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Dental anxiety and behavioural problems: what is their influence on the treatment plan?
Eur J Paediatr Dent. 2004 Mar; 5(1):15-8.EJ

Abstract

AIM

This was to investigate the influence of emotional and behavioural problems on the choice of treatment type. In addition, the actual contents of the treatment of dentally fearful children was studied in an attempt to develop dental treatment protocols for children with such problems.

METHODS

The parents of 265 children (144 girls, mean age 88.4 months, SD+/-34.2 months), referred to a centre for special dental care, were asked to complete the Child Behaviour Check List (CBCL) before their first appointment. The CBCL was used to assess behavioural problems. All selected children were dentally anxious (score >or=35 on the Children's Fear Survey Schedule Dental Subscale, CFSS-DS). After treatment, the children's records were analysed on treatment type and contents.

RESULTS

The CBCL score was related to the type of treatment. Children treated with the aid of nitrous oxide sedation scored significantly higher on the CBCL than children treated with behavioural management or under intravenous anaesthesia (IVA). In the IVA group more surfaces were treated than in the other groups. The CBCL score was not related to the treatment contents (number of surfaces filled, amount of radiographs, sealants, stainless steel crowns or pulpotomies), the time spent on the child's treatment or the number of sessions.

CONCLUSION

Dentally anxious children with behavioural problems as assessed by the CBCL have dental treatment (contents and length) comparable with that of dentally anxious children without those problems. However, anxious children with behavioural problems are more often treated with nitrous oxide sedation. Therefore, there seems to be an urgent need for access to nitrous oxide sedation for dentists working in special dentistry.

Authors+Show Affiliations

Department of Cariology Endodontology Pedodontology, ACTA, The Netherlands.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15038784

Citation

Goumans, C, et al. "Dental Anxiety and Behavioural Problems: what Is Their Influence On the Treatment Plan?" European Journal of Paediatric Dentistry, vol. 5, no. 1, 2004, pp. 15-8.
Goumans C, Veerkamp JS, Aartman IH. Dental anxiety and behavioural problems: what is their influence on the treatment plan? Eur J Paediatr Dent. 2004;5(1):15-8.
Goumans, C., Veerkamp, J. S., & Aartman, I. H. (2004). Dental anxiety and behavioural problems: what is their influence on the treatment plan? European Journal of Paediatric Dentistry, 5(1), 15-8.
Goumans C, Veerkamp JS, Aartman IH. Dental Anxiety and Behavioural Problems: what Is Their Influence On the Treatment Plan. Eur J Paediatr Dent. 2004;5(1):15-8. PubMed PMID: 15038784.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dental anxiety and behavioural problems: what is their influence on the treatment plan? AU - Goumans,C, AU - Veerkamp,J S J, AU - Aartman,I H A, PY - 2004/3/25/pubmed PY - 2004/5/11/medline PY - 2004/3/25/entrez SP - 15 EP - 8 JF - European journal of paediatric dentistry JO - Eur J Paediatr Dent VL - 5 IS - 1 N2 - AIM: This was to investigate the influence of emotional and behavioural problems on the choice of treatment type. In addition, the actual contents of the treatment of dentally fearful children was studied in an attempt to develop dental treatment protocols for children with such problems. METHODS: The parents of 265 children (144 girls, mean age 88.4 months, SD+/-34.2 months), referred to a centre for special dental care, were asked to complete the Child Behaviour Check List (CBCL) before their first appointment. The CBCL was used to assess behavioural problems. All selected children were dentally anxious (score >or=35 on the Children's Fear Survey Schedule Dental Subscale, CFSS-DS). After treatment, the children's records were analysed on treatment type and contents. RESULTS: The CBCL score was related to the type of treatment. Children treated with the aid of nitrous oxide sedation scored significantly higher on the CBCL than children treated with behavioural management or under intravenous anaesthesia (IVA). In the IVA group more surfaces were treated than in the other groups. The CBCL score was not related to the treatment contents (number of surfaces filled, amount of radiographs, sealants, stainless steel crowns or pulpotomies), the time spent on the child's treatment or the number of sessions. CONCLUSION: Dentally anxious children with behavioural problems as assessed by the CBCL have dental treatment (contents and length) comparable with that of dentally anxious children without those problems. However, anxious children with behavioural problems are more often treated with nitrous oxide sedation. Therefore, there seems to be an urgent need for access to nitrous oxide sedation for dentists working in special dentistry. SN - 1591-996X UR - https://www.unboundmedicine.com/medline/citation/15038784/Dental_anxiety_and_behavioural_problems:_what_is_their_influence_on_the_treatment_plan L2 - http://www.diseaseinfosearch.org/result/7698 DB - PRIME DP - Unbound Medicine ER -