Assessment of the effect of parental presence in dental operatory on the behavior of children aged 4–7 years

Ahuja, Shilpa; Gandhi, Kapil; Malhotra, Rashmi; Kapoor, Rishabh; Maywad, Shraddha; Datta, Geetika

doi:10.4103/jisppd.jisppd_238_17

Cited by 8 publications

(2 citation statements)

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“…In addition, children older than 8 years of age were not included in the study because the relationship between parents and children’s dental fear is obvious in children under 8 years of age (Themessl-Huber et al, 2010). Age was not correlated with dental fear in previous studies (Ahuja et al, 2018; Klaassen et al, 2002; Ten Berge et al, 2003), but in the present study, anxiety diminished in all clinical situations with increasing age, and this finding is in agreement with the study by Pezzini Soares et al (2019).…”

Section: Discussionsupporting

confidence: 92%

“…No consensus has been reached regarding the parents’ presence during dental treatment. While some authors have argued that absence of the parent during dental treatment can improve the behavior of the child (Pani et al, 2016; Veerkamp et al, 1994), others have suggested that it is important for parents to be present during the dental treatment (Ahuja et al, 2018; Fenlon et al, 1993; Freeman, 1999; Kotsanos et al, 2009; Marzo et al, 2003). The presence of the parent calms the child and is a kind of reassurance for the child (Pani et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

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The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial

YİĞİT

Topal

Ozgocmen

2022

Clin Child Psychol Psychiatry

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Objective: To evaluate the effect of anxiety of parent accompanying child on child’s anxiety during treatment. Methods: The study included two groups: one group with 80 children whose parents were anxious, and the other group with 80 children with non-anxious parents, totaling 160 children. Each group was further randomized into subgroups, with and without parents accompanying their children. The children’s heart rates were measured using a portable pulse oximeter during the treatment. The child’s perception was measured using the Wong–Baker Faces Rating Scale, and another pediatric dentist rated child’s behavior using the Frankl scale based on the treatment video that was limited to the child’s appearance. Results: The highest pulse rates were observed in children accompanied by an anxious parent ( p < .001). Values on the Wong–Baker scale did not differ according to parental anxiety and parental presence ( p > .05). According to the dentist, the presence of parents negatively affected the anxiety of the child ( p = .025), while the effect of parents’ anxiety was not statistically significant ( p = .514). Conclusions: The anxiety of parent accompanying the child affects child’s anxiety. Parents with high anxiety appeared to negatively affect their children’s behavior.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial

YİĞİT

Topal

Ozgocmen

2022

Clin Child Psychol Psychiatry

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Non‐Pharmacologic Approaches in Behavior Management

Kupietzky¹,

Wright²,

Simchi³

et al. 2021

Wright's Behavior Management in Dentistry for Children

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Does the presence of parents in the dental operatory room influence children’s behaviour, anxiety and fear during their dental treatment? A systematic review

Luca

Massignan²,

Bolan

et al. 2021

Int J Paed Dentistry

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Background The presence of parents during the dental appointment can affect the child's behaviour and, consequently, the success of the treatment. Aim This systematic review aimed to evaluate whether parents’ presence in the operatory room influences children’s behaviour, anxiety and fear during dental treatment. Design EMBASE, Cochrane Library, LILACS, PubMed, PsycINFO, Scopus, Web of Science, Google Scholar, OpenGrey and ProQuest Dissertations and Theses Databases were searched. Randomized and non‐randomized clinical trials in which some measure assessing children’s behaviour and/or anxiety and fear during dental treatment with the presence and absence of parents were included. Two reviewers assessed studies for selection, extracted data, evaluated bias (Joanna Briggs Institute) and graded the certainty of evidence (Grading of Recommendations, Assessment, Development and Evaluation). Random‐effects meta‐analyses using mean difference (MD) and narrative synthesis were performed. Results A total of 2846 papers were identified, and after a 2‐phase selection, sixteen studies were included (five in meta‐analyses). There was no difference in children’s behaviour in the presence or absence of parents (P = .23, P = .40, P = .60 and P = .89, respectively). The presence or absence of parents did not influence children's anxiety (P = .94 and P = .97) or fear (DM: −0.08; CI:‐0.34–0.19, P = .24). All included studies presented a high risk of bias, and the certainty of evidence was considered to be very low. Conclusion It is concluded that parents’ presence in the operation room does not influence children’s (up to 12 years old) behaviour, anxiety and fear during dental treatment with very low certainty of evidence. Methodological limitations of included studies, however, suggest that better designed trials are needed to adequately understand this issue.

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Assessment of the effect of parental presence in dental operatory on the behavior of children aged 4–7 years

Abstract: Parents can be excluded from the dental operatory to eliminate many behavior-related problems during the course of treatment.

Cited by 8 publications

References 1 publication

The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial

The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial

Non‐Pharmacologic Approaches in Behavior Management

Does the presence of parents in the dental operatory room influence children’s behaviour, anxiety and fear during their dental treatment? A systematic review

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