Citation Information :
Sharma 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.
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.
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.
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.
Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res 1999 Mar;78(3):790-796.
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.
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.
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.
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.
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.
Thomas, A; Chess, S; Birch, H; Hertzig, M; Korn, S. Behavioral individuality in early childhood. 1st ed. New York: New York University; 1963. p. 1-7.
Milgrom P, Mancl L, King B, Weinstein P. Origins of childhood dental fear. Behav Res Ther 1995;33(3):313-319.
McNeil DW, Berryman ML. Components of dental fear in adults? Behav Res Ther 1989;27(3):233-236.
Berggren U. General and specific fears in referred and selfreferred adult patients with extreme dental anxiety. Behav Res Ther 1992 Jul;30(4):395-401.
American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent 2012;34(6):170-182.
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.
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.