The impact of dental anxiety on the oral health of children aged 5 and 8 years: a regression analysis of the Child Dental Health Survey 2013

Coxon, James David; Hosey, M. Marlene; Newton, Jonathan Timothy

doi:10.1038/s41415-019-0853-y

Cited by 12 publications

(11 citation statements)

References 22 publications

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“…According to various studies, children with dental anxiety are more affected by dental caries than the other children [ 3 4 5 ]. Dental anxiety affects the oral health of the child [ 6 ]. Anxiety also affects the pain perception.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of thaumaturgic distraction in alleviation of anxiety in 4–6-year-old children during inferior alveolar nerve block administration: a randomized controlled trial

Kothari

Mathur

Chauhan

et al. 2023

J Dent Anesth Pain Med

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Background Dental anxiety is a matter of serious concern to pediatric dentists as it may impede the efficient delivery of dental care. If not adequately resolved, a persistent negative response pattern may emerge. Thaumaturgy, commonly known as magic trick, has become popular recently. It is a tool that distracts and relaxes the child by using magic trick while the dentist performs necessary treatment. Hence, the aim of this study was to evaluate the effectiveness of Thaumaturgic aid in alleviation of anxiety in 4–6 – year-old children during administration of local anesthesia using the inferior alveolar nerve block (IANB) technique. Methods Thirty children aged between 4–6 years with dental anxiety requiring IANB were included in this study. Patients were divided equally into two groups: Group I, thaumaturgic aid group and Group II, conventional non-pharmacological group using randomization. Anxiety was measured before and after using the intervention with Raghavendra Madhuri Sujata-Pictorial scale (RMS-PS), Venham’s anxiety rating scale, and pulse rate. All the data were tabulated and compared using statistical analysis. Results Children in thaumaturgy group (Group- I) exhibited significantly lower anxiety during IANB in comparison with children in the conventional group (Group- II) and the difference was statistically significant. Conclusion Magic tricks are effective in reducing anxiety among young children during IANB; Moreover, it expands the arsenal of behavior guidance techniques for treatment of children with anxiety and plays an important role in shaping the behavior of a child in pediatric dentistry.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of thaumaturgic distraction in alleviation of anxiety in 4–6-year-old children during inferior alveolar nerve block administration: a randomized controlled trial

Kothari

Mathur

Chauhan

et al. 2023

J Dent Anesth Pain Med

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“…Importantly, parental anxiety has been identified as a factor to children's dental anxiety, as anxious parents may inadvertently transmit their own fears and apprehensions to their children, further exacerbating the child's anxiety during dental visits ( 4 ). Children's dental anxiety is derived from dental diseases and poor oral health, such as untreated dental infections and decay, which negatively affect an individual's quality of life ( 5 , 6 ). Moreover, dental anxiety in childhood can lead to dental anxiety and fears in adulthood, which has long-lasting effects on health later in life ( 7 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Parental preferences for the procedural sedation of children in dentistry: a discrete choice experiment

Zhuge,

Zheng,

et al. 2023

Front. Pediatr.

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PurposeThe aim of this study was to explore parental preferences for the procedural sedation of children in dentistry through a discrete choice experiment (DCE) to inform clinical decisions and oral health management.MethodsBased on literature reviews, interviews with parents of pediatric dental patients, and expert consultation, six attributes, including fasting time, recovery time, sedative administration routes, adverse reactions, sedation depth and procedure cost, were incorporated into the DCE questionnaire. The DCE questionnaire collected data on parental preferences for pediatric dental sedation treatment from June to August 2022. A conditional logit model was used to analyze preference and willingness to pay (WTP) for each attribute and its level. Subgroup analyses assessing the impact of parents' dental anxiety on procedural sedation preferences were also conducted using conditional logit models.ResultsA total of 186 valid questionnaires were gathered. Parents' preferences for fewer adverse reactions, a milder sedation depth, lower out-of-pocket cost, shorter fasting and recovery times and administration by inhalation were significantly associated with their choice of sedation model. The conditional logit model showed that parents were most interested in treatments with no adverse reactions (0% vs. 15%) (Coef, 1.033; 95% CI, 0.833–1.233), followed by those providing minimal sedation (vs. deep sedation) (Coef, 0.609; 95% CI, 0.448–0.769). Moreover, the relative importance of adverse reactions and fasting time was higher among anxious than nonanxious parents. The study found a WTP threshold of ¥1,538 for reducing adverse reactions (15% to 0%). The WTP threshold for the best sedation procedure scenario (no fasting requirement, 10 min recovery time, administration by inhalation, 0% adverse reaction incidence and minimal sedation) was ¥3,830.ConclusionReducing the adverse reactions and depth of sedation are predominant considerations for parents regarding procedural sedation in pediatric dentistry, followed by lower cost, shorter fasting and recovery times and inhalation sedation. Parents with dental anxiety had a stronger preference for options with a lower incidence of adverse reactions and shorter fasting time than parents without dental anxiety. This discovery is helpful for doctors and can promote collaborative decision-making among parents and doctors.

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“…Nos países em desenvolvimento, ainda são poucas as informações a respeito da prevalência de ansiedade odontológica, da qualidade de vida relacionada à saúde bucal e da influência que a ansiedade odontológica exerce sobre a qualidade de vida 12 . Resultados prévios demonstram que, em geral, a ansiedade influencia na qualidade de vida 11,30,31 , com impacto nos domínios desconforto psicológico, incapacidade física, psicológica e desvantagem/incapacidade social 32 . Pessoas com alto nível de ansiedade chegam a ter duas vezes mais chances de apresentar uma pior qualidade de vida relacionada à saúde bucal do que aqueles com baixa ansiedade 12,13 .…”

Section: Discussionunclassified

“…Altos níveis de ansiedade odontológica estão associados a piores condições bucais 30,31 , já que muitas gestantes evitam as consultas odontológicas por sentirem-se ansiosas em relação ao tratamento dentário 33 . O alto nível de ansiedade entre as gestantes pode estar relacionado ao próprio período gestacional e ao estado emocional peculiar da gravidez 22 .…”

Section: Discussionunclassified

“…Anexo A-Aprovação do Comitê de Ética. 28,3 (6,3) Sem informação 8 (2,4) Idade gestacional 25,7(9,4) Sem informação 11 (3,3) Filho svivos 1,1 (1,0) Sem informação 46 (14,1) Primeira gestação n(%) Sim 99 (30,3) Não 207 63,4Sem informação 20 (7,9) Situação conjugal n(%) Solteira 65 (19,9) União estável 157 48,1Outros 94 (28,8) Sem informação 10(3,0)…”

Section: Anexosunclassified

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Ansiedade odontológica e qualidade de vida em gestantes: existe relação com a qualidade de vida relacionada à saúde bucal?

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The impact of dental anxiety on the oral health of children aged 5 and 8 years: a regression analysis of the Child Dental Health Survey 2013

Cited by 12 publications

References 22 publications

Effectiveness of thaumaturgic distraction in alleviation of anxiety in 4–6-year-old children during inferior alveolar nerve block administration: a randomized controlled trial

Effectiveness of thaumaturgic distraction in alleviation of anxiety in 4–6-year-old children during inferior alveolar nerve block administration: a randomized controlled trial

Parental preferences for the procedural sedation of children in dentistry: a discrete choice experiment

Ansiedade odontológica e qualidade de vida em gestantes: existe relação com a qualidade de vida relacionada à saúde bucal?

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