Parental Cooperation Scale in the Pediatric Dentistry Setting: Reliability and Criteria

2012 ◽  
Vol 37 (2) ◽  
pp. 157-161 ◽  
Author(s):  
A Kupietzky ◽  
E Tal ◽  
KG Vargas
Keyword(s):  
Study Design ◽  
Rating Scale ◽  
Pediatric Dentistry ◽  
Initial Evaluation ◽  
Initial Assessment ◽  
Dental Visit ◽  
Negative Behavior ◽  
Reliable Tool ◽  
Pediatric Dentist ◽  
Dental Setting

Objective: The purpose of this study was to provide reliability and criteria data on a newly defined parental cooperation scale (PCS) and in addition correlate between parent scores and their child's behavior in the dental setting. Study design: 244 parents accompanying their child to a dental visit were evaluated by two independent pediatric dentist evaluators. 150 parents were designated to be revaluated at least two weeks following the initial evaluation by the same examiner. Children's dental behavior was previously evaluated using the Frankl rating scale. Results: A majority of the parents were found to be highly positive and positive (40% of the parents were evaluated as being PCS rating 4, 26% were rated 3). 35% of the parents were rated as being negative or extremely negative (27%, 8% respectively). 139 parents were re-evaluated at least two weeks following their initial assessment. 64% were rated as highly cooperative and cooperative; 36% were negative or extremely negative. 244 children participated in the study (mean age ± SD, 6.8 years ± 2.86). 67% were rated as Frankl scale extremely cooperative and cooperative (31%, 35.5% respectively). 33% were negative or extremely negative (26.1%, 7.3% respectively). When comparing the Frankl behavior of each child to their parent's PCS a significant association was found (McNemar test value 17.668, p=0.007). Conclusion: The PCS was evaluated and found to be a reliable tool to evaluate parental dental behavior. Parents with negative behavior were more likely to present with children who also exhibit negative dental behavior and vice versa.

scholarly journals Assessment of the Correlation between Appointment Scheduling and Patient Satisfaction in a Pediatric Dental Setup

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Amar N. Katre
Keyword(s):  
Patient Satisfaction ◽  
Time Management ◽  
Rating Scale ◽  
Dental Treatment ◽  
Quality Care ◽  
Pediatric Dentistry ◽  
Appointment Scheduling ◽  
Scheduling System ◽  
Pediatric Dentist ◽  
Appointment Schedule

Introduction. The practice of modern pediatric dentistry requires delivery of quality care in combination with adherence to excellent business as well as time management principles. A definite appointment schedule should be presented to the parents on the first or second appointment. More importantly, the prescribed schedule should be followed to the best of the professional abilities of the pediatric dentist.Aims. The aim of the study was to assess the co-relation between appointment scheduling and patient satisfaction in a pediatric dental setup with the objective of understanding the parameters related to appointment scheduling to increase patient satisfaction.Method. A total of 40 patients, who visited the Department of Pediatric and Preventive Dentistry, YMT Dental College & Hospital, for dental treatment were selected on a random basis. A questionnaire with a set of 6 questions with a rating scale of 1–5 to assess the patient satisfaction related to appointment scheduling was prepared.Results. A significant number of the patients were happy with the existing appointment scheduling system barring a few exceptions.

Passive Observer Instruction on Parental Satisfaction in a Dental Setting

2018 ◽  
Vol 42 (5) ◽  
pp. 339-343
Author(s):  
Hilma K Rodriguez ◽  
Mark S Webman ◽  
Oscar Arevalo ◽  
Rosie Roldan ◽  
Daniel M Saman
Keyword(s):  
Study Design ◽  
Test Group ◽  
Parental Satisfaction ◽  
Control Group ◽  
Dental Visit ◽  
Parental Presence ◽  
Old Patients ◽  
Significant Difference ◽  
Dental Setting

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.

scholarly journals Can Birth Order Affect Temperament, Anxiety and Behavior in 5 to 7-year-old Children in the Dental Setting?

2011 ◽  
Vol 12 (4) ◽  
pp. 225-231 ◽  
Author(s):  
Naser Asl Aminabadi ◽  
Azin Sohrabi ◽  
Sina Ghertasi Oskouei ◽  
Behjat Almolook Ajami
Keyword(s):  
Birth Order ◽  
Rating Scale ◽  
Dental Treatment ◽  
Healthy Children ◽  
Negative Behavior ◽  
Only Children ◽  
Increased Risk ◽  
Situational Anxiety ◽  
Dental Setting ◽  
And Behavior

ABSTRACT Aim The aim of this study was to evaluate the relationships between birth order and child's temperament, anxiety and behavior in the dental setting. Materials and methods A total of 200 healthy children aged 5 to 7 years, were included in this double-blind randomized controlled trial. The study consisted of two sessions. In the initial appointment, parents were provided with instructions and asked to complete children's behavior questionnaire (CBQ). In the second appointment, identical dental treatments were rendered to all subjects. During treatment, Frankl scale for child's behavior, facial Image scale (FIS) for situational anxiety, and clinical anxiety rating scale for clinical anxiety were utilized. Analysis of data was done using U Mann-Whitney and Kruskal-Wallis tests. Results Only children had higher clinical (p = 0.041) and situational (p < 0.001) anxiety, and more negative behavior (p = 0.013) compared to children with siblings. In children with siblings, first-born child was in increased risk of developing negative behavior (p = 0.008), clinical anxiety (p < 0.001) and situational anxiety (p = 0.006). With an exception (sadness, p < 0.001), no significant differences in temperament scale were observed among children with different birth orders. Conclusion According to the results, only children and laterborns are at higher risk of developing worse outcomes in the dental setting. Clinical significance The role of birth order has been ignored as a possible factor of behavior during routine dental treatment and these findings may shed light on our understanding of behavior management strategies in the dental setting. Considering the increasing pattern of family with an only child both in modern and developing countries, this is more likely that the dental team will face children with negative outcome during dental treatment. How to cite this article Aminabadi NA, Sohrabi A, Erfanparast L, Oskouei SG, Ajami BA. Can Birth Order Affect Temperament, Anxiety and Behavior in 5 to 7-year-old Children in the Dental Setting? J Contemp Dent Pract 2011;12(4):225-231.

An Analysis of the First Dental Visits in a Federally Qualified Health Center in a Socio Economically Deprived Area

2009 ◽  
Vol 33 (3) ◽  
pp. 265-268 ◽  
Author(s):  
Gayatri Malik-Kotru ◽  
Les Kirchner ◽  
Lance Kisby
Keyword(s):  
Health Center ◽  
Well Being ◽  
Pediatric Dentistry ◽  
Dental Visit ◽  
Design Data ◽  
Preventive Dental Care ◽  
Common Chronic Disease ◽  
Federally Qualified Health Center ◽  
Economically Deprived ◽  
The Usa

Dental caries is the single most common chronic disease affecting children in the USA. Approximately 20-25% children are affected. This not only has serious implications for a child's long term health and well being but also has serious financial implications. The American Academy of Pediatric Dentistry advocates early intervention with the first dental visit by 12 months of age. Objective: The aim of this study was to determine the first dental visit for children living in a socio economically deprived area in Connecticut. This study was conducted at a Federally Qualified Health Center in Connecticut. Study Design: Data was collected prospectively on the children between January to December 2004. Results: We found that the mean age for the first visit was 4 years. The recommendation is that community health programs should emphasize the importance of preventive dental care by assuring the first dental visit be by age 1 year.

scholarly journals The effectiveness of physiotherapy in cervicogenic headache and concurring temporomandibular dysfunction: a case report

2010 ◽  
Vol 66 (1) ◽  
Author(s):  
F. Lewis ◽  
B. Naude
Keyword(s):  
Case Report ◽  
Muscle Strength ◽  
Rating Scale ◽  
Myofascial Pain ◽  
Positive Outcome ◽  
Cervicogenic Headache ◽  
Initial Assessment ◽  
Range Of Movement ◽  
Temporomandibular Dysfunction ◽  
Therapy Interventions

The aim of this case report is to describe the use of physio-therapy interventions in a patient diagnosed with cervicogenic headache(CGH) and temporomandibular dysfunction (TMD). This case study involveda 26 year old male. The subject’s cervical and temporomandibular joint(TMJ) active range of movement; passive accessory movements; headacheintensity, periodicity and response to analgesics; TMJ clicking and discomfort;Numerical Pain Rating Scale (NPRS) scores, were assessed on initial assessment and on discharge 14 weeks later. The physiotherapy interventionincluded cervical and TMJ mobilisation (Maitland approach); trigger pointtherapy and massage; strengthening of the deep cervical neck flexors and scapulothoracic muscles; and posture correction. The subject improved on all outcome measures and was discharged after nine physiotherapy sessions, withfull cervical and TMJ range of movement, improved muscle strength and decreased headache intensity and frequency.This case describes a positive outcome for a patient diagnosed with cervical headaches and temporomandibular dysfunction in which physiotherapy interventions aimed at correcting joint dysfunction, myofascial pain and decreased muscle strength were used effectively.

scholarly journals Retrospective Study of Infants who Visited Pediatric Dentistry

2020 ◽  
Vol 47 (2) ◽  
pp. 157-166
Author(s):  
Yearang Oh ◽  
Koeun Lee ◽  
Misun Kim ◽  
Okhyung Nam ◽  
Sungchul Choi ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pediatric Dentistry ◽  
Dental Visit ◽  
Oral Diseases ◽  
Dental Visits ◽  
Number Of Patients ◽  
Dental Hospital ◽  
Oral Symptoms ◽  
Gingival Neoplasm

The first dental visit is recommended at the time of the eruption of the first tooth and no later than 12 months of age. However, even before the age of 1, children can visit the dental hospital for various reasons. The purpose of this study was to analyze the reasons for the dental visit of infant. From January 2006 to December 2015, medical records of infants who visited the Department of Pediatric Dentistry of Kyung Hee University were analyzed. The total number of patients was 419 (238 males and 181 females). The reasons for the dental visits were trauma (47.5%), natal/neonatal tooth (19.8%), dental caries (8.1%), teething problem (4.3%), abnormal frenum (3.6%), soft tissue swelling (3.6%), Bohn’s nodule (3.3%), cleft lip and palate (2.9%), gingival neoplasm (1.9%), tongue ulceration (1.7%), oral examination (1.4%), enamel hypoplasia (1.2%) and abnormal temporomandibular joint sound (0.7%). According to this study, there were various oral diseases that could occur in infants. Since infants are usually cared by caregivers, pediatricians, and obstetricians, education of oral diseases of infants is needed to manage the oral symptoms properly.

scholarly journals Effects of Intraoperative Low-Dose Ketamine on Persistent Postsurgical Pain after Breast Cancer Surgery: A Prospective, Randomized, Controlled, Double-Blind Study

2020 ◽  
Vol 1;23 (1;1) ◽  
pp. 37-47
Author(s):  
Ah-Reum Cho
Keyword(s):  
Breast Cancer ◽  
Study Design ◽  
Low Dose ◽  
Rating Scale ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Control Group ◽  
Double Blind Study ◽  
Postsurgical Pain ◽  
Number Of Patients

Background: Compared to acute postsurgical pain, studies regarding the role of ketamine in persistent postsurgical pain (PPSP) are limited. Objectives: The aim of this clinical trial was to test if intraoperative low-dose ketamine without postoperative infusion would reduce PPSP development after breast cancer surgery. Study design: We used a randomized, double-blinded, placebo study design. Setting: This study was conducted at Pusan National University Hospital, Republic of Korea, between December 2013 and August 2016. Methods: A total of 184 patients scheduled for breast cancer surgery were randomly assigned to either the control or ketamine group. Before skin incision, a bolus (0.5 mg/kg of ketamine or placebo), followed by a continuous infusion (0.12 mg/kg/h of ketamine or placebo), was administered until the end of the surgery. The patients were interviewed via telephone 1, 3, and 6 months after surgery. The first question was whether the patient had surgery-related pain. If answered affirmatively, questions from the Numeric Rating Scale for pain at rest (NRSr) and for coughing (NRSd) were also asked. Our primary outcome was the incidence of PPSP at 3 months after surgery. Results: For PPSP analysis, 168 patients were included. The number of patients who experienced pain was significantly lower in the ketamine group at 3 months (86.9% in the control group vs 69.0% in the ketamine group, P = .005) postoperatively. However, the NRSr and NRSd did not differ between the groups throughout the follow-up. Limitations: There were no postoperative low-dose ketamine infusion groups to compare due to hospital regulations. Dosage of ketamine was too low to reduce the severity of PPSP. And by using propofol and remifentanil for anesthesia, different results can be deduced with volatile anesthetics. Data from written questionnaires would have been more specific than telephone interviews for long-term assessment. Conclusions: Though intraoperative low-dose ketamine without postoperative infusion significantly reduced the incidence of PPSP up to 3 months after breast cancer surgery, it failed to reduce clinically significant PPSP and improve patients’ quality of life. Key words: Analgesia, breast cancer, chronic pain, ketamine, mastectomy, morphine, pain, postoperative, propofol

scholarly journals Video modelling technique used to manage the behaviour of uncooperative children in a dental set up

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Niharika Kotian ◽  
Erulappan Muthu Ganapathi Subramanian ◽  
Vignesh Ravindran
Keyword(s):  
Rating Scale ◽  
Pediatric Dentistry ◽  
Effective Technique ◽  
Rating Score ◽  
Behaviour Management ◽  
Behaviour Modelling ◽  
Study Results ◽  
Significant Difference ◽  
Behaviour Rating ◽  
Set Up

Objective: To investigate if video modelling is an effective technique in behaviour modelling of a child in a dental set up. Material and Methods: Fifty children aged 4-6 years indicated for pulpectomy were enrolled in this study.  They were selected based on their behaviour using Frankl behaviour rating scale.  Children with Frankl behaviour rating 1 and 2 were selected for this study. The video of a child who was cooperative while undergoing pulpectomy was shown to these children. The behaviour was assessed using Frankl behaviour rating scale after the video was shown to the children included in the study. Results: There was a statistically significant difference in the behaviour rating score of the children before after the video of the cooperative child was shown to them. Conclusion: It was observed that video modelling is an effective technique in managing the behaviour of an uncooperative child in a dental set up. Keywords Video modelling; Behaviour management; Fear; Anxiety; Pediatric dentistry.

A Survey of Pediatric Dentists on the Treatment Timing and Modalities for White Spot Lesions in the United States

2019 ◽  
Vol 43 (1) ◽  
pp. 27-33
Author(s):  
Traci Saito ◽  
Jae Hyun Park ◽  
Curt Bay
Keyword(s):  
United States ◽  
The United States ◽  
Pediatric Dentistry ◽  
White Spot ◽  
Treatment Modalities ◽  
White Spot Lesions ◽  
Electronic Survey ◽  
Treatment Timing ◽  
Pediatric Dentist ◽  
Pediatric Dentists

Purpose: The purpose of this study was to estimate the prevalence of white spot lesions (WSLs) in various practice settings and patient populations, and to gather information about the treatment timing and modalities used by pediatric dentists in the United States. Study design: A fourteen question, multiple choice, electronic survey was developed and distributed to 6,092 active American Academy of Pediatric Dentistry (AAPD) members. Results: A total of 625 active members responded, garnering a 9.7% response rate. Before treatment, there were significantly more WSLs reported in Corporate practice than Multi-Doctor Practice (P=0.002), and significantly more WSLs in Academics/Hospital-Based Practices than in Multi-Doctor Practices (P=0.002). For WSLs after treatment, there were significantly more WSLs in Academic/Hospital-Based practices than in single-practitioner settings (P=0.003). Approximately 38% of pediatric dentists preferred to treat WSLs before, during or after orthodontic treatment, while 23% treat only before and 20% treat only after treatment. The three most common treatment modalities for WSLs, were prescription fluoride toothpaste (5000 ppm), fluoride varnish, and fluoride rinse. Approximately 47% of respondents reported they were “very comfortable” treating WSLs and 31.0% felt “comfortable.” Conclusions: The prevalence of WSLs differed across types of practice. There is no agreement among pediatric dentist as to timing and treatment modalities for WSLs.

A comparison of the revised Delirium Rating Scale (DRS–R98) and the Memorial Delirium Assessment Scale (MDAS) in a palliative care cohort with DSM–IV delirium

2014 ◽  
Vol 13 (4) ◽  
pp. 937-944 ◽  
Author(s):  
Roisin O'Sullivan ◽  
David Meagher ◽  
Maeve Leonard ◽  
Leiv Otto Watne ◽  
Roanna J Hall ◽  
...  
Keyword(s):  
Palliative Care ◽  
Rating Scale ◽  
Assessment Scale ◽  
Initial Assessment ◽  
Concordance Correlation ◽  
Delirium Assessment ◽  
Severity Scores ◽  
Dsm Iv ◽  
Common Items ◽  
Conversion Rules

AbstractObjective:Assessment of delirium is performed with a variety of instruments, making comparisons between studies difficult. A conversion rule between commonly used instruments would aid such comparisons. The present study aimed to compare the revised Delirium Rating Scale (DRS–R98) and Memorial Delirium Assessment Scale (MDAS) in a palliative care population and derive conversion rules between the two scales.Method:Both instruments were employed to assess 77 consecutive patients with DSM–IV delirium, and the measures were repeated at three-day intervals. Conversion rules were derived from the data at initial assessment and tested on subsequent data.Results:There was substantial overall agreement between the two scales [concordance correlation coefficient (CCC) = 0.70 (CI95 = 0.60–0.78)] and between most common items (weighted κ ranging from 0.63 to 0.86). Although the two scales overlap considerably, there were some subtle differences with only modest agreement between the attention (weighted κ = 0.42) and thought process (weighted κ = 0.61) items. The conversion rule from total MDAS score to DRS–R98 severity scores demonstrated an almost perfect level of agreement (r = 0.86, CCC = 0.86; CI95 = 0.79–0.91), similar to the conversion rule from DRS–R98 to MDAS.Significance of results:Overall, the derived conversion rules demonstrated promising accuracy in this palliative care population, but further testing in other populations is certainly needed.

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