Parent-reported distress in children under 3 years old during preventive medical and dental care

Nelson, Travis; Huebner, Colleen E.; Kim, Amy; Scott, Joanna; Pickrell, Jacqueline E.

doi:10.1007/s40368-014-0161-9

Cited by 6 publications

(8 citation statements)

References 41 publications

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“…The results of our study revealed the presence of moderate anxiety and relatively low-stress level in evaluated school children in both groups (orthodontic and dental settings). These results differ from our previous study [ 8 ] where they obtained anxiety scores were more accentuated and higher for girls compared to boys. We suppose that pretreatment preparation organised in the last period, as well as teaching children for the necessity of oral hygiene in elementary school, are very important for diminishing anxiety/stress manifestations.…”

Section: Discussioncontrasting

confidence: 99%

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Anxiety, Stress and Coping Patterns in Children in Dental Settings

N¹,

Sarakinova²,

Pop-Stefanova-Trposka³

et al. 2018

Open Access Maced J Med Sci

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BACKGROUND:Fear of the dentist and dental treatment is a common problem. It can cause treatment difficulties for the practitioner, as well as severe consequences for the patient. As is known, the level of stress can be evaluated thought electrodermal activity, cortisol measure in saliva, or indirectly by psychometric tests.AIM:The present study examined the psychological influence of dental interventions on the child as well as coping patterns used for stress diminution.METHODS:We examined two matched groups of patients: a) children with orthodontic problems (anomalies in shape, position and function of dentomaxillofacial structures) (N = 31, mean age 10.3 ± 2.02) years; and b) children with ordinary dental problems (N = 31, mean age 10.3 ± 2.4 years). As psychometric instruments, we used: 45 items Sarason’s scale for anxiety, 20 items simple Stress - test adapted for children, as well as A - cope test for evaluation coping patterns.RESULTS:Obtained scores confirmed the presence of moderate anxiety in both groups as well as moderate stress level. For Sarason’s test obtained scores for the group with dental problems are 20.63 ± 8.37 (from max 45); and for Stress test 7.63 ± 3.45 (from max 20); for the orthodontic group obtained scores are 18.66 ± 6.85 for Sarason’s test, while for the Stress test were 7.76 ± 3.78. One way ANOVA confirmed a significant difference in values of obtained scores related to the age and gender. Calculated Student t - test shows non-significant differences in obtained test results for both groups of examinees. Coping mechanisms evaluated by A - cope test shows that in both groups the most important patterns used for stress relief are: developing self-reliance and optimism; avoiding problems and engaging in demanding activity.CONCLUSION:This study confirmed that moderate stress level and anxiety are present in both groups of patients (orthodontic and dental). Obtained scores are depending on gender and age. As more used coping patterns in both groups are developing self-reliance and optimism; avoiding problems and engaging in demanding activity. Some strategies for managing this problem are discussed.

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Section: Discussioncontrasting

confidence: 99%

“…In a recent study published by Nelson et al, 2015 [ 8 ], the aim was to identify factors related to young children’s distress during preventive oral health visits. The study showed that the majority of parents report that young children experience moderate to severe distress during preventive dental treatment.…”

Section: Discussionmentioning

confidence: 99%

Anxiety, Stress and Coping Patterns in Children in Dental Settings

N¹,

Sarakinova²,

Pop-Stefanova-Trposka³

et al. 2018

Open Access Maced J Med Sci

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“…The playful activities can bring to the surface what often cannot be expressed in words. It is crucial that children perceive the attention given to their emotions so that a relationship of safety and harmony is established between patient and professional [14]. It should be noted that by using such resource we observed that 82.05% of the children presented positive emotions before the workshops, 85.25% after the workshops, and 87.18% after the treatment.…”

Section: Discussionmentioning

confidence: 82%

Behavior and reaction of children to dental care, when submitted to play workshops before and after treatment

Souza

Nogueira

Martins

et al. 2020

RGO, Rev. Gaúch. Odontol.

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Objective Strategies to prepare the child with play activities in order to establish an initial friendly relationship between patient and dentist are widely used as a means to soften the inconsistent behaviors and negative emotions during dental treatment. Thus, the objectives of this study were to evaluate the emotions of children before and after performing play activities and at the end of dental treatment, as well as assessing child behavior. Methods A total of 74 children, both boys and girls, aged 4 to 10 years old, participated in this study and attended the Pediatric Dentistry Clinic for two consecutive semesters. The children responded as they felt through the Emotions Deck during the three stages. In addition, data on behavior and procedures were also collected. Results A total of 468 emotions were evaluated, of which 69 (14.75%) were negative and 399 (85.25%) were positive; the joy was the one of greater frequency in the three evaluated moments. A total of 128 (82.05%) positive emotions were observed before, 133 (85.25%) after the play activities and 136 (87.18%) of the positive emotions were after the dental treatment. As for negative emotions, 28 (17.94%) were before, 23 (14.74%) after play activities and 20 (12.82%) after treatment. Regarding behavior, only 9 (5.77%) were not registered as cooperative, while 147 collaborated (94.23%). Conclusion Therefore, it was possible to conclude that the majority of the patients presented positive emotions at the different moments evaluated and the negative emotions were observed mainly before the ludic activities, having a reduction after the dental care. Most patients demonstrated cooperative behavior.

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“…If, during treatment, the professional demonstrates sensitivity and affection, some of the anxiety and fear will be allayed. There is no general rule for the procedure, and good sense and intuition on the part of the professional are needed and are fundamental for better management of pediatric dental treatment 2,6,[9][10]12,14,16 . The use of the incentive chart was particularly effective in the behavior and developing maturity of the patient over the course of treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The professional who can tell the difference between each of these phases and understand the needs of the child, will make the treatment more comfortable and bring more security and tranquility to the parents. It will also help the professional persevere with his/her work, not feel frustrated or guilty when the child cries or resists treatment 10 . Barreto et al 11 conducted a study into the prevalence of anxiety in children aged between six and seven.…”

Section: Case Reportmentioning

confidence: 99%