Predicting children’s behaviour during dental treatment under oral sedation

TY - JOUR

T1 - Predicting children’s behaviour during dental treatment under oral sedation

AU - Lourenço-Matharu, Liege

AU - Papineni McIntosh, A.

AU - Lo, J. W.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Aims: The primary aim of this study was to assess whether parents’ own anxiety and their perception of their child’s dental fear and child’s general fear can predict preoperatively their child’s behaviour during dental treatment under oral sedation. The secondary aim was to assess whether the child’s age, gender and ASA classification grade are associated with a child’s behaviour under oral sedation. Study design: Cross-sectional prospective study. Methods: The Corah’s Dental Anxiety Scale (DAS), Children’s Fear Survey Schedule Dental-Subscale (CFSS-DS) and Children’s Fear Survey Schedule Short-Form (CFSS-SF) questionnaires were completed by parents of children undergoing dental treatment with oral midazolam. Behaviour was rated by a single clinician using the overall behaviour section of the Houpt-Scale and scores dichotomised into acceptable or unacceptable behaviour. Data were analysed using χ2, t test and logistic regression analysis. Results: In total 404 children (215 girls, 53 %) were included, with the mean age of 4.57 years, SD = 1.9. Behaviour was scored as acceptable in 336 (83 %) and unacceptable in 68 (17 %) children. Statistics: The level of a child’s dental fear, as perceived by their parent, was significantly associated with the behaviour outcome (p = 0.001). Logistic regression analysis revealed that if the parentally perceived child’s dental fear (CFSS-DS) rating was high, the odds of the child exhibiting unacceptable behaviour under oral sedation was two times greater than if their parents scored them a low dental fear rating (OR 2.27, 95 % CI 1.33–3.88, p = 0.003). Conclusions: CFSS-DS may be used preoperatively to help predict behaviour outcome when children are treated under oral sedation and facilitate treatment planning.

AB - Aims: The primary aim of this study was to assess whether parents’ own anxiety and their perception of their child’s dental fear and child’s general fear can predict preoperatively their child’s behaviour during dental treatment under oral sedation. The secondary aim was to assess whether the child’s age, gender and ASA classification grade are associated with a child’s behaviour under oral sedation. Study design: Cross-sectional prospective study. Methods: The Corah’s Dental Anxiety Scale (DAS), Children’s Fear Survey Schedule Dental-Subscale (CFSS-DS) and Children’s Fear Survey Schedule Short-Form (CFSS-SF) questionnaires were completed by parents of children undergoing dental treatment with oral midazolam. Behaviour was rated by a single clinician using the overall behaviour section of the Houpt-Scale and scores dichotomised into acceptable or unacceptable behaviour. Data were analysed using χ2, t test and logistic regression analysis. Results: In total 404 children (215 girls, 53 %) were included, with the mean age of 4.57 years, SD = 1.9. Behaviour was scored as acceptable in 336 (83 %) and unacceptable in 68 (17 %) children. Statistics: The level of a child’s dental fear, as perceived by their parent, was significantly associated with the behaviour outcome (p = 0.001). Logistic regression analysis revealed that if the parentally perceived child’s dental fear (CFSS-DS) rating was high, the odds of the child exhibiting unacceptable behaviour under oral sedation was two times greater than if their parents scored them a low dental fear rating (OR 2.27, 95 % CI 1.33–3.88, p = 0.003). Conclusions: CFSS-DS may be used preoperatively to help predict behaviour outcome when children are treated under oral sedation and facilitate treatment planning.

KW - Child dental and general fears

KW - Children

KW - Oral sedation

KW - Parental anxiety

UR - http://www.scopus.com/inward/record.url?scp=84971222665&partnerID=8YFLogxK

U2 - 10.1007/s40368-015-0205-9

DO - 10.1007/s40368-015-0205-9

M3 - Article

AN - SCOPUS:84971222665

SN - 1818-6300

VL - 17

SP - 157

EP - 163

JO - European Archives of Paediatric Dentistry

JF - European Archives of Paediatric Dentistry

IS - 3

ER -