International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 3 ( March, 2024 ) > List of Articles

ORIGINAL RESEARCH

Assessment of Preappointment Parental Counseling on Dental Fear and Anxiety in Children in Pedodontic Dental Operatory: A Randomized Controlled Trial

R Ramesh, Savitha Sathyaprasad, S Nandan, Krishnamoorthy S Havaldar, Allwin Antony

Keywords : Anticipatory guidance, Case report, Counseling, Dental anxiety, Dental fear and anxiety

Citation Information : Ramesh R, Sathyaprasad S, Nandan S, Havaldar KS, Antony A. Assessment of Preappointment Parental Counseling on Dental Fear and Anxiety in Children in Pedodontic Dental Operatory: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2024; 17 (3):346-351.

DOI: 10.5005/jp-journals-10005-2785

License: CC BY-NC 4.0

Published Online: 01-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Dental fear and anxiety are important issues in the practice of pediatric dentistry because they interfere with both the provision and receipt of dental care in children and adolescents. Behavior guidance is a dynamic part of child management. It starts from the preappointment level, where a negative attitude of the mother will be trained to become positive for improved child behavior in the pediatric dental clinic. The use of anticipatory guidance (AG) as parental counseling, where the information on what the parents should follow before their child's dental appointment was provided to the mothers. Aim: To assess the effect of preappointment parental counseling on dental fear and anxiety in children. Materials and methods: The study was a randomized, parallel-group, active-controlled trial, wherein the dyad of mother and child was randomly divided into two groups: (1) the test group and (2) the control group. At baseline, fear and anxiety assessment was done using fear and anxiety assessment scales and physiological parameters in both groups. Dental fear and anxiety were assessed using the children fear survey schedule dental subscale, Venham pictorial test in children and state-trait anxiety subscale in mothers. Parental counseling instructions were given verbally, in written format and by videos only in the test group on the same day of the initial appointment. The same subjects in both groups were checked for fear and anxiety scales and physiological parameters after 6 months from the first appointment. The effectiveness of parental counseling on dental fear and anxiety was correlated at the end of the study. Statistical analysis: The mean dental fear and anxiety scores between the test and control groups at baseline and at 6 months were compared using the Chi-squared test. Chi-squared test was used to compare the dental fear and anxiety in children and mothers in the study and control groups. Spearman's rank correlation test was used to assess the relationship between Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), Venham Picture Test (VPT), state-trait anxiety inventory (STAI) scores, and clinical parameters in the study and control group of both populations. Results: The results showed that there was a significant improvement in the dental fear and anxiety levels in the dyads of mother and child postcounseling. The control group scores did not show any significant change. Conclusion: Preappointment parental counseling clarified and guided parents about the child's fear and anxiety and was effective in alleviating the dental fear and anxiety among parents and children attending pediatric dental clinics.


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  1. Suprabha BS, Rao A, Choudhary S, et al. Child dental fear and behavior: the role of environmental factors in a hospital cohort. J Indian Soc Pedod Prev Dent 2011;29(2):95–101. DOI: 10.4103/0970-4388.84679
  2. Peretz B, Nazarian Y, Bimstein E. Dental anxiety in a students’ paediatric dental clinic: children, parents and students. Int J Paediatr Dent 2004;14(3):192–198. DOI: 10.1111/j.1365-263X.2004.00545.x
  3. Shetty RM, Khandelwal M, Rath S. RMS Pictorial Scale (RMS-PS): An innovative scale for the assessment of child's dental anxiety. J Indian Soc Pedod Prev Dent 2015;33(1):48–52. DOI: 10.4103/0970-4388.149006
  4. Colares V, Richman L. Factors associated with uncooperative behavior by Brazilian preschool children in the dental office. ASDC J Dent Child 2002;69(1):87–91, 13.
  5. Suprabha BS, Rao A. Role of parent in behavior guidance of children in dental operatory: current trends. Int J Adv Res 2015;3(1):466–470.
  6. Nowak AJ, Casamassimo PS. Using anticipatory guidance to provide early dental intervention. J Am Dent Assoc 1995;126(8):1156–1163. DOI: 10.14219/jada.archive.1995.0337
  7. Gorayeb MA, Gorayeb R. Revised children's manifest anxiety scale (RCMAS) adapt to Portuguese in Brazil. Temas em Psicologia 2008;16(1):35–45.
  8. Chadwick BL. Assessing the anxious patient. Dental Update 2002;29(9):448–454.
  9. Cardoso CL, Loureiro SR, Nelson-Filho P. Pediatric dental treatment: manifestations of stress in patients, mothers and dental school students. Braz Oral Res 2004;18(2):150–155. DOI: 10.1590/s1806-83242004000200011
  10. S SN, S S, H KS, et al. Prevalence of dental anxiety among children in Sullia & factors associated with it – a cross sectional study. IJDSIR 2020;3(2):121–130.
  11. de Freitas Oliveira M, Moraes M V, Evaristo PC. Evaluation of the anxiety of parents and children in the face of dental treatment. Braz Res Pediatr Dent Integr Clin 2012;12(4):483–489.
  12. Góes MP, Domingues MC, Couto GB, et al. Anxiety, fear and vital signs of the child signs of the child patients. Odontologia Clínico-Científica 2010;9(1):39–44.
  13. De Freitas Oliveira M, Moraes MV, Cardoso DD. Evaluation of childhood anxiety prior to dental treatment. Assessment of childhood anxiety prior to dentistry care. Pub UEPG Biol Health Sci 2012;18(1):31–37.
  14. Bankole OO, Denloye OO, Aderinokun GA. The effect of mothers past dental experience on the behaviour of some Nigerian children during dental treatment. Afr J Biomed Res 2004;7(3). DOI: 10.4314/ajbr.v7i3.54150
  15. Ten Berge M, Veerkamp JS, Hoogstraten J, et al. On the structure of childhood dental fear, using the dental subscale of the children's fear survey schedule. Eur J Paediatr Dent 2002;3(2):73–78.
  16. Asl AN, Shokravi M, Jamali Z, et al. Barriers and drawbacks of the assessment of dental fear, dental anxiety and dental phobia in children: a critical literature review. J Clin Pediatr Dent 2017;41(6):399–423. DOI: 10.17796/1053-4628-41.6.1
  17. Folayan MO, Kolawole KA. A critical appraisal of the use of tools for assessing dental fear in children. Afr J Oral Health 2004;1(1):54–63. DOI: 10.4314/ajoh.v1i1.31306
  18. Aday LA, Cornelius LJ. Designing and Conducting Health Surveys: A Comprehensive Guide. John Wiley & Sons; 2006.
  19. Nakai Y, Hirakawa T, Milgrom P, et al. The children's fear survey schedule–dental subscale in Japan. Community Dent Oral Epidemiol 2005;33(3):196–204. DOI: 10.1111/j.1600-0528.2005.00211.x
  20. Armfield JM. Towards a better understanding of dental anxiety and fear: cognitions vs. experiences. Eur J Oral Sci 2010;118(3):259–264. DOI: 10.1111/j.1600-0722.2010.00740.x
  21. Rantavuori K, Zerman N, Ferro R, et al. Relationship between children's first dental visit and their dental anxiety in the Veneto region of Italy. Acta Odontologica Scand 2002;60(5):297–300. DOI: 10.1080/00016350260248274
  22. Rayen R, Muthu MS, Chandrasekhar Rao R, et al. Evaluation of physiological and behavioral measures in relation to dental anxiety during sequential dental visits in children. Indian J Dent Res 2006;17(1):27–34. DOI: 10.4103/0970-9290.29895
  23. Busato P, Garbín RR, Santos CN, et al. Influence of maternal anxiety on child anxiety during dental care: cross-sectional study. Sao Paulo Med J 2017;135:116–122.
  24. Armitage S, McColl E, Kolehmainen N, et al. Describing pre-appointment written materials as an intervention in the context of children's NHS therapy services: a national survey. Health Expect 2021;24(2):386–398. DOI: 10.1111/hex.13180
  25. Townend E, Dimigen G, Fung D. A clinical study of child dental anxiety. Behav Res Ther 2000;38(1):31–46. DOI: 10.1016/s0005-7967(98)00205-8
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