Behaviour Management of the Contemporary Child in Paediatric Dentistry: An Overview of the Research

Authors

  • Mylena Vieira da Silva
  • Sandra Kalil Bussadori
  • Elaine Marcílio Santos
  • Karla Mayra Rezende

Keywords:

Behavior and Behavior Mechanisms, Child Behavior, Fear, Anxiety

Abstract

Objective: To provide an overview of the most relevant studies on non-pharmacological behaviour management techniques for contemporary children, the so-called alpha generation, who undergo dental treatment. Material and Methods: A systematic search was performed on the Medline/PubMed and Google Scholar (grey literature) databases. The articles were read and data collected by two reviewers on an independent basis. Two reviewers collected data from the studies selected in tables structured by using the Rayyan QCRI software. The following data were extracted: year of study, child’s age, child’s gender, technique used. Results: A total of 322 articles were found, remaining only 17 after duplicates were removed and inclusion and exclusion criteria applied. The studies were conducted between 2010 and 2019 in Saudi Arabia, Greece, India, Brazil, USA, Italy, and Switzerland. The samples ranged from 15 to 306 children aged between 3 and 10 years old. The children attended the dental office for different reasons, ranging from simple prevention to endodontic treatment under local anaesthesia. Several behaviour modification methods are known to be used before and during a dental consultation. Conclusion: After reading the articles, we concluded that alpha generation children are inserted in a daily environment of modernization and that conventional non-pharmacological techniques using technology, such as audio-visual glasses, are more interesting and make children distracted and relaxed during dental treatment, thus minimizing their stress, anxiety and fear.

References

Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007; 17(6):391-406. https://doi.org/10.1111/j.1365-263X.2007.00872.x

Folayan MO, Fatusi A. Effect of psychological management techniques on specific item score change during the management of dental fear in children. J Clin Pediatr Dent 2005; 29(4):335-40.

Tsoi AK, Wilson S, Thikkurissy S. A study of the relationship of parenting styles, child temperament, and operatory behavior in healthy children. J Clin Pediatr Dent 2018; 42(4):273-8. https://doi.org/10.17796/1053-4628-42.4.6

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(6):405-9. https://doi.org/10.1007/s40368-017-0313-9

Huebner CE, Milgrom P. Evaluation of a parent-designed programme to support tooth brushing of infants and young children. Int J Dent Hyg 2015; 13(1):65-73. https://doi.org/10.1111/idh.12100

Kellogg N, American Academy of Pediatrics Committee on Child Abuse and Neglect. Oral and dental aspects of child abuse and neglect. Pediatrics 2005; 116(6):1565-8. https://doi.org/10.1542/peds.2005-2315

Garrocho-Rangel A, Márquez-Preciado R, Olguín-Vivar AI, Ruiz-Rodríguez S, Pozos-Guillén A. Dentist attitudes and responsibilities concerning child sexual abuse. A review and a case report. J Clin Exp Dent 2015; 7(3):e428-34. https://doi.org/10.4317/jced.52301

Luoto A, Lahti S, Nevanperä T, Tolvanen M, Locker D. Oral-health-related quality of life among children with and without dental fear. Int J Paediatr Dent 2009; 19(2):115-20. https://doi.org/10.1111/j.1365-263X.2008.00943.x

Carrillo-Díaz M, Crego A, Armfield J, Romero M. The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents. Community Dent Oral Epidemiol 2013; 41(3):269-78. https://doi.org/10.1111/cdoe.12009

Koticha P, Katge F, Shetty S, Patil DP. Effectiveness of virtual reality eyeglasses as a distraction aid to reduce anxiety among 6-10-year-old children undergoing dental extraction procedure. Int J Clin Pediatr Dent 2019; 12(4):297-302. https://doi.org/10.5005/jp-journals-10005-1640

Abanto JA, Rezende KMPC, Bönecker M, Corrêa FNP, Corrêa MSNP. Non pharmacological approaches for the behavior management of children. Rev Estomatol Herediana 2010; 20(2):101-6.

Asl Aminabadi N, Erfanparast L, Sohrabi A, Ghertasi Oskouei S, Naghili A. The impact of virtual reality distraction on pain and anxiety during dental treatment in 4-6 year-old children: a randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospects 2012; 6(4):117-24. https://doi.org/10.5681/joddd.2012.025

Carter C. The Complete Guide to Generation Alpha, The Children of Millennials. Avaliable from: https://www.forbes.com/sites/christinecarter/2016/12/21/the-complete-guide-to-generation-alpha-the-children-of-millennials/?sh=70ff44d53623. [Acessed on September 10, 2020].

Reis TA, Carneir CG, Bezerra FM, Oste G, Cremonezi G. Study on the alpha generation and the reflections of its behavior in the organizational environment. J Res Human Soc Sci 2018; 6(1):9-19.

Long N. The changing nature of parenting in America. Pediatr Dent 2004; 26(2):121-4.

Rusman NS, Ismail HN, Jaafar SMRS. Demand of preschool education by alpha generation on edutainment leisure in the city. Int J Built Env Sust 2019; 6(1-2):121-8. https://doi.org/10.11113/ijbes.v6.n1-2.391

Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med 2018; 169 (7):467-73. https://doi.org/10.7326/M18-0850

Alnamankany A. Video modelling and dental anxiety in children. A randomised clinical trial. Eur J Paediatr Dent 2019; 20(3):242-6. https://doi.org/10.23804/ejpd.2019.20.03.14

Vishwakarma AP, Bondarde PA, Patil SB, Dodamani AS, Vishwakarma PY, Mujawar SA. Effectiveness of two different behavioral modification techniques among 5-7-year-old children: A randomized controlled trial. J Indian Soc Pedod Prev Dent 2017; 35(2):143-9. https://doi.org/10.4103/JISPPD.JISPPD_257_16

Prado IM, Carcavalli L, Abreu LG, Serra-Negra JM, Paiva SM, Martins CC. Use of distraction techniques for the management of anxiety and fear in paediatric dental practice: A systematic review of randomized controlled trials. Int J Paediatr Dent 2019; 29(5):650-68. https://doi.org/10.1111/ipd.12499

Liu Y, Gu Z, Wang Y, Wu Q, Chen V, Xu X, Zhou X. Effect of audiovisual distraction on the management of dental anxiety in children: A systematic review. Int J Paediatr Dent 2019; 29(1):14-21. https://doi.org/10.1111/ipd.12430

Serra-Negra JM, Abreu MH, Flores-Mendoza CE, Brant MO, Auad SM. The reassuring role of music associated with the personality traits of children during dental care: a randomized clinical trial. Eur Arch Paediatr Dent 2019; 20(5):441-9. https://doi.org/10.1007/s40368-019-00422-y

Garrocho-Rangel A, Ibarra-Gutiérrez E, Rosales-Bérber M, Esquivel-Hernández R, Esparza-Villalpando V, Pozos-Guillén A. A video eyeglasses/earphones system as distracting method during dental treatment in children: A crossover randomised and controlled clinical trial. Eur J Paediatr Dent 2018; 19(1):74-9. https://doi.org/10.23804/ejpd.2018.19.01.14

Kaur R, Jindal R, Dua R, Mahajan S, Sethi K, Garg S. Comparative evaluation of the effectiveness of audio and audiovisual distraction aids in the management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2015; 33(3):192-203. https://doi.org/10.4103/0970-4388.160357

Bagattoni S, D'Alessandro G, Sadotti A, Alkhamis N, Piana G. Effects of audiovisual distraction in children with special healthcare needs during dental restorations: a randomized crossover clinical trial. Int J Paediatr Dent 2018; 28(1):111-20. https://doi.org/10.1111/ipd.12304

Fakhruddin KS, Hisham EB and Gorduysus MO. Effectiveness of audiovisual distraction eyewear and computerized delivery of anesthesia during pulp therapy of primary molars in phobic child patients. Eur J Dent 2015; 9(4):470-5. https://doi.org/10.4103/1305-7456.172637

Sayed A, Ranna V, Padawe D, Takate V. Effect of the video output of the dental operating microscope on anxiety levels in a pediatric population during restorative procedures. J Indian Soc Pedod Prev Dent 2016; 34(1):60-4. https://doi.org/10.4103/0970-4388.175516

Pinkham JR. Personality development. Managing behavior of the cooperative preschool child. Dent Clin North Am 1995; 39:771-87.

Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Paediatr Dent 2002; 12:47-52.

Ghadimi S, Estaki Z, Rahbar P, Shamshiri AR. Effect of visual distraction on children's anxiety during dental treatment: a crossover randomized clinical trial. Eur Arch Paediatr Dent 2018; 19(4):239-44. https://doi.org/10.1007/s40368-018-0352-x

Rank RCIC, Vilela JER, Rank MS, Ogawa WN, Imparato JCP. Effect of awards after dental care in children's motivation. Eur Arch Paediatr Dent 2019; 20(2):85-93. https://doi.org/10.1007/s40368-018-0394-0

Hine JF, Hajek RT, Roberts HJ, Allen KD. Decreasing disruptive behaviour during routine dental visits: a video modelling intervention for young children. Int Dent J 2019; 69(4):265-72. https://doi.org/10.1111/idj.12457

Bentoski JR, Boynton JR. Guiding the behavior of children in the dental setting. Opportunities for success. J Mich Dent Assoc 2011; 93(1):36-40.

Roberts JF, Curzon ME, Koch G, Martens LC. Review: behaviour management techniques in paediatric dentistry. Eur Arch Paediatr Dent 2010; 11(4):166-74. https://doi.org/10.1007/BF03262738

Davies EB, Buchanan H. An exploratory study investigating children's perceptions of dental behavioural management techniques. Int J Paediatr Dent 2013; 23(4):297-309. https://doi.org/10.1111/ipd.12007

Adelson R, Goldfried MR. Modeling and the fearful child patient. ASDC J Dent Child 1970; 37(6):476.

Vasconcelos C, Imparato JCP, Rezende KM. Motivation chart as a supporting tool in pediatric dentistry. RGO 2017; 65(3):276-81. https://doi.org/10.1590/1981-863720170002000153353

Al-Khotani A, Bello LA, Christidis N. Effects of audiovisual distraction on children's behaviour during dental treatment: a randomized controlled clinical trial. Acta Odontol Scand 2016; 74(6):494-501. https://doi.org/10.1080/00016357.2016.1206211

Ram D, Shapira J, Holan G, Magora F, Cohen S, Davidovich E. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int 2010; 41(8):673-9.

Fakhruddin KS, Gorduysus MO, El Batawi H. Effectiveness of behavioral modification techniques with visual distraction using intrasulcular local anesthesia in hearing disabled children during pulp therapy. Eur J Dent 2016; 10(4):551-5. https://doi.org/10.4103/1305-7456.195159

Guinot Jimeno F, Mercadé Bellido M, Cuadros Fernández C, Lorente Rodríguez AI, Llopis Pérez J, Boj Quesada JR. Effect of audiovisual distraction on children's behaviour, anxiety and pain in the dental setting. Eur J Paediatr Dent 2014; 15(3):297-302.

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Published

2021-11-15

How to Cite

da Silva, M. V. ., Bussadori, S. K. ., Santos, E. M. ., & Rezende, K. M. . (2021). Behaviour Management of the Contemporary Child in Paediatric Dentistry: An Overview of the Research. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 21, e0209. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/714

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Section

Critical Review / Scope Review