Child’s Behavior and its Relationship with the Level of Maternal-Child Anxiety During Dental Care

Aline de Matos Vilas-Boas, Jessica Olga Sales Vieira, Michele Baffi Diniz

Abstract


Objective: To evaluate the association between child's behavior and level of maternal and child anxiety during dental care. Material and Methods: The sample consisted of 100 children aged 6-11 years of both gender, scheduled for the first dental appointment at the dental clinic in a private school of Salvador, Brazil. The emotional reactions of patients were evaluated before the dental visit through the Venham Picture Test (VPT) instrument of anxiety evaluation. Mothers completed a specific questionnaire (Corah anxiety scale) to assess their anxiety about dental treatment. During dental care, prophylaxis and clinical examination by DMF-T and dmf-t indexes were performed. The child’s behavior during the dental treatment was evaluated by the Frankl's Behavior Rating Scale. Fisher's exact test and chi-square were used to evaluate the association between variables (α = 5%). Results: It was observed that 24.0% of children presented anxiety according to VPT. There was a significant association between level of anxiety and pain and dental caries as the main dental complaint (p <0.001), and between child's behavior and variables maternal anxiety (p = 0.01) and childhood anxiety (p <0.001). Conclusion: It could be concluded that there was a positive association between child's non-cooperative behavior during dental care and maternal and child anxiety.


Keywords


Dental Anxiety; Pediatric Dentistry; Child Behavior.

Full Text:

PDF

References


Oliveira MMT, Colares V, Campioni A. Anxiety, pain and discomfort related to oral health in children under the age of five years. Rev Clin Cientif 2009; 8(1):47-52.

Ramos JML, Pordeus I. Why and how to measure child's anxiety in dental enviroment. The modified VPT. JBP Rev Ibero-Am Odontopediatr Odontol Bebê 2004; 7(37):282-90.

Ferreira JMS, Aragão AKR, Colares V. Techniques for controlling the behavior of pediatric patients - Review of literature. Pesq Bras Odonto Clin Integr 2009; 9(2):247-51. doi: 10.4034/1519.0501.2009.0092.0019.

Soares FC, Lima DSM, Barreto KA, Colares V. Factors associated with dental anxiety in children: A literature review. Psic Saúde Doenças 2015; 16(3):373-85.

Abanto J, Vidigal EA, Carvalho TS, Sá SNC, Bonecker M. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res 2017; 31(13):1-7. doi: 10.1590/1807-3107bor-2017.vol31.0013.

Ollé LA, Araujo C, Casagrande L, Bento LW, Santos BZ, Dalpian DM. Anxiety in children submitted to dental appointment. Pesq Bras Odontoped Clin Integr 2016; 16(1):167-75. doi: 10.4034/PBOCI.2016.161.18.

Oliveira RS, Torres LMS, Gomes IS, Nicoló R. Evaluation of anxiety levels in children during odontological treatment. Int J Dent 2010; 9(4):193-7.

Themessl-Huber M, Freeman R, Humphris G, Macgillivray S, Terzi N. Empirical evidence of the relationship between parental and child dental fear: a structured review and meta-analysis. Int J Paediatr Dent 2010; 20(2):83-101. doi: 10.1111/j.1365-263X.2009.00998.x.

Barreto KA, Prazeres LDKT, Lima DSM, Redivivo RMMP, Colares V. Children’s anxiety during dental treatment with minimally invasive approaches: Findings of an analytical cross-sectional study. Pesq Bras Odontoped Clin Integr 2017; 17(1):e3146. doi: 10.4034/PBOCI.2017.171.15.

Meira Filho MMO, Araújo DT, Menezes VA, Garcia AFG. The child's dental treatment: maternal perception. RGO Rev Gaúcha Odontol 2009; 57(3):311-15.

Oliveira MF, Moraes MVM, Evaristo PCS. Evaluation of children’s and parents’ dental anxiety. Pesq Bras Odontop Clin Integr 2012; 12(44):83-9. doi: 10.4034/PBOCI.2012.124.06.

Marques KBG, Gradvohl MPBG, Maia MCG. Fear and anxiety previous to dental treatment in children from Acaraú - CE. Braz J Health Promot 2010; 23(4):358-67.

Cademartori MG, Mattar CI, Garibaldi A, Goettems ML. Behavior of children submitted to tooth extraction: Influence of maternal and child psychosocial characteristics. Pesq Bras Odontoped Clin Integr 2017; 17(1):e3189. doi: 10.4034/PBOCI.2017.171.35.

Moura BF, Imparato JCP, Parisotto TM, De Benedetto M. Child’s anxiety preceding the dental appointment: evaluation through a playful tool as a conditioning feature. RGO Rev Gaúcha Odontol 2015; 63(4):455-60. doi: 10.1590/1981-863720150003000122848.

Andrade SM, Navarro VP, Kranya BD. Terapias complementares para o controle da ansiedade frente ao tratamento odontológico. Rev Odontol Araçatuba 2005; 26(2):63-6.

Chow CH, Van Lieshout RJ, Schmidt LA, Dobson KG, Buckley N. Systematic review: audiovisual interventions for reducing preoperative anxiety in children undergoing elective surgery. J Pediat Psychol 2016; 41(2):182-203. doi: 10.1093/jpepsy/jsv094.

Jafarzadeh M, Arman S, Pour FF. Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: A randomized controlled clinical trial. Adv Biomed Res 2013; 10(2):1-18. doi: 10.4103/2277-9175.107968.

Marwah N, Prabhakar AR, Raju OS. Music distraction - its efficacy in management of anxious pediatric dental patients. J Indian Soc Pedod Prevent Dent 2005; 23(4):168-70.

Mathur J, Diwanji A, Sarvaiya B, Sharma D. Identifying anxiety in children’s drawings and correlating it with Frankl’s behavior rating scale. Int J Clin Pediatr Dent 2017; 10(1):24-8. doi: 10.5005/jp-journals-10005-1401.

Venham LL, Gaulin-Kremer EA. A self-report measure of situational anxiety for young children. Pediat Dent 1979; 1(2):91-6.

Hu LW, Gorenstein C, Fuentes D. Portuguese version of Corah’s Dental Anxiety Scale: transcultural adaptation and reliability analysis. Depress Anxiety 2007; 24(7):467-71. doi: 10.1002/da.20258.

Klein H, Palmer CE. Dental caries in American Indian children. Public Health Bull 1937; 23(9):1-53.

Gruebbel AO. A measurement of dental caries prevalence and treatment service for deciduous teeth. J Dent Res 1944; 23(3):163-8.

Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? J Dent Child 1962; 29:150-63.

Possobon RF, Carrascoza KC, Moraes AB, Costa Jr AL. Dental treatment as a cause of anxiety. Psicol Estudo 2007; 12(3):609-16. doi: 10.1590/S1413-73722007000300018.

Bottan ER, Oglio JD, Araujo SM. Ansiedade ao tratamento odontológico de estudantes do ensino fundamental. Pesq Bras Odontoped Clin Integr 2007; 7(3):241-6.

Bottan ER, Trentini L, Araujo SM. Dental anxiety: survey in students of elementary school in Pouso Redondo city - SC. RFO/UPF 2007; 12(3):7-12. doi: 10.5335/rfo.v12i3.1051.

Góes MPS, Domingues MC, Couto GBL. Ansiedade, medo e sinais vitais dos pacientes infantis. Odontol Clín-Cient 2010; 9(1):39-44.

Oliveira MF, Moraes MVM Cardoso DD. Avaliação da ansiedade infantil previa ao tratamento odontológico. Publ UEPF Ci Biol Saúde 2012; 18(1):31-7.

Singh KA, Moraes ABA, Bovi Ambrosano GM. Fear, anxiety and control related to dental treatment. Pesq Odontol Bras 2000; 14(2):131-6. doi: 10.1590/S1517-74912000000200007.




DOI: http://dx.doi.org/10.4034/PBOCI.2017.171.46

PBOCI is a member of CrossRef and all the content of its journals are linked by DOIs through CrossRef.