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Vishwanathaiah S, Albar NH, Alraghi FTA, Jaferi NEM, Tumayhi IAM, Panda S, Khormi FAH, Jaafari AHH, Abiri ZAI, Maganur PC. Comparative Evaluation of New Needleless Local Anesthetic System (INJEX) and Conventional Syringe Needle Technique during Pulpotomy Treatment: A Randomized Clinical Trial. CHILDREN (BASEL, SWITZERLAND) 2024; 11:514. [PMID: 38790509 PMCID: PMC11120071 DOI: 10.3390/children11050514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 04/12/2024] [Accepted: 04/16/2024] [Indexed: 05/26/2024]
Abstract
BACKGROUND The dreaded sensation of pain in the dental chair has a significant impact on children's behavior. This study aimed to compare and contrast the perception of pain and patient behavior between the use of INJEX and the conventional syringe needle technique during pulpotomy among children. METHODS A randomized clinical trial was designed and conducted among pediatric dentistry patients aged 6-12 years old. Fifty-eight children were divided into two groups, conventional syringe needle and INJEX, using simple randomization method applying the sequentially numbered, opaque, sealed envelope method of allocation concealment. Anesthesia was administered to the groups as local infiltration by a single operator following routine behavior guidance techniques. After 3 min, pulpotomy was performed using the standard protocol. The Face, Legs, Activity, Cry, Consolability (FLACC) scale and Wong-Baker FACES Pain Rating Scale (WBS) were used to assess the intensity of pain, while the Frankl behavior rating scale (FBRS) was used to assess the children's behavior. RESULTS During anesthesia, most of the participants in the INJEX group (median = 3) had higher FBRS scores compared with the conventional syringe needle group (median = 2), and the difference was very highly significant (p-value < 0.001). Analyzing the FLACC scores during local anesthesia administration revealed a high statistical significance (p-value < 0.01) across the two groups. A very high statistically significant difference (p-values < 0.001) with higher WBS scores for pain intensity was seen in the group using conventional syringe needles. CONCLUSIONS INJEX administration significantly reduced the intensity of pain experienced by the children and helped maintain a positive attitude among them during pulpotomy. It provided a positive and comfortable experience for both the child and the practitioner. Therefore, it can serve as an excellent alternative to conventional needle anesthesia.
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Affiliation(s)
- Satish Vishwanathaiah
- Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.V.); (S.P.)
| | - Nassreen H. Albar
- Restorative Dentistry Department, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia;
| | - Fatemah Tawfeg Abkar Alraghi
- Dental School, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.T.A.A.); (N.E.M.J.); (I.A.M.T.); (F.A.H.K.); (A.H.H.J.); (Z.A.I.A.)
| | - Noor Eissa Mousa Jaferi
- Dental School, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.T.A.A.); (N.E.M.J.); (I.A.M.T.); (F.A.H.K.); (A.H.H.J.); (Z.A.I.A.)
| | - Ishraq Abdullah Mohammed Tumayhi
- Dental School, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.T.A.A.); (N.E.M.J.); (I.A.M.T.); (F.A.H.K.); (A.H.H.J.); (Z.A.I.A.)
| | - Suman Panda
- Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.V.); (S.P.)
| | - Fatima Ali Hassan Khormi
- Dental School, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.T.A.A.); (N.E.M.J.); (I.A.M.T.); (F.A.H.K.); (A.H.H.J.); (Z.A.I.A.)
| | - Atlal Hassan Hussain Jaafari
- Dental School, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.T.A.A.); (N.E.M.J.); (I.A.M.T.); (F.A.H.K.); (A.H.H.J.); (Z.A.I.A.)
| | - Zahra Ahmed Ibrahim Abiri
- Dental School, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.T.A.A.); (N.E.M.J.); (I.A.M.T.); (F.A.H.K.); (A.H.H.J.); (Z.A.I.A.)
| | - Prabhadevi C. Maganur
- Restorative Dentistry Department, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia;
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Auerbacher M, Gebetsberger L, Hickel R, Kaisarly D. Chairside oral prophylaxis for people with profound intellectual or multiple disabilities-a retrospective feasibility study. Clin Oral Investig 2023; 27:6747-6756. [PMID: 37878069 PMCID: PMC10630219 DOI: 10.1007/s00784-023-05287-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Accepted: 09/27/2023] [Indexed: 10/26/2023]
Abstract
OBJECTIVES People with severe intellectual or multiple disabilities (PIMD) have been receiving dental care in a specialized unit offering special care dentistry. For most of these adult patients, the initial consultation is complaint driven. In addition, the limited ability to cooperate due to their disabilities often means that dental treatment for these patients is usually carried out under general anesthesia (GA). Chairside treatment attempts are the exception rather than the rule. This retrospective study evaluated whether consistent practice of behavioral management principles and techniques embedded in a specific dental environment enables successful dental treatment of PIMD. MATERIALS AND METHODS The feasibility of chairside dental prophylaxis in PIMD (n=36) was analyzed: specific behavioral management techniques were applied, and professional tooth cleaning (PTC) was performed in the dental chair. Clinical data obtained from medical records and a questionnaire were analyzed. RESULTS All patients had severe intellectual or multiple disabilities and had previously undergone at least one dental treatment under GA. Of these patients, 55.6% never had their teeth professionally cleaned before. Applying different behavioral techniques, all patients were compliant with receiving PTC in the dental chair. CONCLUSIONS An individualized and disability-specific treatment strategy using various noninvasive and nonpharmacological behavioral guidance techniques resulted in a higher compliance rate in PIMD, which allowed chairside PTC and reduced the need for treatment under GA. CLINICAL RELEVANCE Consistent implementation of various behavioral guidance techniques and communication strategies in a supportive environment enabled all patients to receive chairside PTC and be involved in a lifelong recall program.
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Affiliation(s)
- Marc Auerbacher
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany.
| | - Lydia Gebetsberger
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany
| | - Dalia Kaisarly
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany.
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Ahumada-Newhart V, Wood TS, Taylor ER, Johnson FO, Saltzen S, Joshi SS. Study of Telerobot Personalization for Children: Exploring Qualitative Coding of Artwork. COMPANION OF THE 2023 ACM/IEEE INTERNATIONAL CONFERENCE ON HUMAN-ROBOT INTERACTION 2023; 2023:536-539. [PMID: 38770242 PMCID: PMC11103963 DOI: 10.1145/3568294.3580142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/22/2024]
Abstract
Social telepresence robots (i.e., telerobots) are used for social and learning experiences by children. However, most (if not all) commercially available telerobot bodies were designed for adults in corporate or healthcare settings. Due to an adult-focused market, telerobot design has typically not considered important factors such as age and physical aspect in the design of robot bodies. To better understand how peer interactants can facilitate the identities of remote children through personalization of robot bodies, we conducted an exploratory study to evaluate collaborative robot personalization. In this study, child participants (N=28) attended an interactive lesson on robots in our society. After the lesson, participants interacted with two telerobots for personalization activities and a robot fashion show. Finally, participants completed an artwork activity on robot design. Initial findings from this study will inform our continued work on telepresence robots for virtual inclusion and improved educational experiences of remote children and their peers.
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Affiliation(s)
| | - Taffeta S Wood
- School of Medicine, University of California, Davis, Sacramento, CA USA
| | - Erin R Taylor
- School of Engineering, University of California Los, Angeles Los Angeles, CA USA
| | - Francesca O Johnson
- College of Biological Sciences, University of California Davis, Davis, CA USA
| | - Siena Saltzen
- College of Engineering, University of California Davis, Davis, CA USA
| | - Sanjay S Joshi
- Department of Mechanical & Aerospace Engineering, University of California Davis, Davis, CA USA
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Computer-controlled Intraligamentary local anaesthesia in extraction of mandibular primary molars: randomised controlled clinical trial. BMC Oral Health 2022; 22:194. [PMID: 35596166 PMCID: PMC9121608 DOI: 10.1186/s12903-022-02194-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 04/24/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Local anesthesia (LA) poses a threat in children more than the treatment process itself, so pediatric dentists are always demanding less painful techniques. Computer-controlled Intraligamentary anaesthesia (CC-ILA) is designed to reduce injection pain and side effects of conventional techniques. The present study aims to assess the pain experience using Computer-controlled Intraligamentary anaesthesia (CC-ILA) during injection and its effectiveness in controlling pain during extraction of mandibular primary molars in pediatric patients. METHODS This randomized controlled clinical trial includes 50 healthy cooperative children, aged 5-7 years with mandibular primary molars indicated for extraction. They were randomly allocated to two groups according to LA technique: test group received CC-ILA and control group received Inferior alveolar nerve block (IANB). Pain was measured during injection and extraction: physiologically using Heart rate (HR), subjectively using Face-Pain-Scale (FPS), and objectively using Sound-Eye-Motor scale (SEM). Patients were recalled after 24-h to record lip-biting events. Data was collected and statistically analysed. RESULTS A total of 50 children (29 females and 21 males) with mean age 6.10 ± 0.76 participated in the study. There were significantly lower scores in the heart rate in the CC-ILA group during injection (p = 0.04), but no significant difference was recorded between the two groups during extraction (p = 0.17). The SEM and FPS showed significant lower scores in the CC-ILA group during injection (p < 0.0001, p < 0.0001) and extraction (p < 0.0001, p = 0.01) respectively. No children in CC-ILA group reported lip-biting after 24-h compared to 32% in IANB (p < 0.0001). CONCLUSION CC-ILA provides significantly less painful injections than conventional techniques and has proved to be as effective as IANB during extraction of mandibular primary molars. An important advantage of this technique was the complete absence of any lip/cheek biting events. Trial registration The study was prospectively registered in ClinicalTrials.gov with the identifier: NCT04739735 on 26th of January 2021, https://clinicaltrials.gov/ct2/show/NCT04739735 .
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Dai L, Wu T, Hu Y, Li S, Liu W. Does the Efficacy of Behavior Management Techniques Differ Between Children From Single-Child and Multi-Child Families?: A Quasi-Experimental Study. Front Public Health 2022; 10:840483. [PMID: 35321197 PMCID: PMC8936677 DOI: 10.3389/fpubh.2022.840483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 02/03/2022] [Indexed: 11/21/2022] Open
Abstract
Aim Behavior management techniques (BMTs) efficiently deliver dental treatment to children with dental anxiety. The objective of this quasi-experimental study was to examine whether the efficacy of BMTs applied for the improvement of compliance in pediatric patients differs between children 3–10-year-olds from single-child and multi-child families. Materials and Methods In this quasi-experimental, 197 caregiver-child couples were divided into two groups: single-child group (116 couples) and multi-child group (81 couples). Children's pre- and post-treatment anxiety levels were measured by facial mood scale (FMS) and Frankl Behavior Rating Scale (FBRS), respectively. Caregivers' dental anxiety was measured by the Chinese version of the Modified Dental Anxiety Scale (MDAS), which was included in the self-designed questionnaire. Data were analyzed by using the Mann-Whitney U-test, chi-square tests, and binary multivariate regression analysis. Results There was no statistically significant difference in the demographic characteristics of the children between the two groups. BMTs were found to be capable of reducing children's dental anxiety (CDA): the compliance rate was 45.69–88.79% in the single-child group and 44.44–85.79% in the multi-child group pre- and post-BMTs, but there was no significant difference in the change of compliance between the two groups (p > 0.05). In the subgroup analysis, parenting style (odds ratio [OR] = 0.054, p < 0.05) and father's education (OR = 8.19, p < 0.05) affected the varies of children's compliance in the single-child group. In contrast, in the multi-child group, gender (OR = 8.004, p < 0.05) and mother's occupation (OR = 0.017, p < 0.05) were associated with these changes in compliance. Conclusions In this study, BMTs were proved to be beneficial in improving compliance in 3- to 10-year-olds children in dental treatment. Though there was no significant difference in the change of compliance between children from single-child and multi-child families, different associated factors may affect the two groups. Therefore, the related family factors should be taken into account when professionals manage each child's behavior in dental practice.
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Affiliation(s)
- Lina Dai
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Tingting Wu
- Chongqing Collaborative Innovation Center for Functional Food, Chongqing University of Education, Chongqing, China
- Department of Food and Nutrition, College of Medical and Life Sciences, Silla University, Busan, South Korea
| | - Yun Hu
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Shunyi Li
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Weiwei Liu
- Reasearch Center for Public Health Security, College of Public Health and Management, Chongqing Medical University, Chongqing, China
- *Correspondence: Weiwei Liu ;
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Sanglard LF, Oliveira LB, Massignan C, Polmann H, De Luca Canto G. Evaluating pain, fear, anxiety or stress/distress using children's drawings in paediatric dentistry: a scoping review. Eur Arch Paediatr Dent 2021; 23:199-222. [PMID: 34699048 DOI: 10.1007/s40368-021-00674-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 10/08/2021] [Indexed: 12/22/2022]
Abstract
PURPOSE The aim of this study was to systematically review the literature to answer the question: Can children's drawings represent a helping tool so the dentist can better understand the children's pain, fear, anxiety or stress/distress and their perception concerning the dentist and/or dental treatment? METHODS A scoping review was done. Cochrane Library, EMBASE, LILACS, LIVIVO, PsycINFO, PubMed, Scopus, Web of Science, and Grey literature was searched. Cross-sectional, quasi-experimental and qualitative studies in which patients were children and adolescents were included. Two authors independently selected studies to extract data and evaluate methodological quality by using Joanna Briggs Institute tools. Data collected included: characteristics of the studies, drawing evaluation/scales, main results and conclusion. RESULTS Out of 1037 papers were identified in search, 25 studies verified the emotional state and the children's perceptions regarding dental environment and the dentist and were included in the narrative synthesis. The spontaneous drawings were useful to identify the children's emotions. Drawings might be considered a helping tool to identify children and adolescents' perception in relation to dental treatment. Few studies used validated instruments. There were methodological disparities among studies. CONCLUSIONS The drawings can be considered a useful tool in identifying children's pain, fear, anxiety or stress/distress and perceptions about the dentist and/or dental treatment. Future studies with standardized analysis of the drawings are recommended. Code https://doi.org/10.17605/OSF.IO/U5BJH . "Retrospectively registered".
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Affiliation(s)
- L F Sanglard
- Department of Dentistry, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
| | - L B Oliveira
- Department of Dentistry, Faculdade São Leopoldo Mandic, Campinas, São Paulo, Brazil
| | - C Massignan
- Department of Pediatric Dentistry, University of Brasília, Brasília, Brazil
| | - H Polmann
- Department of Pediatric Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - G De Luca Canto
- Department of Pediatric Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
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Ran L, Zhao N, Fan L, Zhou P, Zhang C, Yu C. Application of virtual reality on non-drug behavioral management of short-term dental procedure in children. Trials 2021; 22:562. [PMID: 34425901 PMCID: PMC8381489 DOI: 10.1186/s13063-021-05540-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 08/13/2021] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Due to the inherent characteristics of immersion, imagination, and interactivity in virtual reality (VR), it might be suitable for non-drug behavior management of children in dental clinics. The purpose of this trial was to measure the role of VR distraction on behavior management in short-term dental procedures in children. METHODS A randomized clinical trial design was carried out on 120 children aged between 4 and 8 years to identify the comparative efficacy of VR and tell-show-do (TSD) to improve behavioral management during dental procedures. The primary outcomes were evaluated anxiety, pain, and compliance scores in perioperative children. The levels of operative anxiety and pain were assessed using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Wong Baker FACES Pain Rating Scale (WBFS), respectively. The Frankl Behavior Rating Scale (FBRS) was tested before and during dental procedures. The length of the dental procedure was compared between both groups after treatment. RESULTS The average anxiety and behavioral scores of the VR group significantly reduced compared with the control. The decreased anxiety score for the VR group and control group were 8 (7, 11) and 5 (5, 7), p < 0.05. The compliance scores of the control group during treatment were 3 (2, 3), and the same in the VR intervention were 3 (3, 4), p = 0.02. A significant reduction in pain was observed when using VR distraction (p < 0.05). Comparing the length of the dental procedure, the VR group (19.0 2 ± 5.32 min) had a shorter treatment time than the control group (27.80 ± 10.40 min). CONCLUSION The use of VR significantly reduced the anxiety and pain of children and the length of the dental procedure and improved the compliance of children that underwent short-term dental procedures without an adverse reaction. TRIAL REGISTRATION Chinese Clinical Trial Registry, ChiCTR2000029802 . Registered on February 14, 2020.
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Affiliation(s)
- Longkuan Ran
- Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Nan Zhao
- Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Lin Fan
- Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Pinping Zhou
- Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Chao Zhang
- Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Cong Yu
- Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China.
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.
- Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China.
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Amorim Júnior LAD, Rodrigues VBM, Costa LR, Corrêa-Faria P. Is dental anxiety associated with the behavior of sedated children? Braz Oral Res 2021; 35:e088. [PMID: 34378670 DOI: 10.1590/1807-3107bor-2021.vol35.0088] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 02/09/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of this cross-sectional study was to investigate factors associated with dental anxiety in children treated under moderate sedation. Prior to treatment, each child's dental anxiety was evaluated using the modified Venham Picture Test (VPT). Interviews were also conducted with parents/guardians to gather information on the child's dental anxiety (Corah's Dental Anxiety Scale [DAS]), age and sex, shyness or anxiety in the presence of strangers, and dental history, as well as socioeconomic factors. All the children were sedated, and had at least one tooth restored using the atraumatic restorative treatment technique. Child behavior was assessed using the Frankl scale. Data analysis involved descriptive statistics and bivariate tests. The median VPT score was 2.0 (range: 0 to 8). Children who were shy in the presence of strangers (yes: median 2.0 [0-8]; no: 0.5 [0-4]; p = 0.018), and those with negative behavior during dental care (negative: 3.0 [0-8]; positive: 1.0 [0-8]; p = 0.014) had greater anxiety. The child's dental anxiety was associated with the mother's education level (≤ 8 years: 4 [2-7]; > 8 years: 1 [0-8]; p = 0.016). The dental anxiety of children treated under sedation is associated with negative behavior, shyness, and the mother's education level.
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Affiliation(s)
| | | | - Luciane Rezende Costa
- Universidade Federal de Goiás - UFG, School of Dentistry, Department of Oral Health, Goiânia, GO, Brazil
| | - Patrícia Corrêa-Faria
- Universidade Federal de Goiás - UFG, School of Dentistry Postgraduate Program in Dentistry, Goiânia, GO, Brazil
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Guner Onur S, Tonguc Altin K, Demetgul Yurtseven B, Haznedaroglu E, Sandalli N. Children's drawing as a measurement of dental anxiety in paediatric dentistry. Int J Paediatr Dent 2020; 30:666-675. [PMID: 32323377 DOI: 10.1111/ipd.12657] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 03/26/2020] [Accepted: 04/06/2020] [Indexed: 12/30/2022]
Abstract
BACKGROUND Drawings can be used as a method of communication that represents an individual's self-concept, anxiety, attitude or conflict. AIM The purpose of this study was to evaluate children's drawing as a measure of dental anxiety in a dental setting. DESIGN Seventy-eight children, aged 6-12 years, were enrolled in this study. Pulp therapy and/or restorative treatment was performed during the first therapeutic session for all participants. Sound, Eye and Motor (SEM) and Frankl scales were used as an objective assessment of behaviour during treatment. After the treatment session, the children were instructed to draw a picture of a person at a dental clinic. Children's drawings were scored by a paediatric dentist and a psychologist using Child Drawing: Hospital (CD: H) scale and emotional indicators of Human Figure Drawings (HFD). The findings were compared with Frankl and SEM scores. RESULTS There was a significant negative correlation between Frankl and CD: H scores (P = .017), and a significant negative correlation was found between HFD and Frankl scores (P = .048). CONCLUSION Drawings can reveal a considerable amount of information about children's emotional status, and children's drawing can be a useful non-verbal self-report measure to evaluate anxiety in a paediatric dental setting.
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Affiliation(s)
- Sirin Guner Onur
- Department of Paediatric Dentistry, Faculty of Dentistry, Trakya University, Edirne, Turkey
| | - Kubra Tonguc Altin
- Department of Paediatric Dentistry, Faculty of Dentistry, Yeditepe University, İstanbul, Turkey
| | - Bersu Demetgul Yurtseven
- Department of Applied Psychology, Institute of Social Sciences, Istanbul University, İstanbul, Turkey
| | - Eda Haznedaroglu
- Department of Paediatric Dentistry, Faculty of Dentistry, Marmara University, İstanbul, Turkey
| | - Nuket Sandalli
- Department of Paediatric Dentistry, Faculty of Dentistry, Yeditepe University, İstanbul, Turkey
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Elheeny AAH. Articaine efficacy and safety in young children below the age of four years: An equivalent parallel randomized control trial. Int J Paediatr Dent 2020; 30:547-555. [PMID: 32223002 DOI: 10.1111/ipd.12640] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Revised: 03/04/2020] [Accepted: 03/18/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND Pain control is a mandatory aspect in pediatric dentistry office through local anesthesia. AIM To assess the safety and efficacy of 4% articaine local anesthetic in young children below four years old. DESIGN An equivalent randomized control trial with two parallel arms included 184 young children (92 per group) aged from 36 to 47 months seeking pulpotomy of mandibular primary molars which performed after buccal infiltration injection. The control group received lidocaine hydrochloride 2% with epinephrine 1:100 000. The intervention was articaine hydrochloride 4% with epinephrine 1:100 000. Children's behavior during injection and treatment have assessed using Faces, Legs, Activity, Cry, and Consolability (FLACC) and child's behavior using Frankl Behavior Rating Scale (FBRS). In addition, post-operative complications have been addressed. RESULTS Both anesthetic agents were equivalent during the injection phase. During the treatment phase, the absolute risk difference (ARR) between the two groups was 0.120 (95% CI: -0.003; 0.243). The maximum limit of 95% CI surpassed the margin of equivalence, indicating that less pain has been expressed during pulpotomy among children delivered articaine when compared to their counterparts in the lidocaine group. Concerning post-operative complications, no statistically significant difference was detected between the two anesthetic drugs. CONCLUSION The findings supported the efficient and secure use of articaine hydrochloride 4% with epinephrine 1:100 000 to treat children between the ages of 3 and below 4 years old.
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PALAZ ZH, PALAZ E, AKAL N. Süt molar diş çekimi sırasında 3D video gözlük kullanımının çocuklarda ağrı ve anksiyete üzerine etkisi. ACTA ODONTOLOGICA TURCICA 2020. [DOI: 10.17214/gaziaot.667976] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Paz-Alegría MC, Gómez-Forero D, Osorio-Patiño J, Jaramillo-Echeverry A. Behavioral and dental management of a patient with Tatton-Brown-Rahman syndrome: Case report. SPECIAL CARE IN DENTISTRY 2020; 40:597-604. [PMID: 32815590 DOI: 10.1111/scd.12513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 07/24/2020] [Accepted: 07/26/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVE To present a clinical case of a patient with Tatton-Brown-Rahman syndrome, to provide evidence of the importance of supplying patients with appropriate dental care, emphasizing in behavioral management. STUDY DESIGN Clinical case report. RESULTS This 7-year-old child, had a history of persistent ductus arteriousus, autism spectrum behavior, language disorders, dyslalias, hearing disorder, hypotonic musculature, and joint hyperlaxity. The main facial and oral diagnoses were dolichocephaly, convex profile, atypical swallowing, mixed breathing, class II malocclusion, mandibular retrognathism, maxillary prognathism, caries lesions, and biofilm associated gingivitis. A comprehensive treatment was carried out from the stage of adaptation to dental care, control of dental biofilm, motivation, and teaching of oral hygiene with appropriate strategies to the child's age and cognitive abilities. Also, resin restorations, habits management and malocclusion with the use of the modified upper and lower Sanders orthopedic device. The child began with a definitely negative behavior at dental appointments, and evolved to negative on Frankl's Behavior Rating Scale. CONCLUSION Dentists must manage behavior management protocols, in order to avoid situations of rejection of treatment in patients with TBRS, and thus avoid sedation or general anesthesia. Prevention is the priority for these patients supported by recreational-educational strategies.
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Affiliation(s)
| | - Dominique Gómez-Forero
- Pediatric Dentistry, Clinics Department, Institución Universitaria Colegios de Colombia Unicoc-Cali, Cali, Colombia
| | - Julio Osorio-Patiño
- Research Center Department, Institución Universitaria Colegios de Colombia Unicoc-Cali, Cali, Colombia
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Suresh A, Karuna YM, Natarajan S, Maimoona TM, Shenoy S, Nayak AP, Rao AP, Shrikrishna SB. Assessing the behavior management problems during the first dental visit of preschool children using a doll placement test. J Indian Soc Pedod Prev Dent 2020; 38:41-47. [PMID: 32174628 DOI: 10.4103/jisppd.jisppd_206_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
CONTEXT Assessing dental anxiety as a predictor of the likely behavior of the child in the dental operatory is of paramount importance for a clinician to render quality care. AIM This study aims to correlate the dental anxiety of preschool children as shown during the doll placement test with that of their behavioral patterns during the first dental visit. SETTINGS AND DESIGN This cross-sectional study was conducted between the ages of 3-7 years. MATERIALS AND METHODS During their first dental visit, the background variables were elicited from parent/guardian at the reception desk. Later at the play area, the child was given a set of dolls representing dentist, child, and mother to place them in a model dental office having a dental chair. The child was then taken for the initial oral examination, during which the behavior of the child was rated using Frankl's Behavior Rating Scale. The data collected were analyzed using Chi-square test and binary regression analysis. RESULTS The observed association between the doll placement pattern and the behavior of the patient during dental treatment was statistically significant (P < 0.001). The binary regression analysis showed that the child's unpleasant previous medical and parent's unpleasant dental experiences had higher odds favoring uncooperative behavior (46.63 and 41.93, respectively). CONCLUSIONS The child's behavior on the dental chair is associated with the doll placement pattern, which is also influenced by experiences of the child during his/her encounter with the medical doctor and previous dental experiences of their parents.
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Affiliation(s)
- Akhil Suresh
- Former Under Graduate Student, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Y M Karuna
- Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Srikant Natarajan
- Department of Oral Pathology, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - T M Maimoona
- Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Savitha Shenoy
- Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Anupama P Nayak
- Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Ashwin P Rao
- Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Suprabha B Shrikrishna
- Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
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Pezzini Soares J, Cardoso M, Bolan M. Demystifying behaviour and dental anxiety in schoolchildren during endodontic treatment for primary teeth-controlled clinical trial. Int J Paediatr Dent 2019; 29:249-256. [PMID: 30656782 DOI: 10.1111/ipd.12468] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 12/14/2018] [Accepted: 01/10/2019] [Indexed: 12/25/2022]
Abstract
BACKGROUND Behaviour and anxiety of children are predictors of effective dental treatment. AIM Compare the behaviour and anxiety during preventive care, endodontic treatment, and dental extraction. DESIGN Controlled clinical trial was conducted with 99 children aged 6-9 years. The children were distributed among three groups: G1 (control)-prophylaxis and topical fluoride; G2 (intervention)-endodontic treatment; and G3 (intervention)-tooth extraction. Behaviour was measured using the Frankl scale. Dental anxiety was assessed using the modified Venham Picture Test and measured at three moments: before, during, and after the procedure. Caregivers answered a questionnaire addressing the child's previous dental experience. Clinical examinations were performed by a calibrated examiner (Kappa > 0.70) for the identification of dental caries (d-dmft/D-DMFT). Statistical analysis involved repeated-measures Poisson regression, with level of significance was P < 0.05. RESULTS Neither negative behaviour nor anxiety was associated with the type of procedure. Negative behaviour was associated with the need for restraint during a previous dental appointment (P = 0.012). Dental anxiety was associated with age (P = 0.037), previous difficult behaviour (P < 0.001), moment of measurement (P < 0.001), and dental caries on permanent teeth (P = 0.001). CONCLUSIONS Negative behaviour and dental anxiety in children were not associated with the type of treatment performed.
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Affiliation(s)
- Josiane Pezzini Soares
- Department of Paediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil
| | - Mariane Cardoso
- Department of Paediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil
| | - Michele Bolan
- Department of Paediatric Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil
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