Children's experiences following a CBT intervention to reduce dental anxiety: one year on

Rodd, Helen; Kirby, Jennifer S.; Duffy, Elizabeth A.; Porritt, Jenny; Morgan, Annie; Prasad, S.; Baker, Sarah R.; Marshman, Zoe

doi:10.1038/sj.bdj.2018.540

Cited by 13 publications

(7 citation statements)

References 21 publications

(30 reference statements)

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“…The respondents' number was 37 (13%) (either patients or care givers). In a recent article by Rodd et al the response rate to a questionnaire was about 50%, yet the outcome was good to a self-help CBT [29]. Some parents of the children with learning disability phoned afterwards telling that they found answering difficult and were agreed not to participate in the survey.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Chair-Side Dental Fear Treatment: Long-Term Follow-Up in Public Health Setting

Kankaala

Määttä

Tolvanen

et al. 2019

International Journal of Dentistry

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Aim. Purpose of this practice and data-based study was to evaluate the outcome of dental fear treatment of patients referred to the Clinic for Fearful Dental Patients (CFDP) in the primary oral health care, City of Oulu, Finland, during period 2000–2005. Methods. A psychological approach including behavioral interventions and cognitive behavioral therapy (BT/CBT) was used for all participants combined with conscious sedation or dental general anesthesia (DGA), if needed. The outcome was considered successful if later dental visits were carried out without any notifications in the patient records of behavioral problems or sedation. Data collection was made in 2006; the average length of the observation period from the last visit in the CFPD to data collection was 2 y 3 m (SD 1 y 5 m). All information was available for 163 patients (mean age 8.9 y at referral). Study population was dominated by males (58.0%). Cause for referrals was mostly dental fear (81.0%) or lack of cooperation. Results. The success rate was 69.6% among females and 68.1% among males. Success seemed to be (p=0.053) higher for those treated in ≤12 years compared with the older ones. The participants, without need for dental general anesthesia (DGA) in the CFDP, had significantly a higher success rate (81.4%) compared with those who did (54.8%, p<0.001). Use of conscious oral sedation (p=0.300) or N2O (p=0.585) was not associated with the future success. Conclusions. A chair-side approach seems successful in a primary health care setting for treating dental fear, especially in early childhood. Use of sedation seems not to improve the success rate.

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Section: Discussionmentioning

confidence: 99%

Outcome of Chair-Side Dental Fear Treatment: Long-Term Follow-Up in Public Health Setting

Kankaala

Määttä

Tolvanen

et al. 2019

International Journal of Dentistry

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“…In earlier studies, patients were monitored for shorter periods [ 13 , 18 ] or two separate cohorts were compared [ 21 ], or dental fear treatment was given by a psychotherapist [ 11 , 16 ]. It is also common to use surveys in studies of this kind and the response rates tend to be quite low [ 17 , 22 ]. Patients with severe dental fear may not participate in such surveys if they avoid dental appointments in general [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

10-year follow-up study on attendance pattern after dental treatment in primary oral health care clinic for fearful patients

et al. 2021

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Background Dental fear may lead to avoidance of regular dental treatment. The scope of this long-term practe-based study was to monitor the dental attendance of patients who received chair-side dental and fear treatment. Methods In 2000–2006, patients in the City of Oulu, Finland, received treatment for dental fear in the Clinic for Fearful Dental Patients (CFDP) from primary health care dentists trained on this subject. Of the originally treated patients (n = 163), 152 (93%) with sufficient information in dental records made up the study population. Information on their age and sex was available. The number of dental examinations, emergency visits and missed appointments was collected covering the follow-up period of 10 years 2006–2016. For analyses, data were dichotomized according to age at baseline and preliminary outcome baseline condition of dental fear treatment evaluated in 2006. To investigate association further, Poisson regression as well as binary logistic regression models were conducted. As register keeper, the City of Oulu gave permission for this retrospective data-based study. Results Patients receiving dental fear treatment at younger age (2–10 y) had significantly more dental examinations than those treated at > 10 years. Preliminary success was associated with the number of examinations, but not with emergency visits and missed appointments. Sex was not a significant factor in later dental attendance. There was an association between few dental examinations and dental emergency care need with unsuccessful baseline outcome of dental fear treatment. Conclusions Successful dental fear treatment especially at an early age is beneficial for future dental attendance measured by the number of examinations and consequently, less need for emergency care than in the opposite case. Successful fear treatment has positive impact on later dental care and regular dental attendance.

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“…50 Furthermore, 91% of patients report the reduction in their dental anxiety to be maintained one year later. 51 It is important to consider whether those interventions can be feasibly integrated into dental practice, in the light of time and resource constraints of the dental team. Other barriers to the effective delivery of psychological services to children with dental fear are the associated costs and long waiting lists.…”

Section: Non-pharmacological Management Of Children's Dental Fearmentioning

confidence: 99%

“…To date, cognitive strategies appear to be effective, demonstrating a significant reduction in dental anxiety and an improvement in the quality of life of children attending a hospital dental service 50 . Furthermore, 91% of patients report the reduction in their dental anxiety to be maintained one year later 51 …”

Section: Introductionmentioning

confidence: 99%

Breathing out dental fear: A feasibility crossover study on the effectiveness of diaphragmatic breathing in children sitting on the dentist's chair

Levi

Bossù

Luzzi

et al. 2022

Int J Paed Dentistry

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Background Anxiety related to the dental context is a clinically significant challenge. In children, dental fear is often accompanied by disruptive and uncooperative behaviours that can render treatment difficult. Although techniques to reduce children's anxiety exist, many have not been formally evaluated. Design Diaphragmatic breathing has been shown to reduce fear and anxiety, but few investigations have evaluated whether it can reduce dental anxiety in children. This crossover study tested the effectiveness and feasibility of diaphragmatic breathing in twenty children undergoing dental care. Results Compared with the treatment as usual, such a simple technique had significant benefits on mood, self‐reported pain and autonomic balance, thus reducing sympathetic activation. Conclusion Diaphragmatic breathing is a low‐cost, easy–to‐implement technique suitable for daily dental practice, and is a promising tool for reducing negative effect and physiological distress in children with dental anxiety that results in more cooperative behaviours and reduced visit time.

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Children's experiences following a CBT intervention to reduce dental anxiety: one year on

Abstract: Objective: To investigate children's ongoing experiences of dental care and use of strategies to manage their dental anxiety following cognitive behavioural therapy (CBT). Design: A child self-completed postal questionnaire. Settings: Hospital, community and general dental practice.

Cited by 13 publications

References 21 publications

Outcome of Chair-Side Dental Fear Treatment: Long-Term Follow-Up in Public Health Setting

Outcome of Chair-Side Dental Fear Treatment: Long-Term Follow-Up in Public Health Setting

10-year follow-up study on attendance pattern after dental treatment in primary oral health care clinic for fearful patients

Breathing out dental fear: A feasibility crossover study on the effectiveness of diaphragmatic breathing in children sitting on the dentist's chair

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