1
|
Karaca S, Şirinoğlu Capan B. The effect of parental presence on the anxiety during first dental treatment in children. Acta Odontol Scand 2024; 83:38-41. [PMID: 37749895 DOI: 10.1080/00016357.2023.2262019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 08/28/2023] [Accepted: 09/18/2023] [Indexed: 09/27/2023]
Abstract
OBJECTIVE The aim of this study was to evaluate the effect of parental presence on dental anxiety in children during dental treatments. MATERIALS AND METHODS The study was conducted with 194 children between January-April, 2020. The children were randomly divided into two subgroups. Children in group-I were treated in parent's presence (pp), and in group-II in parent's absence (pa). The Wong-Baker FACES Pain Rating Scale (WBFPS) and The Modified Dental Anxiety Scale (MDAS) were used for subjective measurements, whereas the objective measurement was performed by measuring the heart rate. RESULTS The mean age of 194 children was 6.26 ± 1.15 years, ranging from 5-8 years of age. The mean MDAS score of all children was 15.1 ± 4.72. No significant correlations were found in terms of dental anxiety between the children's gender and age with heart rate, WBFPS and MDAS scores. Preoperative WBFPSscores (6.83 ± 1.04 pp and 7.01 ± 0.93 pa) were higher than postoperative scores (5.34 ± 2.11 pp and 5.74 ± 2.04 pa), with no statistically significant difference. Although there was no statistically significant results, the paediatric dentist observed a deterioration in the children's behavior throughout the sessions in group-II compared to children in group-I. CONCLUSIONS Parental presence has no statistically significant effect on dental anxiety in children during dental treatments.
Collapse
Affiliation(s)
- Serhat Karaca
- Faculty of Dentistry, Department of Pediatric Dentistry, Erzincan Binali Yıldırım University, Erzincan, Turkey
| | - Belen Şirinoğlu Capan
- Faculty of Dentistry, Department of Pediatric Dentistry, Istanbul University-Cerrahpasa, Istanbul, Turkey.
| |
Collapse
|
2
|
Alkharafi L, Mokhtar A, Burezq H, Almerjan D, Dashti G, Almutalaqem R, Alshammari A, Alhasawi S, Alqatami F, Geevarghese A. Seasonal, Geographic, and Ethnic Influence on the Prevalence of Orofacial Clefts in Kuwait: A Nationwide Study. Cleft Palate Craniofac J 2023:10556656231163023. [PMID: 36945783 DOI: 10.1177/10556656231163023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023] Open
Abstract
OBJECTIVE Accurate nationwide epidemiological evidence is vital to study the seasonal, geographic, and ethnic influence on the trends of orofacial cleft prevalence in Kuwait. DESIGN Data obtained from the National Center for Health Information and Ministry of Health Hospital digital records were reviewed retrospectively to identify patients with orofacial clefts (OFC) using the ICD-10 diagnostic codes. The Jonckheere-Terpstra test was used to assess the trend of birth prevalence across the different years. The associations of types of OFC with ethnic and geographic influences were tested with chi-square or Fisher's exact tests, while the strength of that association was tested with multi-nominal logistic regression. RESULTS Birth prevalence in Kuwait ranged from 0.75-2.55 per 1000 live births (0.73- 2.73 among Kuwaitis, 0.60-3.27 among non-Kuwaitis), with no statistically significant change observed during the past 28 years. The risk of unilateral cleft lip and palate was eight times higher during summer compared to Autumn, while the risk of cleft lip and palate remained lower during winter. Jahra (OR-7.76, CI- 1.51-39.80), Farwaneya (OR-6.65, CI- 1.34-33.06), and Hawalli (OR-6.72, CI- 1.26-35.98) governorates had higher odds of bilateral cleft lip when compared to Mubarak Alkabeer. CONCLUSIONS The study outcome is an indicator to improve patient care and customize healthcare infrastructure in the Ministry of Health. It also provides insight to develop projections of future needs. Future studies should focus on understanding the factors that might be a potential contributor to the seasonal change observed in the prevalence of OFC.
Collapse
Affiliation(s)
- Lateefa Alkharafi
- Department of Orthodontics, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Ashraf Mokhtar
- Department of Orthodontics, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Hisham Burezq
- Department of Plastic Surgery, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Deemah Almerjan
- Department of Dentistry, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Ghaidaa Dashti
- Department of Dentistry, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Reem Almutalaqem
- Department of Dentistry, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Aminah Alshammari
- Department of Dentistry, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Saud Alhasawi
- Department of Orthodontics, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Fawzi Alqatami
- Department of Orthodontics, 62799Ministry of Health, Sulaibikhat, Kuwait
| | - Amrita Geevarghese
- Kuwait Institute for Medical Specializations, 62799Ministry of Health, Sulaibikhat, Kuwait
| |
Collapse
|
3
|
Yigit T, Gucyetmez Topal B, Ozgocmen E. The effect of parental presence and dental anxiety on children's fear during dental procedures: A randomized trial. Clin Child Psychol Psychiatry 2022; 27:1234-1245. [PMID: 35038278 DOI: 10.1177/13591045211067556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: To evaluate the effect of anxiety of parent accompanying child on child's anxiety during treatment. Methods: The study included two groups: one group with 80 children whose parents were anxious, and the other group with 80 children with non-anxious parents, totaling 160 children. Each group was further randomized into subgroups, with and without parents accompanying their children. The children's heart rates were measured using a portable pulse oximeter during the treatment. The child's perception was measured using the Wong-Baker Faces Rating Scale, and another pediatric dentist rated child's behavior using the Frankl scale based on the treatment video that was limited to the child's appearance. Results: The highest pulse rates were observed in children accompanied by an anxious parent (p < .001). Values on the Wong-Baker scale did not differ according to parental anxiety and parental presence (p > .05). According to the dentist, the presence of parents negatively affected the anxiety of the child (p = .025), while the effect of parents' anxiety was not statistically significant (p = .514). Conclusions: The anxiety of parent accompanying the child affects child's anxiety. Parents with high anxiety appeared to negatively affect their children's behavior.
Collapse
Affiliation(s)
- Tugba Yigit
- Faculty of Dentistry, Department of Pediatric Dentistry, 175652Usak University, Usak, Turkey
| | - Burcu Gucyetmez Topal
- Faculty of Dentistry, Department of Pediatric Dentistry, 534521Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
| | - Esra Ozgocmen
- Faculty of Dentistry, Department of Pediatric Dentistry, 175652Usak University, Usak, Turkey
| |
Collapse
|
4
|
Behavior Guidance and Communicative Management. Pediatr Dent 2022. [DOI: 10.1007/978-3-030-78003-6_5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
5
|
AlDhelai TA, Khalil AM, Elhamouly Y, Dowidar KML. Influence of active versus passive parental presence on the behavior of preschoolers with different intelligence levels in the dental operatory: a randomized controlled clinical trial. BMC Oral Health 2021; 21:420. [PMID: 34454468 PMCID: PMC8401033 DOI: 10.1186/s12903-021-01781-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 08/12/2021] [Indexed: 11/27/2022] Open
Abstract
Background Dental fear and anxiety still pose the most common factors proposed for the child’s negative behavior in the dental operatory. Intelligence has an impact on the children’s communication, feelings, and responsiveness to dental situations. The benefits of parental presence on reinforcing the child’s behavior during dental treatment are still debatable. This study aimed to assess the effect of parental active versus parental passive presence techniques on the overall behavior of preschool children with different intelligence levels.
Methods This randomized controlled trial was conducted from December 2017 to August 2019. It recruited 150 healthy children, 3–6-year-old, with no history of previous dental pain/treatment, and intelligence quotient level of 70– ≤ 110 stratified into 3 equal groups (high, average, low). In the first visit, each IQ group was randomly divided into test (PAP) and control (PPP) groups. In the second visit, dental fear was assessed before preventive intervention, the test groups were then managed using parental active presence technique, while the control groups were managed using parental passive presence technique. The overall behavior was assessed at the end of the visit. Data was analyzed using Chi-square test and logistic regression analysis. Results The parental active presence technique had significant effect on children with high and low intelligence quotients. There were significantly higher odds of positive behavior in high than low intelligence quotient children, (OR 4.08, 95% CI 1.43, 11.67, P = 0.01). The parental active presence technique had significantly higher odds of positive behavior than the parental passive presence technique, (OR 4.08, 95% CI 1.71, 9.76, P = 0.002). Conclusions The parental active presence technique had positively influenced the children’s overall behavior irrespective of their intelligence levels. This trial was retrospectively registered, trial identifier number: NCT04580316, 8/11/2020. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-021-01781-z.
Collapse
Affiliation(s)
- Thiyezen Abdullah AlDhelai
- Department of Orthodontics and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
| | - Amani Mohamed Khalil
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Yasmine Elhamouly
- Pediatric and Community Dentistry Department, Faculty of Dentistry, Pharos University in Alexandria, Alexandria, Egypt
| | - Karin M L Dowidar
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| |
Collapse
|
6
|
Passos De Luca M, Massignan C, Bolan M, Butini Oliveira L, Aydinoz S, Dick B, De Luca Canto G. Does the presence of parents in the dental operatory room influence children's behaviour, anxiety and fear during their dental treatment? A systematic review. Int J Paediatr Dent 2021; 31:318-336. [PMID: 33258144 DOI: 10.1111/ipd.12762] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 10/11/2020] [Accepted: 11/25/2020] [Indexed: 12/29/2022]
Abstract
BACKGROUND The presence of parents during the dental appointment can affect the child's behaviour and, consequently, the success of the treatment. AIM This systematic review aimed to evaluate whether parents' presence in the operatory room influences children's behaviour, anxiety and fear during dental treatment. DESIGN EMBASE, Cochrane Library, LILACS, PubMed, PsycINFO, Scopus, Web of Science, Google Scholar, OpenGrey and ProQuest Dissertations and Theses Databases were searched. Randomized and non-randomized clinical trials in which some measure assessing children's behaviour and/or anxiety and fear during dental treatment with the presence and absence of parents were included. Two reviewers assessed studies for selection, extracted data, evaluated bias (Joanna Briggs Institute) and graded the certainty of evidence (Grading of Recommendations, Assessment, Development and Evaluation). Random-effects meta-analyses using mean difference (MD) and narrative synthesis were performed. RESULTS A total of 2846 papers were identified, and after a 2-phase selection, sixteen studies were included (five in meta-analyses). There was no difference in children's behaviour in the presence or absence of parents (P = .23, P = .40, P = .60 and P = .89, respectively). The presence or absence of parents did not influence children's anxiety (P = .94 and P = .97) or fear (DM: -0.08; CI:-0.34-0.19, P = .24). All included studies presented a high risk of bias, and the certainty of evidence was considered to be very low. CONCLUSION It is concluded that parents' presence in the operation room does not influence children's (up to 12 years old) behaviour, anxiety and fear during dental treatment with very low certainty of evidence. Methodological limitations of included studies, however, suggest that better designed trials are needed to adequately understand this issue.
Collapse
Affiliation(s)
| | - Carla Massignan
- Faculdade de Ciências da Saúde, Brasília, Distrito Federal, Brazil
| | - Michele Bolan
- Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | | | - Bruce Dick
- Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, Canada
| | | |
Collapse
|
7
|
Van Dyck J, Begnoni G, Willems G, Laenen A, Thevissen P, Verdonck A, Cadenas de Llano-Pérula M. Dental development in patients with and without unilateral cleft lip and palate (UCLP): a case control study. Clin Oral Investig 2020; 25:2619-2631. [PMID: 32914272 DOI: 10.1007/s00784-020-03573-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 09/03/2020] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To evaluate if the presence of unilateral cleft lip and palate (UCLP) causes delay in dental age and tooth development. MATERIALS AND METHODS Panoramic radiographs of 189 non-syndromic UCLP patients, aged from 6 to 20 years, were collected. Two measures of tooth development were examined: dental maturity scale for the seven left mandibular teeth (dental age-DA) and the degree of each tooth development (developmental score-DS). All the teeth except third molars were staged according to the Demirjian's method. The data of the cleft group were compared with a control group matched for age and gender, based on the findings observed in other 189 panoramic radiographs. RESULTS At all ages, DA was lower in the UCLP group, but not always significantly; the highest difference was - 1.411 for females at 13 years old and - 0.776 for males at 12 years old. DS of all teeth was significantly lower in the UCLP group, at all ages under 17 in females, and at all ages under 18 in males. In UCLP group, tooth development was more delayed in the maxilla compared with the mandible. No evidence of a slower development at the cleft side compared with the non-cleft side was highlighted. CONCLUSIONS Significant lower dental development was observed in UCLP patients compared with control ones by using DS and DA indexes. CLINICAL RELEVANCE These findings can help the clinicians in establishing a proper orthodontic and surgical diagnosis and treatment planning in UCLP patients and for forensic age estimation's purposes.
Collapse
Affiliation(s)
- Julie Van Dyck
- Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium
| | - Giacomo Begnoni
- Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium
| | - Guy Willems
- Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium
| | - Annouschka Laenen
- Interuniversity Institute for Biostatistics and statistical Bioinformatics, KU Leuven and University Hasselt, Kapucijnenvoer 35, 3000, Leuven, Belgium
| | - Patrick Thevissen
- Department of Imaging and Pathology, KU Leuven, Herestraat 49, 3000, Leuven, Belgium
| | - Anna Verdonck
- Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium
| | - Maria Cadenas de Llano-Pérula
- Department of Oral Health Sciences-Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium.
| |
Collapse
|
8
|
Kimbrough SB, Parris WG, Williams RA, Harris EF. A Retrospective Mixed Longitudinal Study of Tooth Formation in Children With Clefts. Cleft Palate Craniofac J 2020; 57:938-947. [PMID: 32052656 DOI: 10.1177/1055665620903186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To test for systematic age changes in cleft children based on dental age. DESIGN Retrospective case-control longitudinal study. SETTING One orthodontic solo practice. PATIENTS Nonsyndromic, complete cleft lip and palateCLP cases, either unilateral or bilateral (102 children; 370 radiographs), between 4 and 16 years of age. INTERVENTIONS Children were treated with a team approach, but only orthodontic radiographs were studied. MAIN OUTCOME MEASURE The principal outcome measure was dental age of the cleft cases compared to a sex-specific sample of phenotypically normal children (1107 children), from the same geographical region. Multiple panoramic radiographs taken during the course of orthodontic treatment were examined to track patterns of dental age as children matured. Analysis used linear mixed models primarily testing for sex, cleft type (unilateral, bilateral), and hypodontia differences. Initial expectation was that cleft children would exhibit delayed dental ages from postnatal stressors and would become more deviant with maturity. RESULTS In childhood (4-6 years), both sexes were significantly delayed (P < .001), but dental age normalized around 8 to 10 years. Boys experienced faster maturation thereafter than girls (P < .001). Only trivial differences occurred between unilateral CLP and bilateral CLP samples.Hypodontia further depressed maturation rates (P < .001). Dental age improved in a decidedly curvilinear fashion (P < .001), with greater change at earlier ages. CONCLUSIONS This report agrees with other contemporary studies, showing childhood catch-up. Older studies observed that clefting caused significant delays that worsened with growth. This potential "seachange" suggests better recovery and quicker normalization of children with clefts, perhaps due to improved management.
Collapse
Affiliation(s)
- Sarah B Kimbrough
- Department of Orthodontics, College of Dentistry University of Tennessee, The Health Sciences Center, Memphis, TN, USA
| | - William G Parris
- Department of Orthodontics, College of Dentistry University of Tennessee, The Health Sciences Center, Memphis, TN, USA
| | - Richard A Williams
- Department of Orthodontics, College of Dentistry University of Tennessee, The Health Sciences Center, Memphis, TN, USA
| | - Edward F Harris
- Department of Orthodontics, College of Dentistry University of Tennessee, The Health Sciences Center, Memphis, TN, USA
| |
Collapse
|
9
|
Chapman HR, Kirby-Turner N. Psychological Intrusion - An Overlooked Aspect of Dental Fear. Front Psychol 2018; 9:501. [PMID: 29719519 PMCID: PMC5913370 DOI: 10.3389/fpsyg.2018.00501] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Accepted: 03/26/2018] [Indexed: 12/12/2022] Open
Abstract
Dental fear/anxiety is a widely recognised problem affecting a large proportion of the population. It can result in avoidance and/or difficulty accepting dental care. We believe that psychological intrusion may play a role in the aetiology and maintenance of dental fear for at least some individuals. In this narrative review we will take a developmental perspective in order to understand its impact across the lifespan. We will consider the nature of 'self,' parenting styles, the details of intrusive parenting or parental psychological control, and briefly touch upon child temperament and parental anxiety. Finally, we draw together the supporting (largely unrecognised) evidence available in the dental literature. We illustrate the paper with clinical examples and discuss possibly effective ways of addressing the problem. We conclude that psychological intrusion appears to play an important role in dental fear, for at least some individuals, and we call for detailed research into the extent and exact nature of the problem. A simple means of identifying individuals who are vulnerable to psychological intrusion would be useful for dentists.
Collapse
Affiliation(s)
- Helen R. Chapman
- School of Psychology, University of Lincoln, Lincoln, United Kingdom
| | | |
Collapse
|
10
|
Riba H, Al-Shahrani A, Al-Ghutaimel H, Al-Otaibi A, Al-Kahtani S. Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View. J Contemp Dent Pract 2018; 19:237-241. [PMID: 29422477 DOI: 10.5005/jp-journals-10024-2243] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Parental presence/absence in the dental operatory (also called: Parent-in-parent-out technique) is an extremely controversial aspect of the nonpharmacological BMTs. Historically, dentists used to exclude parents from dental operatory to avoid their interference with the dentist's aptitude to build a rapport and relationship with the child, hence increasing the child management problems by disrupting treatment and making the dentist unfocused and uncomfortable. AIM The purpose of this article is to review and emphasize on the importance of parental presence/absence in the dental operatory, especially in a certain age group, as a behavior management technique (BMT) in pediatric dentistry, and to present a modified view of this technique. RESULTS This article reviews the current literature concerning behavior management in pediatric dentistry. It includes a medline database search and review of the comprehensive textbooks in pediatric dentistry. Some recommendations were based on the opinions of experienced researchers and clinicians. CONCLUSION Parent-in-parent-out technique in dental operatory is advocated to gain emotional support and avoid the effect of traumatic separation, especially in younger children or special health-care needs patients. CLINICAL SIGNIFICANCE The parent-in-parent-out technique in dental operatory is underused, or misused. This article clarifies the proper use of this technique along with a minor modification to it to make it more effective on young apprehensive dental patients.
Collapse
Affiliation(s)
- Hicham Riba
- Department of Preventive Dental Science, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia, Phone: +0016302295050, e-mail:
| | - Asma Al-Shahrani
- Department of Preventive Dental Science, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Hayat Al-Ghutaimel
- Department of Preventive Dental Science, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Adel Al-Otaibi
- Department of Preventive Dental Science, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Salim Al-Kahtani
- Department of Preventive Dental Science, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| |
Collapse
|
11
|
Boka V, Arapostathis K, Charitoudis G, Veerkamp J, van Loveren C, Kotsanos N. A study of parental presence/absence technique for child dental behaviour management. Eur Arch Paediatr Dent 2017; 18:405-409. [DOI: 10.1007/s40368-017-0313-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 09/22/2017] [Indexed: 10/18/2022]
|
12
|
The effect of parental presence on the child’s perception and co-operation during dental treatment. Eur Arch Paediatr Dent 2016; 17:381-386. [DOI: 10.1007/s40368-016-0241-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 05/18/2016] [Indexed: 10/21/2022]
|
13
|
Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent 2014; 15:333-9. [DOI: 10.1007/s40368-014-0119-y] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2013] [Accepted: 01/31/2014] [Indexed: 11/25/2022]
|
14
|
Abstract
Behavior guidance is a continuum of techniques, basic and advanced, fundamental to the provision of quality dental care for pediatric patients. This practice must be individualized, pairing the correct method of behavior guidance with each child. To select the appropriate technique, the clinician must have a thorough understanding of each aspect of the continuum and anticipate parental expectations, child temperament, and the technical procedures necessary to complete care. By effectively using techniques within the continuum of behavior guidance, a healing relationship with the family is maintained while addressing dental disease and empowering the child to receive dental treatment throughout their lifetime.
Collapse
Affiliation(s)
- Travis Nelson
- Department of Pediatric Dentistry, University of Washington, 6222 Northeast 74th Street, Seattle, WA 98115, USA.
| |
Collapse
|
15
|
Abstract
INTRODUCTION Individuals with isolated cleft lip and/or palate (ICLP) are often reported to be of shorter stature relative to peers, and the objective of this study was to explore the role of the pituitary in relationship to growth. METHODS Fifty-five males and 32 females with ICLP were compared to 121 healthy males and 158 healthy females with respect to height and BMI. Magnetic resonance imaging (MRI) scans were obtained from all ICLP participants and 47% of healthy group participants. RESULTS Males with ICLP were shorter than healthy males and had lower BMI. However, the trajectories for height and BMI did not differ between groups. Analyses in a separate sample of adult males suggested that height normalizes in males with ICLP in their early 30s. There were no differences in mean pituitary volume and pituitary trajectories between male groups. Females with ICLP were shorter than healthy females and also had slower growth rates. They did not differ in mean BMI or BMI trajectories. Furthermore, there were no differences in mean pituitary volume, or in pituitary trajectories. DISCUSSION Our findings suggest that there are no gross morphological differences in pituitary volume in individuals with ICLP, although more subtle differences may exist.
Collapse
|
16
|
Roberts JF, Curzon MEJ, Koch G, Martens LC. Review: behaviour management techniques in paediatric dentistry. Eur Arch Paediatr Dent 2011; 11:166-74. [PMID: 20840826 DOI: 10.1007/bf03262738] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND Behaviour management is widely agreed to be a key factor in providing dental care for children. Indeed, if a child's behaviour in the dental surgery/office cannot be managed then it is difficult if not impossible to carry out any dental care that is needed. It is imperative that any approach to behavioural management for the dental child patient must be rooted in empathy and a concern for the well being of each child. REVIEW Based on various presentations given at Congresses of the European Academy of Paediatric Dentistry (EAPD), documents reviewing behaviour management prepared by the Clinical Affairs Committee of the EAPD, and written submissions to the Executive Board of the EAPD, a review of the various approaches to the behaviour management of the child dental patient was completed. All aspects of non-pharmacological behavioural management techniques described in the literature over the past 80 years were reviewed. FINDINGS There is a very wide diversity of techniques used but not all are universally accepted by specialist paediatric and general dentists. Wide cultural and philosophical differences are apparent among European paediatric dentists that seem difficult to bridge when forming agreed guidelines. Accordingly, this review highlights those behaviour techniques that are universally accepted such as tell, show, do (TSD) or positive reinforcement, but nevertheless describes the most commonly mentioned techniques for which there are descriptions in the literature. CONCLUSION A wide variety of behavioural management techniques are available to paediatric dentists which must be used as appropriate for the benefit of each child patient, and which, importantly, must take into account all cultural, philosophical and legal requirements in the country of dental practice of every dentist concerned with dental care of children.
Collapse
|
17
|
Al-Jamal GA, Hazza'a AM, Rawashdeh MA. Crown-root ratio of permanent teeth in cleft lip and palate patients. Angle Orthod 2010; 80:1122-8. [PMID: 20677964 DOI: 10.2319/020910-83.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To determine root lengths of fully developed permanent teeth of cleft lip and palate (CLP) patients and to define their crown-root (C/R) ratios. METHOD Crown height and root length of permanent teeth were measured from panoramic radiographs of 44 CLP patients and 37 controls. A total of 1397 teeth were measured, and C/R ratios were calculated. RESULTS Higher C/R ratios were found in CLP patients; this was statistically significant for both maxillary and mandibular incisors and canines. Bilateral CLP subjects showed higher C/R ratios in general than unilateral CLP subjects. Roots of maxillary incisors, canines, and some other teeth were significantly shorter in CLP patients than in controls. CONCLUSIONS CLP patients should be considered to have unfavorable C/R ratios, which could be the result of short root lengths for some teeth.
Collapse
Affiliation(s)
- Ghaida A Al-Jamal
- Department of Oral Medicine & Oral Surgery, Jordan University of Science & Technology, Irbid, Jordan.
| | | | | |
Collapse
|