An evaluation of the PALS after treatment modelling intervention to reduce dental anxiety in child dental patients

Howard, Karen E.; Freeman, Ruth

doi:10.1111/j.1365-263x.2009.00977.x

Cited by 20 publications

(18 citation statements)

References 13 publications

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“…Two types of model are recognized -live and symbolic models. In live modeling, the child watches sibling, parent or peer receive treatment, while in symbolic modeling, the model is a puppet or video which is shown undergoing treatment 11 . Both live and symbolic models may be useful to encourage the child to adopt acti vely the coping strategies and non anxious behavior exhibited by the models 12 .…”

Section: Discussionmentioning

confidence: 99%

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Oredugba¹,

Sanu²

2009

Pesq Bras Odontoped Clin Integr

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Section: Discussionmentioning

confidence: 99%

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Oredugba¹,

Sanu²

2009

Pesq Bras Odontoped Clin Integr

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“…Many studies did not provide a rationale for including interactive techniques. In the cases where papers supplied a rationale, they stated that interactive techniques were developmentally appropriate,31 suited the child’s stage of cognitive development,74 77 made concepts concrete,78 provided visual information,77 promoted communication,77 were more engaging,78 were tools for modelling behaviour66 79 and were favourable for children’s learning 74…”

Section: Resultsmentioning

confidence: 99%

How are behavioural interventions delivered to children (5–11 years old): a systematic mapping review

Brigden

Parslow

Linney

et al. 2019

bmjpo

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ContextBehavioural interventions are used to prevent, manage and treat a wide variety of conditions including obesity, diabetes, chronic pain, asthma and emotional difficulties. There has been inadequate attention to the delivery of behavioural interventions to younger children (5–11 years old).ObjectiveOur objectives were to describe the characteristics of behavioural interventions for children aged 5–11 years.Data sourcesWe searched five databases: CINAHL, EMBASE, PsycINFO, MEDLINE and Cochrane Library, from January 2005 to August 2019.Study selectionThe inclusion criteria were (1) children aged 5–11, (2) cognitive and/or behavioural interventions, (3) randomised controlled trials and (4) 2005 onward. Two researchers independently identified studies for inclusion.Data extractionTwo researchers independently extracted data from eligible papers.ResultsThe search identified 10 541 papers. We extracted information on 117 interventions (from 152 papers). Many of the interventions were categorised as complex. This was particularly true for clinical populations; 78.7% were delivered to both the child and parent, and 33.9% took place across multiple settings, typically health and school settings. Most (70.9%) were ‘First Wave’ (behavioural) interventions, and few (4.3%) were ‘Third Wave’ (characterised by metacognition, acceptance and mindfulness). Thirty-nine per cent used interactive techniques (play, arts, story and/or games). Purely digital and paper-based interventions were rare, but around a third used these tools as supplements to face–face delivery. There were differences in interventions for younger (5–7 years) and older (8–11 years) children.ConclusionsInterventions designed and delivered to children should be developmentally sensitive. This review highlights characteristics of interventions delivered to children 5–11 years old: the involvement of the child’s parent, using behavioural (rather than cognitive) modalities, using interactive techniques and some interventions were delivered across multiple settings.

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“…[21] Similar results were reported by Howard and Freeman. [22] There are several scales available to assess the level of anxiety in children including Venham's anxiety rating scale. Regarding evaluation of scales to measure the dental anxiety and fear, it has been shown that none of the scales is better than the other nor can act as a gold standard.…”

Section: Discussionmentioning

confidence: 99%

Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

Khanday¹,

Prabhakar²,

B.M³

et al. 2018

AIMDR

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Background: Dental anxiety is a common problem, which can affect people of all ages, but appears to develop mostly in childhood. Practitioners use numerous methods to control dental anxiety in children during the dental procedures. Objective: To evaluate the effectiveness of nitrous oxide/oxygen (N2O/O2) inhalation sedation and video-eyeglass distraction (VED) in the management of anxious pediatric patients during dental extraction. Methods: The study was conducted on 40 children aged 6-12 years who required extraction of at-least one mandibular primary molar under local anesthesia. The children were randomly divided into two groups with 20 children in each -Group-A wearing videoeyeglass and Group-B using N2O/O2 inhalation sedation during dental extraction. The physiological assessment was done by recording heart rate using fingertip pulse oximeter. The psychological assessment was done by recording base line anxiety before the treatment and post treatment anxiety at the completion of extraction using Venham's anxiety scale (VAS). Independent t-test with p value <0.05 level of significance was used to compare means of two groups. Results: Comparison of Venham's anxiety score of participants at the completion of extraction, showed statistically no significant difference (p=0.946). The mean pulse rate recorded at different time points between the two groups was also statistically non-significant (P=0.923, 0.957, 1.00 respectively). Conclusion: Both N2O/O2 inhalation sedation and VED were equally effective in reducing anxiety during dental extraction but considering the adverse effects and requirement of expert personnel in N2O/O2 inhalation sedation, VED may be preferred because of its better applicability.

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An evaluation of the PALS after treatment modelling intervention to reduce dental anxiety in child dental patients

Abstract: The PALS after treatment modelling intervention was ineffective in reducing child dental anxiety.

Cited by 20 publications

References 13 publications

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

How are behavioural interventions delivered to children (5–11 years old): a systematic mapping review

Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

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