subjected to analysis. Results: The present study did not show much of improvement of statistical significance though it did not show much of worsening in the oral health status of the visually impaired subjects as well. Summary and conclusion: The study emphasizes the serious need for repetitive and collective efforts with multi-dimensional cross-involvement for the better oral health status of the visually impaired individuals in the society. Key Words: Visually impaired, oral health, instructions, tooth-brushing technique.

scholarly journals A Case of Photodynamic Therapy for Advanced Adenocarcinoma of Esophagogastric Junction

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Wanlu Cai ◽  
Xiaoxiong Hu ◽  
Jianwen Sheng ◽  
Huizhen Fan
Keyword(s):  
Adverse Reaction ◽  
Photodynamic Therapy ◽  
Elderly Patients ◽  
Esophagogastric Junction ◽  
Adverse Reactions ◽  
Clinical Symptoms ◽  
Gastric Fundus ◽  
High Repetition Rate ◽  
Invasive Technique ◽  
Short Term

Photodynamic therapy (PDT) is a new minimally invasive technique for the treatment of tumors. Compared with traditional treatments such as surgery, radiotherapy and chemotherapy, PDT has the advantages of targeted killing of primary and recurrent tumor cells, less damage to surrounding normal tissue, less complications and high repetition rate. The purpose of this study was to investigate the short-term efficacy and adverse reactions of photodynamic therapy in advanced elderly patients with esophageal-gastric junction adenocarcinoma without surgical indications. A patient with advanced adenocarcinoma of esophagus and fundus was treated with photodynamic therapy under gastroscope. Intravenous drip of Cipofen (hematoporphyrin injection 150mg / 0.9% saline 250ml) for 1 hour to keep the patient away from light.48 hours after administration, photodynamic therapy was performed with "Leimai" PDT630-A photodynamic therapy apparatus, 3cm columnar optical fiber, laser treatment wavelength of 630nm, transmission efficiency of 0.70, output power of 1.4W, irradiation at the lower segment of the esophagus and cardia for 150s. The curative effect was evaluated by comparing gastroscopy before and after photodynamic therapy. Before treatment, there were proliferative lesions in the lower part of esophagus and cardia, erosion and necrosis on the surface, stricture of esophageal cavity, huge ulcer near gastric fundus, filthy moss and dam-like hyperplasia and eminence of surrounding mucosa. After treatment, the local mucosa at the entrance of cardia became white and there was no bleeding. Within four days after treatment, the symptoms of nausea and vomiting disappeared; the adverse reaction of retrosternal discomfort began to occur on the second day after operation, and the adverse reaction was not improved after photodynamic therapy. Photodynamic therapy has a significant short-term effect on advanced elderly patients with adenocarcinoma of the esophagogastric junction, which can significantly alleviate the clinical symptoms and relieve the pain of the patients. However, the adverse reactions can not be ignored. Therefore, photodynamic targeting therapy for tumor needs to be further studied. It is believed that with the continuous development of high-performance photosensitizers and new generation lasers, and the continuous progress of endoscopy and image guidance technology, photodynamic therapy will become an important adjuvant or palliative treatment for tumor prevention and treatment.

scholarly journals Penggunaan sedasi inhalasi N 2 O-O 2 pada penatalaksanaan marsupialisasi ranula rongga mulut anak anxiety patient

2008 ◽  
Vol 7 (2) ◽  
pp. 78
Author(s):  
Harun Achmad ◽  
Dini Safitri ◽  
Kirana Lina Gunawan
Keyword(s):  
Dental Care ◽  
Side Effect ◽  
Dental Treatment ◽  
Minimal Side Effect ◽  
Inhalation Sedation ◽  
Anxiety Patient ◽  
Frog Stomach ◽  
Short Time ◽  
Anxiety And Fear ◽  
Selection Of

Inhalation sedation becomes the main choice in the dental treatment of children whoovercome have any kind of the fearness, concerned with pain in the treatment of theirteeth. Inhalation sedation with N2O-Ocauses sedation situation that accompanies byanalgesia to the conscious patients by inhaling the mixture of oxide nitrogen (N2O)with oxygen (O), that was known as psychosedation or concious sedation technique.Ranula is a mucocel that developed at the base of the mouth, unilateral, bluish, andthe shape like frog stomach. On this paper, will be esplained about N2O-O2inhalationsedation technique that concider the condition for the patient, using short time andcan be recovered immediately. A 9 year old girl diagnosed by ranula sublingualis onthe cavity of the mouth was very anxiety and fear in this treatment. The ranula treatedwith marsupialitation and was supervised by inhalation sedation of N2O-O2 in theSpecial Dental Care Hasan Sadikin Hospital Bandung. The result showed thatinhalation sedation with N2O-O2 was very very useful to reduce anxiety and fear tocertain patients with minimal side-effect. So it was very important to a dentist to knowthe selection of the patient, equipment and the technique of inhalation sedationadequately

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