Role of Intelligence Quotient (IQ) on anxiety and behavior in children with hearing and speech impairment

Association between Intelligence Quotient Dental Anxiety and Oral Health-related Quality of Life in Children: A Cross-sectional Study

Background

Determining the intelligence quotient (IQ) grades of children help in managing dental anxiety (DA) and maintaining the good oral health-related quality of life (OHRQoL).

Aim

To assess the association between IQ, DA, and OHRQoL in children aged 10-11 years.

Design

This cross-sectional study was carried out among 202 children aged 10-11 years in the Southern part of Tamil Nadu, India. The IQ level, DA, and OHRQoL were measured using Raven's Coloured Progressive Matrices (RCPM), Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and Child Oral Health Impact Profile Short Form (COHIP-SF) 19, respectively. Chi-squared test and Spearman rank order correlation test were used for analysis.

Results

The results revealed a significant negative correlation (p < 0.05; r = -0.239) between IQ and OHRQoL. DA was negatively correlated with IQ (r = -0.093) and OHRQoL (r = -0.065), but it was not statistically significant. The gender-based comparison revealed no significant difference in the distribution of girls and boys within different grades of IQ levels (p = 0.74), DA (p = 0.29), and OHRQoL (p = 0.85).

Conclusion

Children with higher IQ showed low OHRQoL scores. DA was negatively correlated with IQ and OHRQoL.

How to cite this article

Asokan S, PR GP, Mathiazhagan T, et al. Association between Intelligence Quotient Dental Anxiety and Oral Health-related Quality of Life in Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2022;15(6):745-749.

The Correlation between Children’s Intelligence Quotient and Their Behavior in Dental Setting: A Cross-Sectional Study

Children with high intelligence quotient (IQ) are more capable of managing adverse situations. These children may show more cooperation to receive dental treatments. This study assessed the effect of intelligence quotient (IQ) of 5-10-year-old children on their cooperation during dental treatments. Eighty children without previous dental history and in need of pulpotomy and stainless steel crowns in one tooth were selected. A written consent was obtained from the parents, and after the children's IQ was measured by Raven intelligence test, the treatments were performed and their cooperation level was determined using Frankl's behavior rating scale with rating 1 to rating 4 (definitely negative, negative, positive, and definitely positive). In this cross-sectional study, the relationship between IQ and cooperation level was analyzed by one-way ANOVA test while the effect of age and gender on IQ and cooperation level was studied by ordinal regression test. Out of the total samples, 5% had definitely negative, 16.2% had negative, 56.3% had positive, and 22.5% had definitely positive level of cooperation according to Frankl criteria. There was a significant and positive correlation between IQ and level of cooperation (r = 0.87, p < 0.001). According to the results of the linear regression analysis, to examine the effect of age, sex, and IQ variables on cooperation, children's age (p value = 0.003) had a positive effect on their cooperation, but gender had no effect on predicting IQ and cooperation level (p value = 0.557). Regarding significant relationship between IQ scores and cooperation level, dentists can predict cooperation in pediatric patients to deliver better treatments and increase patients' satisfaction.

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

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.