Factors associated with paediatric dentists’ perception of dental pain in pre‐schoolers: a mixed‐methods study

Daher, Anelise; Costa, Márcia Rosa da; Costa, Luciane Rezende

doi:10.1111/ipd.12099

Cited by 7 publications

(7 citation statements)

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“…Thus, the focus group methodology enabled important in-depth understanding of the relevance of dental pain as perceived by health professionals with extensive experience caring for the target population [ 29 ]. Another exploration of Brazilian pediatric dentists’ perceptions about dental pain in preschoolers showed the need of a validated instrument to systematically assess dental pain in this age group [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…Item equivalence was assessed in the same focus group. Five Brazilian pediatric dentists (purposive sampling) invited to participate in the focus group discussed their perceptions about preschoolers’ dental pain [ 23 ] and about the relevance and acceptability of each DDQ item (Table 1 ). Participants were asked to comment on each item of the DDQ for its relevance for use in Brazil using the following responses: relevant; relevant, but needing minor modifications; little relevance; or not relevant.…”

Section: Methodsmentioning

confidence: 99%

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The cross-cultural process of adapting observational tools for pediatric pain assessment: the case of the Dental Discomfort Questionnaire

2014

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BackgroundA rigorous cross-cultural adaptation process of an existing instrument could be the best option for measuring health in different cultures, instead of developing a new tool, and prior to psychometric and validation testing. The Dental Discomfort Questionnaire (DDQ), a validated instrument for assessing toothache in young children, has not been cross-culturally adapted so far. This study aimed to explore the detailed phases of the cross-cultural adaptation process of a pain assessment tool, presenting the example of the DDQ Brazilian-Portuguese adapted version.MethodsThe study design was based on the universalist approach, which consists of a sequential analysis to assess the relevant phases of a cross-cultural process before testing the measures of the instrument: conceptual, item, semantic, and operational equivalences. Systematic information was gathered from the literature, expert discussions, translations, and pre-testing through cognitive interviews with Brazilian population.ResultsDetailed description of the three major phases for a cross-cultural adaptation process was given. Notes of the changes done in the structure of the presented instrument (DDQ) were specifically pointed out at each phase. Conceptual and item analyses showed that there are similarities in the DDQ construct between the original and Brazilian cultures that require minor modifications. Translations and back-translations allowed the development of the preliminary Brazilian-Portuguese version of the DDQ, which was tested and underwent other minor changes to improve its comprehensibility.ConclusionsDescribing the phases was important to show how changes are made in a cross-cultural adaptation process of an instrument. This also could help researchers in adapting similar pediatric pain assessment tools to different cultures. A Brazilian-Portuguese version of the DDQ was presented.Electronic supplementary materialThe online version of this article (doi:10.1186/1756-0500-7-897) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The cross-cultural process of adapting observational tools for pediatric pain assessment: the case of the Dental Discomfort Questionnaire

2014

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“…This is in contrast to the study done by Daher et al who stated that parents most often recognize the dental pain. 16 Assessing the dental pain during treatment in pediatric patients has a strong impact on the quality of life of children. 24 In this study, most of the dentists (63%) felt that dental pain in children will sometimes have an effect on their quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…The study done by Daher et al, a survey evaluating the pediatric dentists’ perception of pain, reported that the pain perception depends on their knowledge and experience in treating the children. 16 Knowledge about the children's pain perception levels among the undergraduate students and general dentist is lacking. So, this cross-sectional study aims to assess the knowledge, attitude, and practice among general dentists with less experience in treating children regarding perception of dental pain to assess whether they feel prepared to identify the dental pain.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practice amongst General Dentists Regarding Dental Pain Perception in Children

Subramanyam¹,

Gurunathan

2020

International Journal of Clinical Pediatric Dentistry

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Aim The objective of this study was to evaluate the knowledge, attitude, and practice among general dentists regarding perception of dental pain in children. Materials and methods A cross-sectional study was conducted among 208 general dentists in a dental hospital in Chennai. A self-constructed questionnaire was distributed to the dental practitioners, which comprised 23 closed-ended questions. The data were entered and analyzed for frequency and percentages by using Statistical Package for the Social Sciences (SPSS), version 21. Results Results showed that most of the dentists (46%) treated less than five children per week and were having less than 2 years of experience (47%). Seventy one percent of the dentists felt that they did not feel prepared to identify a child with dental pain, and 57% of the dentists had less than two years of experience Conclusion Most of the dentists did not feel prepared to identify the children with dental pain. Measures should be introduced to train the general dental practitioners in identifying pain perception in children so as to achieve effective behavior management of children. How to cite this article Subramanyam D, Gurunathan D. Knowledge, Attitude, and Practice amongst General Dentists Regarding Dental Pain Perception in Children. Int J Clin Pediatr Dent 2020;13(3):207–210.

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“…A study has shown that the dentist is often not qualified to recognize dental pain in the child (DAHER; COSTA; COSTA, 2014) and, thus, the use of nonpainful procedures combined with attitudes that minimize the anxiety or phobia that the child experiences when undergoing dental work, may help with the management of this patient in the dental consulting room, establishing a satisfactory relationship between patient and professional with adherence to future dental treatment .…”

Section: Introductionmentioning

confidence: 99%

Pain and anxiety in children receiving atraumatic and conventional restorative dental treatment - a randomized clinical study

Tavares¹,

Zanin²,

Flório³

2018

Biosci. J.

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ABSTRACT:The aim of this study was to assess previous anxiety and pain perceived by children while receiving atraumatic restorative treatment (ART) and conventional restorative treatment (CT). Seventy-nine children, aged between 5 and 8, who had at least two decayed deciduous molars, were selected. Each child agreed to the two kinds of treatment dispensed, one for each tooth and one for each treatment appointment, at random. The sample was distributed into two groups: Group 1 (G1) -children were submitted to CT in the first appointment and to ART in the second appointment -and; Group 2 (G2) -children were submitted to ART in the first appointment and to CT in the next appointment. The children reported dental anxiety before receiving the treatment and intensity of pain after the procedures, using the Facial Image Scale (FIS) and the Wong-Baker FACES ® Pain Rating Scale, respectively. The heart rate was also measured before and during the procedures. The results demonstrated that anxiety (heart rate and FIS scale) exhibited a statistical difference in G1 (p <0.05), however, there was no difference between the groups when ART was performed first (p >0.05). Children subjected to CT experienced higher levels of pain than those who were subjected to ART, regardless of the order of treatment (p <0.001). It was concluded, therefore, that ART possibly caused lower levels of pain in 5 to 8-year-old children when compared to CT, however, it did not reduce prior anxiety levels in the second session, using CT.

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Factors associated with paediatric dentists’ perception of dental pain in pre‐schoolers: a mixed‐methods study

Abstract: Noticing dental pain in pre-schoolers was associated with specialists' experience and the need for visible signs; dentists do not always feel completely prepared to recognise pain in pre-schoolers.

Cited by 7 publications

References 20 publications

The cross-cultural process of adapting observational tools for pediatric pain assessment: the case of the Dental Discomfort Questionnaire

The cross-cultural process of adapting observational tools for pediatric pain assessment: the case of the Dental Discomfort Questionnaire

Knowledge, Attitude, and Practice amongst General Dentists Regarding Dental Pain Perception in Children

Pain and anxiety in children receiving atraumatic and conventional restorative dental treatment - a randomized clinical study

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