Factors predicting Behavior Management Problems during Initial Dental Examination in Children Aged 2 to 8 Years

Arun Sharma, Dipanshu Kumar, Ashish Anand, Vipula Mittal, Aparna Singh, Nidhi Aggarwal, Arun Sharma, Dipanshu Kumar, Ashish Anand, Vipula Mittal, Aparna Singh, Nidhi Aggarwal

Abstract

Aim: The aim of the present study was to identify the various background variables and its influence on behavior management problems (BMP) in children.

Materials and methods: The study included 165 children aged 2 to 8 years. During the initial dental visit, an experienced operator obtained each child's background variables from accompanying guardians using a standardized questionnaire. Children's dental behavior was rated by Frankel behavior rating scale. The behavior was then analyzed in relation to the answers of the questionnaire, and a logistic regression model was used to determine the power of the variables, separately or combined, to predict BMP.

Results: The logistic regression analysis considering differences in background variables between children with negative or positive behavior. Four variables turned out to be as predictors: Age, the guardian's expectation of the child's behavior at the dental examination, the child's anxiety when meeting unfamiliar people, and the presence and absence of toothache.

Conclusion: The present study concluded that by means of simple questionnaire BMP in children may be expected if one of these attributes is found.

Clinical significance: Information on the origin of dental fear and uncooperative behavior in a child patient prior to treatment process may help the pediatric dentist plan appropriate behavior management and treatment strategy.

How to cite this article: Sharma A, Kumar D, Anand A, Mittal V, Singh A, Aggarwal N. Factors predicting Behavior Management Problems during Initial Dental Examination in Children Aged 2 to 8 Years. Int J Clin Pediatr Dent 2017;10(1):5-9.

Keywords: Behavior; Dental anxiety; Management problems; Prediction..

Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Graph 1:
Graph 1:
Number of children with acceptance 1, 2, 3, and 4 at different steps
Graph 2:
Graph 2:
Guardian expectations of behavior

References

    1. 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 Nov;17(6):391–406.
    1. Locker D, Thomson WM, Poulton R. Onset of and patterns of change in dental anxiety in adolescence and early adulthood: a birth cohort study. Community Dent Health. 2001 Jun;18(2):99–104.
    1. Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res. 1999 Mar;78(3):790–796.
    1. Moore R, Brodsgaard I. Dentists’ perceived stress and its relation to perceptions about anxious patients. Community Dent and Oral Epidemiol. 2001 Feb;29(1):73–80.
    1. Folayan MO, Ufomata D, Adekoya-Sofowora CA, Otuyemi E, Idehen E. The effect of psychological management on dental anxiety in children. J Clin Pediatr Dent. 2003 Summer;27(4):365–370.
    1. Ramos-Jorge ML, Marques LS, Pavia SM, Serra-Negra JM, Pordeus IA. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent. 2006 Dec;7(4):253–257.
    1. Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the operatory? J Dent Child. 1962 Apr;29(2):150–163.
    1. De Pauw SS, Mervielde I. Temperament, personality and developmental psychopathology: a review based on the conceptual dimensions underlying childhood traits. Child Psychiatry Hum Dev. 2010 Jun;41(3):313–329.
    1. Thomas A, Chess S, Birch H, Hertzig M, Korn S. Behavioral individuality in early childhood. 1st ed. New York: New York University; 1963. pp. 1–7.
    1. Milgrom P, Mancl L, King B, Weinstein P. Origins of childhood dental fear. Behav Res Ther. 1995;33(3):313–319.
    1. McNeil DW, Berryman ML. Components of dental fear in adults? Behav Res Ther. 1989;27(3):233–236.
    1. Berggren U. General and specific fears in referred and self-referred adult patients with extreme dental anxiety. Behav Res Ther. 1992 Jul;30(4):395–401.
    1. American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2012;34(6):170–182.
    1. Peretz B, Kharouba J. Dental anxiety among Israeli children and adolescents in a dental clinic waiting room. Pediatr Dent. 2013 May-Jun;35(3):252–256.
    1. Baier K, Milgrom P, Russell S, Mancl L, Yoshida T. Children’s fear and behavior in private pediatric dentistry practices. Pediatr Dent. 2004 Jul-Aug;26(4):316–321.
    1. Hosey MT. Anxious children: coping in dental practice. Dent Update. 1995 Jun;22(5):210–215.
    1. Rud B, Kisling E. The influence of mental development on children’s acceptance of dental treatment. Scand J Dent Res. 1973;81(5):343–352.
    1. Holst A, Hallonsten AL, Schroder U, Ek L, Edlund K. Prediction of behavior-management problems in 3-year-old children. Scand J Dent Res. 1993 Apr;101(2):110–114.
    1. Xia B, Wang CL, Ge LH. Factors associated with dental behavior management problems in children aged 2-8 years in Beijing, China. Int J Paediatr Dent. 2011 May;21(3):200–209.
    1. Venham LL, Murray P, Gaulin-Kremer E. Child rearing variables affecting the preschool child’s response to dental stress. J Dent Res. 1979;58(11):2042–2045.
    1. Poulton R, Waldie KE, Thomson WM, Locker D. Determinants of early- vs late-onset dental fear in a longitudinal-epidemiological study. Behav Res Ther. 2001 Jul;39(7):777–785.
    1. Ferrari M. Fears and phobias in childhood: some clinical and developmental considerations. Child Psychiatry Hum Dev. 1986 Winter;17(2):75–87.
    1. Versloot J, Veerkamp JS, Hoogstraten J. Children’s self-reported pain at the dentist. Pain. 2008 Jul;137(2):389–394.

Source: PubMed

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