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Children's fear and behavior in private pediatric dentistry practices.
Pediatr Dent. 2004 Jul-Aug; 26(4):316-21.PD

Abstract

PURPOSE

This study assessed the proportion of children with dental fear, the proportion of children with negative behavior and the relationship of children's dental fear and children's negative behavior in private pediatric dentistry practices in western Washington state.

METHODS

A total of 421 children seen in 21 private pediatric dentistry practices in western Washington State participated. The average age of the children was 6.8+/-2.8 years (range=0.8-12.8 years). An average of 21 children were studied per practice (range=7-25 children). Dental fear was measured using the parents' version of the Dental Subscale of the Child Fear Survey Schedule (CFS). Behavior of the child during treatment was rated using the Frankl scale. Additional data were collected regarding the child's previous experiences and parental fear.

RESULTS

The children's average item score on the 15-item CFS was 2+/-0.7, corresponding to a total score of 29.6 out of 75, where 75 indicates maximum fear. The proportion of children with dental fear, defined as an average item score of > or = 2.5 (corresponding to a total score of > or = 38), was 20% (85/421, 95% CI=16.3, 24%). The proportion of children who displayed negative behavior during treatment was 21% (95% CI=17.5, 24%). A prevalence ratio of 2.4 was calculated to describe the relationship between children's behavior during treatment and children's dental fear prior to dental treatment. Multivariate logistical regression analysis showed children with dental fear, younger children, and children exposed to treatment involving local anesthesia have higher odds of displaying negative behavior.

CONCLUSIONS

The proportion of children with dental fear in private pediatric dentistry practices was 20%, and the proportion of children with negative behavior during treatment was 21%. Children with negative behavior had greater odds of having dental fear and children with dental fear had greater odds of having negative behavior. Screening for dental fear may allow pediatric dentists to prepare children more adequately for positive treatment experiences.

Authors+Show Affiliations

Division of Pediatric Dentistry, Alberta Children's Hospital, Calgary, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15344624

Citation

Baier, Krista, et al. "Children's Fear and Behavior in Private Pediatric Dentistry Practices." Pediatric Dentistry, vol. 26, no. 4, 2004, pp. 316-21.
Baier K, Milgrom P, Russell S, et al. Children's fear and behavior in private pediatric dentistry practices. Pediatr Dent. 2004;26(4):316-21.
Baier, K., Milgrom, P., Russell, S., Mancl, L., & Yoshida, T. (2004). Children's fear and behavior in private pediatric dentistry practices. Pediatric Dentistry, 26(4), 316-21.
Baier K, et al. Children's Fear and Behavior in Private Pediatric Dentistry Practices. Pediatr Dent. 2004 Jul-Aug;26(4):316-21. PubMed PMID: 15344624.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Children's fear and behavior in private pediatric dentistry practices. AU - Baier,Krista, AU - Milgrom,Peter, AU - Russell,Stephen, AU - Mancl,Lloyd, AU - Yoshida,Toshiko, PY - 2004/9/4/pubmed PY - 2004/10/8/medline PY - 2004/9/4/entrez SP - 316 EP - 21 JF - Pediatric dentistry JO - Pediatr Dent VL - 26 IS - 4 N2 - PURPOSE: This study assessed the proportion of children with dental fear, the proportion of children with negative behavior and the relationship of children's dental fear and children's negative behavior in private pediatric dentistry practices in western Washington state. METHODS: A total of 421 children seen in 21 private pediatric dentistry practices in western Washington State participated. The average age of the children was 6.8+/-2.8 years (range=0.8-12.8 years). An average of 21 children were studied per practice (range=7-25 children). Dental fear was measured using the parents' version of the Dental Subscale of the Child Fear Survey Schedule (CFS). Behavior of the child during treatment was rated using the Frankl scale. Additional data were collected regarding the child's previous experiences and parental fear. RESULTS: The children's average item score on the 15-item CFS was 2+/-0.7, corresponding to a total score of 29.6 out of 75, where 75 indicates maximum fear. The proportion of children with dental fear, defined as an average item score of > or = 2.5 (corresponding to a total score of > or = 38), was 20% (85/421, 95% CI=16.3, 24%). The proportion of children who displayed negative behavior during treatment was 21% (95% CI=17.5, 24%). A prevalence ratio of 2.4 was calculated to describe the relationship between children's behavior during treatment and children's dental fear prior to dental treatment. Multivariate logistical regression analysis showed children with dental fear, younger children, and children exposed to treatment involving local anesthesia have higher odds of displaying negative behavior. CONCLUSIONS: The proportion of children with dental fear in private pediatric dentistry practices was 20%, and the proportion of children with negative behavior during treatment was 21%. Children with negative behavior had greater odds of having dental fear and children with dental fear had greater odds of having negative behavior. Screening for dental fear may allow pediatric dentists to prepare children more adequately for positive treatment experiences. SN - 0164-1263 UR - https://www.unboundmedicine.com/medline/citation/15344624/Children's_fear_and_behavior_in_private_pediatric_dentistry_practices_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=0164-1263&volume=26&issue=4&spage=316&aulast=Baier DB - PRIME DP - Unbound Medicine ER -