Behavior of Children toward Various Dental Procedures

Prema Sivakumar, Deepa Gurunathan, Prema Sivakumar, Deepa Gurunathan

Abstract

Introduction: Dental treatment is known to trigger anxiety and fear even in fully grown adults, especially if administration of local anesthesia with a syringe is indicated. This study is aimed to evaluate whether procedures like an extraction and pulpectomy could trigger fear and anxiety in a pediatric patient and also the response of pediatric patients to other treatment modalities. Their perception toward receiving dental treatment as a whole is also evaluated. The effect of conditioning of the environment and the dentist (extractions done in second or third appointments) and its effect in decreasing the anxiety is also evaluated. The aim of the study is to evaluate the behavior of pediatric patients aged 7-17 years in response to various treatment procedures at Saveetha Dental College.

Materials and methods: The behavior of 50 children reporting to Saveetha Dental College, categorized according to the Frankl's behavior rating scale, was recorded before, during, and posttreatment.

Results: Children undergoing extractions and pulpectomies showed the most uncooperative behavior. Sixty percent of patients undergoing extraction and 45% of patients undergoing the pulp therapy showed negative behavior (rating 2) during treatment.

Conclusion: Invasive procedures like extractions and pulpectomies were procedures that brought out negative behavior in pediatric patients, especially during treatment.

How to cite this article: Sivakumar P, Gurunathan D. Behavior of Children toward Various Dental Procedures. Int J Clin Pediatr Dent 2019;12(5):379-384.

Keywords: Anxiety pediatric dentistry; Behavior assessment; Behavior management; Frankl's behavior scale.

Conflict of interest statement

Source of support: Nil Conflict of interest: None

Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.

Figures

Fig. 1
Fig. 1
Age of the patient in relation to the percentage of the children with a particular behavior score in different phases of treatment namely pretreatment, during treatment, and posttreatment
Fig. 2
Fig. 2
Correlation of sex with the percentage of children with a particular behavior score in different phases of treatment namely pretreatment, during treatment, and posttreatment
Fig. 3
Fig. 3
Correlation between the rank of birth and the percentage of children with a particular behavior score in different phases of treatment namely pretreatment, during treatment, and posttreatment
Fig. 4
Fig. 4
Correlation between the area that the children are from (R for rural and U for urban) and the percentage of children with a particular behavior score in different phases of treatment namely pretreatment, during treatment and posttreatment
Fig. 5
Fig. 5
Correlation between the socioeconomic status (UMC, upper middle class; LMC, lower middle class; UL, upper lower: according to Kuppuswamy's scale) of the patient and the percentage of children with a particular behavior score in different phases of treatment namely pretreatment, during treatment, and posttreatment
Fig. 6
Fig. 6
Correlation between the number of dental visits (first dental visit, other) of the child and the percentage of children with a particular behavior score in different phases of treatment namely pretreatment, during treatment, and posttreatment
Fig. 7
Fig. 7
Correlation between the treatment procedure being performed (scaling, restoration, pulp therapy, and extraction) and the percentage of children with a particular behavior score in different phases of treatment namely pretreatment, during treatment, and posttreatment

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