Factors associated with children’s perception of pain following dental treatment

Mathias, Fernanda Burkert; Cademartori, Mariana Gonzalez; Goettems, Marília Leão

doi:10.1007/s40368-019-00456-2

Cited by 13 publications

(24 citation statements)

References 29 publications

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“…Parental anxiety is positively associated with dental fear and anxiety in children. Thus, dental fear and anxiety are likely related to pain in a cyclical way; in other words, dental anxiety increases perceived pain, and pain exacerbates anxiety 29 . In this study, no association was found between parental anxiety and both trans‐ and post‐operative pain, but parental anxiety was associated with higher analgesic intake at 2 hours of follow‐up.…”

Section: Discussioncontrasting

confidence: 56%

“…Thus, dental fear and anxiety are likely related to pain in a cyclical way; in other words, dental anxiety increases perceived pain, and pain exacerbates anxiety. 29 In this study, no association was found between parental anxiety and both trans-and post-operative pain, but parental anxiety was associated with higher analgesic intake at 2 hours of follow-up. This may be explained since medicine intake in children is mostly dependent on the parents' concern rather than the child's own will, in that direction, anxious parents gave more analgesics to their children.…”

Section: Discussioncontrasting

confidence: 55%

“…Children with negative behaviour on dental treatment and who were administered local anaesthesia tend to report higher levels of pain 29 . The pain reported under dental injections depends on the level of dental anxiety, fear of injection, and fear of pain 29 and consequently will influence on the child's behaviour. Thus, dentists must observe changes in children behaviour, to recognize pain and make the injection experience less unpleasant as possible.…”

Section: Discussionmentioning

confidence: 99%

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Does the pre‐emptive administration of paracetamol or ibuprofen reduce trans‐ and post‐operative pain in primary molar extraction? A randomized placebo‐controlled clinical trial

Santos

Massignan

Oliveira

et al. 2020

Int J Paed Dentistry

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Background: There is no consensus whether the pre-emptive administration of analgesics reduces trans-and post-operative pain in primary molar extraction. Aim: Investigate whether the pre-emptive administration of ibuprofen and paracetamol reduces trans-and post-operative pain on primary molars extraction compared to placebo. Design: A parallel, placebo-controlled, triple-blind, randomized clinical trial was conducted. Forty-eight children who needed primary molar tooth extraction were selected and treated under local anaesthesia and pre-emptive administration of placebo or analgesics. Self-reported pain was evaluated during the anaesthesia, extraction, and 2, 6, and 24 hours of post-operative period, using a visual analogue scale (VAS). Children's baseline anxiety, behaviour during the procedure, parents' anxiety, and post-operative analgesia were also assessed. Data analysis included descriptive statistics and multiple linear regression. Results: No association was found between the use of pre-emptive analgesic and lower scores of trans-and post-operative pain compared to placebo. Children who presented negative behaviour reported greater pain during anaesthesia (P = .04) regardless of pre-emptive analgesia group. Children from the placebo group were more likely to need post-operative analgesia at 2 hours of follow-up (P = .03). Conclusion: The pre-emptive administration of analgesics did not significantly reduce trans-and post-operative pain in children after primary molars extraction.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

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Does the pre‐emptive administration of paracetamol or ibuprofen reduce trans‐ and post‐operative pain in primary molar extraction? A randomized placebo‐controlled clinical trial

Santos

Massignan

Oliveira

et al. 2020

Int J Paed Dentistry

View full text Add to dashboard Cite

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“…Removing demineralised, yet structurally intact dentine, weakens tooth structure [3] and increases the risk of iatrogenic pulpal exposure [4]. Using conventional methods are also associated with more pain and discomfort [5], therefore, they may trigger dental anxiety and discourage interest in future dental visits. In addition, using MID techniques for children with severe dental anxiety may potentially prevent extraction under general anaesthetic.…”

Section: Introductionmentioning

confidence: 99%

Teaching Minimally Invasive Interventions in Paediatric Dentistry: A Cross-Sectional Survey of Dental Schools in Iran

et al. 2021

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Background Dental caries is a significant public health problem in Iran. Teaching minimally invasive interventions in paediatric dentistry may facilitate the provision of treatment for untreated dental caries in children. We evaluated the teaching of such interventions in both undergraduate dental curriculum and Paediatric Dentistry Specialty Training Programme (PDSTP) in Iran. Methods This was a cross-sectional questionnaire-based survey. Participants in this study were the directors of 40 undergraduate programmes and 15 PDSTPs in all Iranian dental schools (response rate = 100%). Descriptive statistics were reported. Results The most commonly taught methods were preventive fissure sealant and preventive resin restoration (PRR), which were taught ‘both didactically and clinically’ in all undergraduate dental programmes. The least commonly taught methods were silver diamine fluoride (SDF), the Hall technique and resin infiltration, which were taught ‘both didactically and clinically’ in less than 5% of dental schools. The same three methods were the least commonly approaches taught in PDSTP, further, they were less often perceived to be ‘essential’. Conclusions There was a notable variation in the teaching of the management of dental caries in Iran’s dental education. Some minimally invasive approaches including SDF, the Hall technique and resin infiltration are not being commonly taught in Iranian dental schools despite the evidence base for these techniques.

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“…The severity of dental fear was assessed using a single-item instrument taken from the study by Neverlien (1990) [32]. The high utility of such an approach was confirmed in such situations as national health surveys or in routine dental practice when the use of a longer dental anxiety/fear questionnaire is not feasible [20,32,39,40]. Moreover, multi-item self-reported scales have been criticised not only for the large number of questions and their complicated use in dental practice, but also for the lack of adequate explanation of the theoretical basis of the factors that they seek to measure [3,11].…”

Section: Discussionmentioning

confidence: 98%

Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania

Slabšinskienė

Kavaliauskienė

Žemaitienė

et al. 2021

IJERPH

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Dental fear is a challenging problem in dentistry and many contributing factors have been identified. Although this problem among children and adolescents has been studied in the literature for a long time, few such studies have been conducted in Lithuania. This study aimed to evaluate the prevalence of dental fear and examine its association with gender, age and several psychological and social factors among children and adolescents in Lithuania. The cross-sectional survey included a randomly selected sample (n = 1590) of children aged 11–14 and adolescents aged 15–18. The data were supplemented by interviewing the parents of these subjects (n = 1399). Dental fear was measured with a single five-score question. The data collection also included questions on oral health, socioeconomic status, oral health-related quality of life and self-esteem. Poisson regression analysis was used to assess the association between perception of dental fear and potential predictor variables. It was found that 32.2% (95% CI: 29.9–34.4%) of children and adolescents reported no fear of dental treatment, 12.5% (10.8–14.2%) of their peers were highly afraid of dental treatment, and other subjects assessed their dental fear gradually. Girls reported greater dental fear scores than boys, but the level of dental fear did not depend on the age. We identified the groups of subjects by gender and age, and a higher level of dental fear was significantly associated with untreated caries experience, a delay in the age of the subject’s first visit to the dentist, low self-esteem, low oral health-related quality of life, low overall life satisfaction and low family affluence. The results also suggested that dental fear could originate from previous toothache, dentists’ actions, high sensitivity in the child and poor psychological readiness for treatment. It was concluded that dental fear among Lithuanian children and adolescents is a common problem that is associated with gender and several dental, psychological and social factors. The findings indicate that school-based health policies, paediatric dentists and parents should be encouraged to focus on the psychosocial factors associated with dental fear because most of them can be prevented.

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Factors associated with children’s perception of pain following dental treatment

Cited by 13 publications

References 29 publications

Does the pre‐emptive administration of paracetamol or ibuprofen reduce trans‐ and post‐operative pain in primary molar extraction? A randomized placebo‐controlled clinical trial

Does the pre‐emptive administration of paracetamol or ibuprofen reduce trans‐ and post‐operative pain in primary molar extraction? A randomized placebo‐controlled clinical trial

Teaching Minimally Invasive Interventions in Paediatric Dentistry: A Cross-Sectional Survey of Dental Schools in Iran

Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania

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