Behavioral changes in preschoolers treated with/without rotary instruments

Abstract

Background:Behavioral dentistry is an interdisciplinary science which needs to be learned, practiced, and reinforced in order to provide quality dental care in children.Aim:To assess the anxiety experienced during dental treatment in preschool children with/without rotary instruments using behavioral scale.Study and Design:Sixty pediatric patients of preschool age with bilateral occlusal carious lesions extending into dentin were selected for the study. Carious lesions were removed using conventional rotary instruments on one side and Papacarie – chemomechanical caries removal of approach on contra lateral side. Both cavities were restored with glass ionomer cement (Fuji IX). Anxiety scores were determined using ‘Modified Child Dental Anxiety Scale’ (Wong et al, 1998) during the various clinical stages of the treatment course.Results:Children experienced relaxed behavior when subjected to Papacarie method of caries removal compared to conventional method using rotary instruments.Conclusion:This study helped us to provide behavioral measures and introduce children to dentistry in a nonthreatening setting.

Effects of Papacarie on children with dental caries in primary teeth: a systematic review and meta‐analysis

“…Pain perception is a very subjective judge, and various scales have been used to record the children's feeling after caries removal. Pain perceptions were recorded by Wong‐Baker‐FACES (WBF) scores using the WSF Pain Rating Scale before and after different treatment methods in the included studies. Three studies were included in the present research, and the quality analysis shows that among the three studies, two had a low risk of bias, and the other one study had a moderate risk of bias, thus, the included data are reliable.…”

“…Among the included studies, five trials discussed the change in bacteria in the caries lesion, and two trials were excluded in the meta‐analysis for a lack of mean and SD data. In addition, 10 trials assessed the outcomes of pain perception before and after different caries removal methods; nevertheless, the scales used in these trials differ considerably. Only three trials used the Wong‐Baker‐Face Pain Scale (WBF) to evaluate pain perception and were remained eligible.…”

“…In addition, 10 trials assessed the outcomes of pain perception before and after different caries removal methods; nevertheless, the scales used in these trials differ considerably. Only three trials used the Wong‐Baker‐Face Pain Scale (WBF) to evaluate pain perception and were remained eligible. And seven trials with complete mean and SD data of time‐consumption were included in the meta‐analysis.…”

Development of a new Colombian product, effective for the treatment of carious lesions: a case study

“…This mechanical, chemical method avoids the use of rotary instruments with strawberries and the application of local anesthesia are considered critical procedures, since they can cause fear and anxiety due to unpleasant experiences associated with the use of the needle and fear of the unknown [27,28], with the advantage of a better acceptance for the treatment of the patient.…”

Comparison of Two Aerosol-Free Caries Removal Methods - A Split Mouth Randomized Clinical Trial

“…4 Pain, heat, and pressure felt during treatment with traditional methods can cause dental anxiety, especially in paediatric patients, and the persistence of this anxiety may cause people to avoid dental treatment in adulthood. 5 Contemporary restorative dentistry has moved away from the traditional, surgical method of managing dental caries based on the operative concepts of G.V. Black of more than a century ago and towards a 'minimally invasive' approach.…”