Evaluation of Behavioural Changes In Between Dental Appointments in Children While Administration of Local Anesthesia Using Modified Venham Behaviour Rating Scale

Objective: To evaluate the anxiety experienced before, during and after conventional paraffin gauze nasal pack removal in patients operated under local versus general anesthesia. Study design: Comparative study. Place and duration of study: Department of ENT, Combined Military Hospital Sialkot and PAF Hospital Shorkot from July 2017 to June 2018. Material and methods: A total of 120 patients planned for Septoplasty were enrolled and divided into two groups. Sixty patients were to be operated under local anesthesia (Group A) while the other 60 were undergoing the same procedure under general anesthesia (Group B). Conventional paraffin gauze nasal packing was done for 24 hours in all 120 patients. Hamilton Anxiety Rating Scale (HAM-A) was used to determine the patients’ anxiety in both groups, 1 hour pre-operatively, immediately before and 1 hour after nasal pack removal. Results: The mean Hamilton Anxiety Scale assessment scores in both groups were of ‘mild’ category. The highest scores in both groups were observed immediately before nasal pack removal, with a range of 15-18, while the lowest scores in both groups were documented one hour after pack removal with a range of 13-16. Anxiety level in patients operated under general anesthesia was slightly lower than patients administered local anesthesia mean score of 16.40 ± 0.763 vs 17.21 ± 0.666 (p<0.001). Conclusion: Anxiety during nasal pack removal is mainly associated with prior pain experienced during nasal pack insertion. It is recommended that proper analgesia, adequate topical anesthesia, gentle insertion would make this process less distressing and will subsequently result in less anxiety at its removal.

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

Brazilian Dental Science ◽

10.14295/bds.2021.v24i1.2082 ◽

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.

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Advocacy Behaviour Rating Scale

PsycTESTS Dataset ◽

10.1037/t49060-000 ◽

2015 ◽

Author(s):

Allen W. Brown ◽

Anne M. Moessner ◽

Thomas F. Bergquist ◽

Kathryn S. Kendall ◽

Nancy N. Diehl ◽

...

Keyword(s):

Rating Scale ◽

Behaviour Rating

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Evaluering van interpersoonlike vaardighede

Curationis ◽

10.4102/curationis.v7i1.823 ◽

1984 ◽

Vol 7 (1) ◽

Author(s):

M. Poggenpoel

Keyword(s):

Interpersonal Skills ◽

Rating Scales ◽

Rating Scale ◽

Specific Situation ◽

Evaluation Instrument ◽

Interpersonal Contact ◽

Numerical Rating ◽

Behaviour Rating ◽

Helping Process ◽

And Training

One of the major goals of nursing is to offer meaningful health services to individuals and groups who need help. This helping process takes place through interpersonal contact between the nurse and individuals and groups. It is important that the nurse has interpersonal skills and training in nursing should also include opportunities for exercising these skills. Observation scales are the most appropriate technique for evaluating the effectiveness of interpersonal skills. There are three types of observation scales: — The anecdotal report: a factual description of a student’s behaviour. — Rating scales including numerical rating scales, graphic rating scales and descriptive graphic scales. — Checklists were evaluation of characteristics are limited to a simple present-absent judgement. An instrument (graphic descriptive rating scale) is held as an example of an evaluation instrument that can be used to judge core aspects associated to the nurse’s interpersonal skills in a specific situation.

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Guiding Pediatric Patients in Dental Appointments Through Local Anesthesia Sequence

Journal of Comprehensive Pediatrics ◽

10.5812/compreped.108947 ◽

2021 ◽

Vol 12 (1) ◽

Author(s):

Nahid Ramazani

Keyword(s):

Local Anesthesia ◽

Pediatric Patients ◽

Dental Appointments

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Comparison of Three Different Techniques to Allay Anxiety before Local Anesthesia Injection in Pediatric Population

Dental Research and Management ◽

10.33805/2572-6978.132 ◽

2019 ◽

pp. 74-76

Author(s):

Vivek Padmanabhan ◽

Ayesha Hameed ◽

Huda Amjid Sheikh

Keyword(s):

Pain Score ◽

Local Anesthesia ◽

Pain Perception ◽

Pediatric Patients ◽

Rating Scale ◽

Pediatric Population ◽

Cost Effective ◽

Topical Anesthesia ◽

Cost Effective Technique ◽

Powered Toothbrush

Introduction: The fear of dentists is one of the major concerns why pediatric patients avoid dentists and thereby compromising their oral hygiene status. Injection of local anesthesia is considered to be the most dreaded procedures and dentists all over the world have adopted different techniques to allay the fear, pain and anxiety of the patients. Material and Methods: 54 children aged between 6-13 years were included in the study. A simple randomization was done and the children were divided into three groups. Application of topical anesthesia gel at the site of administration of local anesthesia, pre-cooling the anesthetic site with ice prior to the administration of local anesthesia, vibratory stimulus adjacent to the site of administration of local anesthesia using a powered toothbrush were the groups from 1-3 respectively. The pain perception during the administration of infiltration anesthesia was assessed using Wong-Baker Faces Pain Rating Scale. The statistical analysis was performed using SPSS software. Results: The greatest pain reduction was observed in the vibrations group with mean pain score 1.33 followed by pre cooling group with mean pain score 2.44 then topical anesthesia gel with mean score of 4.67. Mann-Whitney test showed that vibrations was statistical significant when compared with topical anesthesia and pre cooling before local anesthesia (P<0.003). Conclusions: Use of vibrations using powered tooth brush adjacent to the site of injection during Local Anesthesia (LA) is an easy, reliable and cost effective technique and was found to reduce discomfort and facilitate the management of pediatric patients.

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Tingkat kecemasan dental anak usia 7-12 tahun yang akan melakukan ekstraksi gigiDental anxiety level of 7 - 12-years old children who will perform tooth extraction at dental hospital

Padjadjaran Journal of Dental Researchers and Students ◽

10.24198/pjdrs.v3i1.22486 ◽

2019 ◽

Vol 3 (1) ◽

pp. 33

Author(s):

Ni Putu Nathalia Emilly Mathius ◽

Linda Sari Sembiring ◽

Meilani Rohinsa

Keyword(s):

Tooth Extraction ◽

Positive Attitude ◽

Pressure Pulse ◽

Rating Scale ◽

Dental Anxiety ◽

Anxiety Level ◽

Dental Procedures ◽

Behavioural Assessment ◽

Dental Hospital ◽

Behaviour Rating

Pendahuluan: Kecemasan merupakan suatu hal yang sering dialami oleh sebagian pasien yang akan melakukan prosedur perawatan dental. Kecemasan dental merupakan respon kecemasan yang hampir identik dengan respon rasa takut, yang keduanya memiliki fisiologis, kognitif serta komponen perilaku. Kecemasan dental sendiri merupakan salah satu hal yang harus diperhatikan karena tidak hanya akan menyebabkan stres kepada pasien melainkan juga pada dokter gigi saat akan melakukan perawatan. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan dental anak usia 7-12 tahun yang akan melakukan ekstraksi gigi di Rumah Sakit Gigi dan Mulut Maranatha. Metode: Jenis penilaian kecemasan dilakukan dengan pengisian kuisioner MDAS serta penilaian perilaku anak dilakukan dengan Frankl behaviour rating scale. Hasil: Hasil penelitian yang telah dilakukan menunjukkan dari segi psikologis sebanyak tujuh anak (64%) memiliki tingkat kecemasan rendah dan empat anak (36%) memiliki tingkat kecemasan sedang. Perilaku anak menunjukkan sikap pasti positif dan positif saat menjalani prosedur ekstraksi gigi, serta dari segi fisiologis terdapat peningkatan tekanan darah dan denyut nadi pada saat anak berada di kursi gigi. Simpulan: Tingkat kecemasan dental anak usia 7-12 tahun yang akan melakukan ekstraksi gigi di Rumah Sakit Gigi dan Mulut Maranatha paling banyak dalam kategori rendah dengan perilaku menunjukkan sikap pasti positif dan positif saat menjalani prosedur ekstraksi gigi.Kata kunci: Kecemasan gigi, tekanan darah, denyut nadi, MDAS, skala penilaian perilaku Frankl. ABSTRACTIntroduction: Anxiety is a common thing experienced by some patients who will perform dental procedures. Dental anxiety is an anxious response which almost identical to the fear response, both of which have physiological, cognitive and behavioral components. Dental anxiety is one of the things that has to be considered because not only will cause stress to the patient but also to the dentist when the treatment is about to start. This study was aimed to determine the level of dental anxiety of 7 - 12-years old children who will perform tooth extraction at Maranatha Dental Hospital. Methods: Anxiety assessment was done by filling out the MDAS questionnaire as well as the child's behavioural assessment performed with the Frankl behaviour rating scale. Results: From the research that has been done, in terms of psychological, seven children (64%) had low anxiety level and four children (36%) had moderate anxiety level. Child behavior showed positive and definitely positive attitude while they were undergoing dental extraction Conclusion: The level of dental anxiety of 7 - 12-years old children who will perform tooth extraction at Maranatha Dental Hospital mostly found in the lowest category, with a very positive and positive attitude when undergoing tooth extraction procedures.Keywords: Dental anxiety, blood pressure, pulse rate, MDAS, Frankl behaviour rating scale

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Behaviour Rating Scale

PsycTESTS Dataset ◽

10.1037/t17455-000 ◽

1993 ◽

Author(s):

Ross G. Menzies ◽

J. Christopher Clarke

Keyword(s):

Rating Scale ◽

Behaviour Rating

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Mandibular Block or Maxillary Infiltration

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.36.3.n2x8m38866487020 ◽

2012 ◽

Vol 36 (3) ◽

pp. 245-250 ◽

Cited By ~ 4

Author(s):

D Ram ◽

E Amir ◽

R Keren ◽

J Shapira ◽

E Davidovich

Keyword(s):

Local Anesthesia ◽

Adverse Reactions ◽

Dental Treatment ◽

Age Groups ◽

Parent Report ◽

Lower Lip ◽

Dental Appointment ◽

Previous Visit ◽

Two Age Groups ◽

Dental Appointments

Purpose: Local anesthesia by mandibular block or maxillary infiltration is commonly administered to children receiving dental treatment of primary molars. Discomfort, when presenting, most often involves the lower lip. The purpose of this study was to investigate whether children would be more opposed to attending a dental treatment following anesthesia by mandibular block than by maxillary infiltration. Methods: Each of 102 children in two age groups: 3 to 5 years, and 6 to 9 years, received the two types of local anesthesia at dental appointments one week apart. Their opposition to attending a subsequent appointment was assessed by parent report. Results: More adverse reactions were observed during and following anesthesia with mandibular block than with maxillary infiltration. Few of the children in either age group expressed opposition to attend a dental visit after receiving mandibular block or maxillary infiltration in the previous visit. Conclusions: Though more adverse reactions were observed in children following mandibular block than maxillary infiltration, this did not result in increased opposition to attend a subsequent dental appointment.

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