Children’s dental anxiety (self and proxy reported) and its association with dental behaviour in a postgraduate dental hospital

AlGharebi, S; Halabi, Manal Al; Kowash, Mawlood; Khamis, Amar Hassan; Hussein, Iyad

doi:10.1007/s40368-020-00517-x

Cited by 9 publications

(7 citation statements)

References 42 publications

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“…A high level of dental anxiety of around 22% of children in the Arabian region has been reported (Alshoraim et al 2018 ; AlGharebi et al 2020 ). Desensitising, modelling and CBT techniques are thus useful techniques in the management of anxious children and those with specific dental phobias (Stokes and Kennedy 1980 ; Campbell et al 2011 ; Gomes et al 2018 ).…”

Section: Discussionmentioning

confidence: 99%

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

Nazzal

Shahawy

Al-Jundi

et al. 2020

Eur Arch Paediatr Dent

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Purpose The purposes of this study were to investigate paediatric dental practitioners’ training and confidence in using dental behaviour management techniques in the Arabian region and to assess the factors influencing the application of advanced behaviour management techniques. Methods: An online questionnaire was distributed to paediatric dental practitioners in the Arabian region. Data were analysed using descriptive statistics and Pearson Chi Square. Results A total of 113 responses were obtained. Of these, the majority were from Egypt (45%, n = 51). Just over half of the respondents were registered as specialists at the country where they were practicing paediatric dentistry (53%, n = 60). The use of behaviour management techniques varied amongst participants with tell-show-do (95%, n = 107) and positive reinforcement (89%, n = 101) being the most routinely used techniques. The majority of participants reported using voice control (83%) and parental separation (68%) techniques. Hand over mouth exercise (HOME) was only used by 24% (n = 27) of participants, whilst just over half of the participants, 53%, reported using protective stabilisation. A significant association was shown between country of practice, country of obtaining paediatric dental training, speciality status and the use of advanced behaviour management techniques, whilst confidence in using HOME and sedation were associated with work setting and country of practice, respectively. Conclusion The use of advanced behaviour management techniques was found to be high amongst respondents in the Arabian region. The lack of training in using these techniques, however, is of concern. Further assessment of the factors affecting the use of and confidence in applying advanced behaviour management techniques in the Arabian region is needed.

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Section: Discussionmentioning

confidence: 99%

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

Nazzal

Shahawy

Al-Jundi

et al. 2020

Eur Arch Paediatr Dent

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“…Twenty-eight articles explored the relationship between dental behavior management problems (DBMPs) and DFA ( n = 26 pediatric, n = 2 adult). In children, DBMPs were found to be significantly associated with high DFA in both retrospective [ 41 , 50 , 177 , 178 , 179 , 180 , 181 ] and prospective studies [ 9 , 10 , 52 , 114 , 145 , 146 , 157 , 182 , 183 , 184 , 185 , 186 , 187 , 188 , 189 , 190 , 191 ]. One study found that over 75% of children with high DFA had a history of DBMP [ 192 ], and another reported that dentally anxious children were almost 2.5 times more likely to behave negatively during care [ 9 ].…”

Section: Resultsmentioning

confidence: 99%

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Duker

Grager²,

Giffin

et al. 2022

IJERPH

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Dental fear and anxiety (DFA) is common across the lifespan and represents a barrier to proper oral health behaviors and outcomes. The aim of this study is to present a conceptual model of the relationships between DFA, general anxiety/fear, sensory over-responsivity (SOR), and/or oral health behaviors and outcomes. Two rounds of literature searches were performed using the PubMed database. Included articles examined DFA, general anxiety/fear, SOR, catastrophizing, and/or oral health behaviors and outcomes in typically developing populations across the lifespan. The relationships between the constructs were recorded and organized into a conceptual model. A total of 188 articles were included. The results provided supporting evidence for relationships between DFA and all other constructs included in the model (general anxiety/fear, SOR, poor oral health, irregular dental attendance, dental behavior management problems [DBMP], and need for treatment with pharmacological methods). Additionally, SOR was associated with general anxiety/fear and DBMP; general anxiety/fear was linked to poor oral health, irregular attendance, and DBMP. This model provides a comprehensive view of the relationships between person factors (e.g., general anxiety/fear, SOR, and DFA) and oral health behaviors and outcomes. This is valuable in order to highlight connections between constructs that may be targeted in the development of new interventions to improve oral health behaviors and outcomes as well as the experience of DFA.

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“…13,14 Desensitization, cognitive restructuring and latent inhibition are useful techniques in the management of anxious children and those with specific dental phobias. 15 The specific indications, preparation and time consumption required for such techniques are likely reasons for the low frequency of use reported in the current and a previous study. 12 These techniques usually involve multiple patient contacts which systematically help children overcome their fear or phobias, and multiple sessions prior to dental appointment.…”

Section: Discussionmentioning

confidence: 73%

Knowledge and attitudes of dental practitioners regarding the use of behaviour management techniques for paediatric dental patients

Shindova¹

2022

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Introduction: Understanding children’s behaviour and development is crucial in managing and treating paediatric dental patients. Dental practitioners are expected to be aware of the behaviour management techniques which will facilitate routine dental treatment of the child dental patient. Aim: The objective of the study was to investigate dental practitioners’ awareness and use of non-pharmacological behaviour management techniques in attending paediatric dental patients in Plovdiv, Bulgaria. Materials and methods: An anonymous, self-completed mailed survey was sent to 200 dentists. The recorded information included items on awareness and frequency of using different non-pharmacological behaviour management techniques, socio-demographic questions, working experience, specialty status. Results: Survey response was 59% and 118 dental practitioners participated in the study. Tell-show-do, positive reinforcement, and stop signals were considered the most used techniques by more than 50% of participants. Less than 7% of the respondents reported the use of desensitization, cognitive restructuring, and latent inhibition. Conclusions: Most of the dental practitioners had a medium level of awareness of the non-pharmacological behaviour management techniques. The lack of training in using these techniques, however, is of concern. There is a need to build awareness among the dentists associated with the child psychology and its application during treatment.

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Children’s dental anxiety (self and proxy reported) and its association with dental behaviour in a postgraduate dental hospital

Cited by 9 publications

References 42 publications

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Knowledge and attitudes of dental practitioners regarding the use of behaviour management techniques for paediatric dental patients

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