Different Treatment Approaches in Different Cultures and Health‐Care Systems

Milgrom, Peter; Heaton, Lisa J.; Newton, Tim

doi:10.1002/9781118499825.ch13

Cited by 2 publications

(2 citation statements)

References 47 publications

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“…This is augmented with capacity issues experienced by these types of programs, which often see demand out-pace supply [5]. Appropriately assigning a type of sedation to each patient's treatment plan is imperative in order to avoid losing an appointment and maximizing the patient experience [6,7].…”

Section: Introductionmentioning

confidence: 99%

Analysis of parental factors and parent-child communication with pediatric patients referred for nitrous oxide administration in a rural community health center setting

Boynes¹,

Abdulwahab²,

Kershner³

et al. 2014

Oral Biol Dent

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Objectives: The aim of this study was to identify and quantify likeness and difference in parent response to anxiety scale, dental knowledge, parent-child communication, and parental dental history. The objective is to determine if relationships exist with these parameters and the need for analgesia and/or sedation in their children. Methods: A survey-based quality analysis was performed between June 2012 and May 2013 on 126 consecutive parents/guardians of children receiving nitrous oxide administration during dental care within CareSouth Carolina's Division of Dental Medicine Pediatric Dental Clinic (CSCDM). Results: A total of 126 questionnaires were completed by the legal guardians of pediatric patients seen for dental care during the administration of nitrous oxide. The mean Corah's Anxiety Scale score corresponds to moderate anxiety. The mean score for the dental knowledge quiz was 2.98±1.13 out of 5 (59.6%). The majority of parents responded that they discussed a previous dental visit with their child and 41.1% described that visit to their child with negative connotations. A total of 50% of parents reported having a bad dental experience. Conclusions: The results revealed a shared anxiety with dental care. Pediatric anxiety and fear of dental care is multifactorial and the parents have a significant role in its development. Parents of patients that required referral for a deeper form of sedation may have higher anxiety scores, lower dental knowledge scores, and be more likely to describe a previous dental visit as negative. The communication process between the child-patient and parent can include negative connotations.

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Section: Introductionmentioning

confidence: 99%

Analysis of parental factors and parent-child communication with pediatric patients referred for nitrous oxide administration in a rural community health center setting

Boynes¹,

Abdulwahab²,

Kershner³

et al. 2014

Oral Biol Dent

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show abstract

“…Furthermore, it is not due to lack of impact, as dental fear has demonstrable impacts on public health. As summarized by the US Surgeon General’s report (US Department of Health and Human Services 2000, p. iii), dental fear leads to “needless pain and suffering, causing devastating complications to an individual’s well-being, with financial and social costs that significantly diminish quality of life and burden American society.” Finally, it is not due to competing evidence-based standard practice, as standard treatment involves receiving intravenous (IV) sedation or anxiolytics (e.g., Milgrom et al 2013), both of which are contraindicated because they do nothing to reduce subsequent anxiety or treatment avoidance (e.g., Wannemueller et al 2011), lead to continued dental health problems (Jöhren et al 2000; Thom et al 2000; Raadal 2013), and perpetuate a pattern of patient fear → avoidance → dental problems. Clearly, the challenge at present is not how to treat dental fear to reduce the financial and human suffering burden to public health but how to disseminate and implement EBIs in a way that recognizes the rewards and barriers in the US health care system.…”

mentioning

confidence: 99%

Dentist-Perceived Barriers and Attractors to Cognitive-Behavioral Treatment Provided by Mental Health Providers in Dental Practices

et al. 2018

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Over 1 in 5 dental patients report moderate to severe dental fear. Although the efficacy of cognitive-behavioral treatment (CBT) for dental fear has been examined in over 20 randomized controlled trials-with 2 meta-analyses finding strong average effect sizes ( d > 1)-CBT has received almost no dissemination beyond the specialty clinics that tested it. The challenge, then, is not how to treat dental fear but how to disseminate and implement such an evidence-based treatment in a way that recognizes the rewards and barriers in the US health care system. This mixed-method study investigated the potential of disseminating CBT through care from a mental health provider from within the dental home, a practice known as evidence-based collaborative care (EBCC). Two preadoption studies were conducted with practicing dentists drawn from a self-organized Practice-Based Research Network in the New York City metropolitan area. The first comprised 3 focus groups ( N = 17), and the second involved the administration of a survey ( N = 46). Focus group participants agreed that CBT for dental fear is worthy of consideration but identified several concerns regarding its appeal, feasibility, and application in community dental practices. Survey participants indicated endorsement of factors promoting the use of EBCC as a mechanism for CBT dissemination, with no factors receiving less than 50% support. Taken together, these findings indicate that EBCC may be a useful framework through which an evidence-based treatment for dental fear treatment can be delivered.

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Different Treatment Approaches in Different Cultures and Health‐Care Systems

Cited by 2 publications

References 47 publications

Analysis of parental factors and parent-child communication with pediatric patients referred for nitrous oxide administration in a rural community health center setting

Analysis of parental factors and parent-child communication with pediatric patients referred for nitrous oxide administration in a rural community health center setting

Dentist-Perceived Barriers and Attractors to Cognitive-Behavioral Treatment Provided by Mental Health Providers in Dental Practices

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