Research Article
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The Effect of Parental Absence or Presence on Dental Anxiety of Pediatric Patients in Dental Clinic

Year 2024, Volume: 51 Issue: 2, 79 - 83, 31.08.2024
https://doi.org/10.52037/eads.2024.0014

Abstract

Purpose: The study aimed to evaluate effect of parental absence or presence on anxiety level of children in dental clinic.
Materials and Methods: 130 children who 6-9 years old were randomly divided into two groups as absence of parents (PA) (n=65) and presence of parents (PP) (n=65). Before and after the dental procedures The Abeer Children Dental Anxiety Scale (ACDAS) was applied to all participants in both groups. All data were analysed with two sample t test and p value set at < .05 for significance level.
Results: The mean age of participants was 6.9±1,18 years. The ACDAS score of PP on first visit was significantly lower than ACDAS score of PP on second visit (p<0.001). When comparing the mean ACDAS score of PA group on first and second visit, mean ACDAS score of PA group on second visit significantly lower than first visit (p<0.001). There were no significant differences between mean ACDAS score of both genders (p>0.05).
Conclusions: According to results of current study, using of parental absence or presence technique in children who 6-9 years old is efficient method for developing to behaviours of children during the dental procedures such as composite restorations under local anaesthesia.

Ethical Statement

Ethics approval was granted by Institutional Ethical Board of Burdur Mehmet Akif Ersoy University. (No. GO 2023/335)

References

  • Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011;39(2):105–14. doi:10.1111/j.1600-0528.2010.00580.x.
  • Ahmed JA, Elseed MA, Mohamedani AA. Dental anxiety in children, a review of the contributing factors. J Dent Anx Disord. 2018;4(2):010–015.
  • Ahuja S, Gandhi K, Malhotra R, Kapoor R, Maywad S, Datta G. Assessment of the effect of parental presence in dental operatory on the behavior of children aged 4–7 years. J Indian Soc Pedod Prev Dent. 2018;36(2):167–172. doi:10.4103/JISPPD.JISPPD_238_17.
  • Al-Namankany A. Assessing dental anxiety in young girls in KSA. J Taibah Univ Med Sci. 2018;13(2):123–128. doi:10.1016/j.jtumed.2017.11.005.
  • Al-Namankany A. The effect of the parental presence-absence technique on children’s behaviour in the dental clinic. Eur J Paediatr Dent. 2023;24(2):1–1. doi:10.23804/ejpd.2023.1846.
  • Al-Namankany A, Ashley P, Petrie A. The development of a dental anxiety scale with a cognitive component for children and adolescents. Pediatr Dent. 2012;34(7):219E–224E.
  • Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: cross-sectional study. BMC Oral Health. 2018;18(1):1–9. doi:10.1186/s12903-018-0496-4.
  • Anderson SE, Andridge R, Whitaker RC. Bedtime in preschool-aged children and risk for adolescent obesity. J Pediatr. 2016;176:17–22.
  • Armfield JM. How do we measure dental fear and what are we measuring anyway? Oral Health Prev Dent. 2010;8(2).
  • Aslan A, Tuzuner T, Baygin O, Yilmaz N, Sagdic S. Reliability and validity of the Turkish version of the Abeer Children Dental Anxiety Scale (ACDAS). Contemp Pediatr. 2021;2(3):142–150.
  • Baghdadi ZD, Jbara S, Muhajarine N. Children’s drawing as a projective measure to understand their experiences of dental treatment under general anesthesia. Children. 2020;7(7):73. doi 73 10.3390/children7070073.
  • Barros L, Buchanan H. Correspondence between dentist and child ratings of dental anxiety in Portugal: A preliminary study. Rev Port Estomatol Med Dent Cir Maxilofac. 2011;52(1):13–15. doi:10.1016/S1646-2890(11)70004-8.
  • Boka V, Arapostathis K, Charitoudis G, Veerkamp J, van Loveren C, Kotsanos N. A study of parental presence/absence technique for child dental behaviour management. Eur Arch Paediatr Dent. 2017;18(6):405–409. doi:10.1007/s40368-017-0313-9.
  • Casamassimo PS, Fields H, McTigue DJ, Nowak AJ. Pediatric dentistry: infancy through adolescence, 5/e. Elsevier India. 2012.
  • Chang Y, Huang S. Prevalence of dental anxiety among 5-to 8-year-old Taiwanese children. J Public Health Dent. 2007;67(1):36–41.
  • Cox I, Krikken J, Veerkamp J. Influence of parental presence on the child’s perception of, and behaviour, during dental treatment. Eur Arch Paediatr Dent. 2011;12(4):200–204. doi:10.1007/BF03262807.
  • Fiese BH. Routines of daily living and rituals in family life: A glimpse at stability and change during the early child-raising years. Zero to Three. 2002;22(4):10–13.
  • Goodwin M, Patel DK, Vyas A, Khan AJ, McGrady MG, Boothman N, et al. Sugar before bed: a simple dietary risk factor for caries experience. Community Dent Health. 2017;34(1):8–13. doi:10.1922/CDH3926Goodwin06.
  • Hale L, Berger LM, LeBourgeois MK, Brooks-Gunn J. Social and demographic predictors of preschoolers’ bedtime routines. J Dev Behav Pediatr. 2009;30(5):394–402. doi:10.1097/DBP.0b013e3181ba0e64.
  • Karaca S, Şirinoğlu Capan B. The effect of parental presence on the anxiety during first dental treatment in children. Acta Odontol Scand. 2023;83:1–4. doi:10.1080/00016357.2023.2262019.
  • Kelly Y, Kelly J, Sacker A. Time for bed: associations with cognitive performance in 7-year-old children: a longitudinal population-based study. J Epidemiol Community Health. 2013;67(11):926–31. doi:10.1136/jech-2012-202024.
  • Kitsaras G, Goodwin M, Allan J, Pretty IA. Defining and measuring bedtime routines in families with young children—a DELPHI process for reaching wider consensus. PLoS One. 2021;16(2) . doi:10.1371/journal.pone.0247490.
  • Kitsaras G, Goodwin M, Kelly MP, Pretty IA. Bedtime oral hygiene behaviours, dietary habits and children’s dental health. Children (Basel). 2021;8(5). doi:10.3390/children8050416.
  • Kitsaras G, Pretty IA, Allan J. Bedtime Routines Intervention for Children (BRIC) project: results from a non-randomised feasibility, proof-of-concept study. Pilot Feasibility Stud. 2022;8(1):79. doi:10.1186/s40814-022-01039-7.
  • Kitsaras G, Pretty IA, Allan J. Bedtime routine characteristics and activities in families with young children in the North of England. Int J Environ Res Public Health. 2021;18(17). doi:10.3390/ijerph18178983.
  • Klingberg G. Dental anxiety and behaviour management problems in paediatric dentistry—a review of background factors and diagnostics. Eur Arch Paediatr Dent. 2008;9:11–15. doi:10.1007/BF03262650.
  • Lengua LJ, Kovacs EA. Bidirectional associations between temperament and parenting and the prediction of adjustment problems in middle childhood. J Appl Dev Psychol. 2005;26(1):21–38. doi:10.1016/j.appdev.2004.10.001.
  • Levine RS. Caries experience and bedtime consumption of sugar-sweetened food and drinks—a survey of 600 children. Community Dent Health. 2001;18(4):228–31.
  • Levine RS, Nugent ZJ, Rudolf MC, Sahota P. Dietary patterns, toothbrushing habits and caries experience of schoolchildren in West Yorkshire, England. Community Dent Health. 2007;24(2):82–7.
  • Masi G, Mucci M, Millepiedi S. Separation anxiety disorder in children and adolescents: epidemiology, diagnosis and management. CNS Drugs. 2001;15(2):93–104. doi:10.2165/00023210-200115020-00002.
  • Mindell JA, Telofski LS, Wiegand B, Kurtz ES. A nightly bedtime routine: impact on sleep in young children and maternal mood. Sleep. 2009;32(5):599–606.
  • Obregón-Rodríguez N, Fernández-Riveiro P, Piñeiro-Lamas M, Smyth-Chamosa E, Montes-Martínez A, Suárez-Cunqueiro MM. Prevalence and caries-related risk factors in schoolchildren of 12- and 15-year-old: a cross-sectional study. BMC Oral Health. 2019;19(1):120. doi:10.1186/s12903-019-0806-5.
  • Organization WH. Oral health surveys: basic methods. World Health Organization; 2013.
  • Paryab M, Hosseinbor M. Dental anxiety and behavioral problems: a study of prevalence and related factors among a group of Iranian children aged 6-12. J Indian Soc Pedod Prev Dent. 2013;31(2):82–86.
  • Raj S, Agarwal M, Aradhya K, Konde S, Nagakishore V. Evaluation of dental fear in children during dental visit using children’s fear survey schedule-dental subscale. Int J Clin Pediatr Dent. 2013;6(1):12. doi:10.5005/jp-journals-10005-1178.
  • Rebok G, Riley A, Forrest C, Starfield B, Green B, Robertson J, et al. Elementary school-aged children’s reports of their health: a cognitive interviewing study. Qual Life Res. 2001;10(1):59–70. doi 10.1023/A:1016693417166.
  • Shroff S, Hughes C, Mobley C. Attitudes and preferences of parents about being present in the dental operatory. Pediatr Dent. 2015;37(1):51–55.
  • Thribhuvanan L, Saravanakumar M, Anjana G. Influence of parental anxiety on children’s behaviour during their visits to dental clinic: a short clinical study. Bull Natl Res Cent. 2021;45:1–8.
  • Townsend JA, Wells MH. In: Behavior guidance of the pediatric dental patient. Elsevier. 2019. p. 352–370. e2.
  • Tugba S, Oba AA, ARIKAN V, Şahin ND. 7-15 Yaş Arası Çocuklarda Dental Anksiyete Sıklığı Ve Ebeveynlerin Anksiyetesi İle İlişkisi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi. 2020;8(1):36–45.
  • Vasiliki B, Konstantinos A, Vassilis K, Nikolaos K, van Loveren C, Jaap V. The effect of parental presence on the child’s perception and co-operation during dental treatment. Eur Arch Paediatr Dent. 2016;17(5):381–386. doi:10.1007/s40368-016-0241-0.
  • Vlad R, Pop AM, Olah P, Monea M. The evaluation of dental anxiety in primary school children: A cross-sectional study from Romania. Children. 2020;7(10):158. doi:10.3390/children7100158.
  • Yigit T, Gucyetmez Topal B, Ozgocmen E. The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial. Clin Child Psychol Psychiatry. 2022;27(4):1234–1245. doi:10.1177/13591045211067556.
  • Yilmaz DO. Ebeveyn Dental Kaygısı ve Öngörüsünün Çocukların Dental Kaygısı Üzerindeki Etkisi. Curr Res Dent Sci. 2022;32(3):219–225.
Year 2024, Volume: 51 Issue: 2, 79 - 83, 31.08.2024
https://doi.org/10.52037/eads.2024.0014

Abstract

References

  • Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011;39(2):105–14. doi:10.1111/j.1600-0528.2010.00580.x.
  • Ahmed JA, Elseed MA, Mohamedani AA. Dental anxiety in children, a review of the contributing factors. J Dent Anx Disord. 2018;4(2):010–015.
  • Ahuja S, Gandhi K, Malhotra R, Kapoor R, Maywad S, Datta G. Assessment of the effect of parental presence in dental operatory on the behavior of children aged 4–7 years. J Indian Soc Pedod Prev Dent. 2018;36(2):167–172. doi:10.4103/JISPPD.JISPPD_238_17.
  • Al-Namankany A. Assessing dental anxiety in young girls in KSA. J Taibah Univ Med Sci. 2018;13(2):123–128. doi:10.1016/j.jtumed.2017.11.005.
  • Al-Namankany A. The effect of the parental presence-absence technique on children’s behaviour in the dental clinic. Eur J Paediatr Dent. 2023;24(2):1–1. doi:10.23804/ejpd.2023.1846.
  • Al-Namankany A, Ashley P, Petrie A. The development of a dental anxiety scale with a cognitive component for children and adolescents. Pediatr Dent. 2012;34(7):219E–224E.
  • Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: cross-sectional study. BMC Oral Health. 2018;18(1):1–9. doi:10.1186/s12903-018-0496-4.
  • Anderson SE, Andridge R, Whitaker RC. Bedtime in preschool-aged children and risk for adolescent obesity. J Pediatr. 2016;176:17–22.
  • Armfield JM. How do we measure dental fear and what are we measuring anyway? Oral Health Prev Dent. 2010;8(2).
  • Aslan A, Tuzuner T, Baygin O, Yilmaz N, Sagdic S. Reliability and validity of the Turkish version of the Abeer Children Dental Anxiety Scale (ACDAS). Contemp Pediatr. 2021;2(3):142–150.
  • Baghdadi ZD, Jbara S, Muhajarine N. Children’s drawing as a projective measure to understand their experiences of dental treatment under general anesthesia. Children. 2020;7(7):73. doi 73 10.3390/children7070073.
  • Barros L, Buchanan H. Correspondence between dentist and child ratings of dental anxiety in Portugal: A preliminary study. Rev Port Estomatol Med Dent Cir Maxilofac. 2011;52(1):13–15. doi:10.1016/S1646-2890(11)70004-8.
  • Boka V, Arapostathis K, Charitoudis G, Veerkamp J, van Loveren C, Kotsanos N. A study of parental presence/absence technique for child dental behaviour management. Eur Arch Paediatr Dent. 2017;18(6):405–409. doi:10.1007/s40368-017-0313-9.
  • Casamassimo PS, Fields H, McTigue DJ, Nowak AJ. Pediatric dentistry: infancy through adolescence, 5/e. Elsevier India. 2012.
  • Chang Y, Huang S. Prevalence of dental anxiety among 5-to 8-year-old Taiwanese children. J Public Health Dent. 2007;67(1):36–41.
  • Cox I, Krikken J, Veerkamp J. Influence of parental presence on the child’s perception of, and behaviour, during dental treatment. Eur Arch Paediatr Dent. 2011;12(4):200–204. doi:10.1007/BF03262807.
  • Fiese BH. Routines of daily living and rituals in family life: A glimpse at stability and change during the early child-raising years. Zero to Three. 2002;22(4):10–13.
  • Goodwin M, Patel DK, Vyas A, Khan AJ, McGrady MG, Boothman N, et al. Sugar before bed: a simple dietary risk factor for caries experience. Community Dent Health. 2017;34(1):8–13. doi:10.1922/CDH3926Goodwin06.
  • Hale L, Berger LM, LeBourgeois MK, Brooks-Gunn J. Social and demographic predictors of preschoolers’ bedtime routines. J Dev Behav Pediatr. 2009;30(5):394–402. doi:10.1097/DBP.0b013e3181ba0e64.
  • Karaca S, Şirinoğlu Capan B. The effect of parental presence on the anxiety during first dental treatment in children. Acta Odontol Scand. 2023;83:1–4. doi:10.1080/00016357.2023.2262019.
  • Kelly Y, Kelly J, Sacker A. Time for bed: associations with cognitive performance in 7-year-old children: a longitudinal population-based study. J Epidemiol Community Health. 2013;67(11):926–31. doi:10.1136/jech-2012-202024.
  • Kitsaras G, Goodwin M, Allan J, Pretty IA. Defining and measuring bedtime routines in families with young children—a DELPHI process for reaching wider consensus. PLoS One. 2021;16(2) . doi:10.1371/journal.pone.0247490.
  • Kitsaras G, Goodwin M, Kelly MP, Pretty IA. Bedtime oral hygiene behaviours, dietary habits and children’s dental health. Children (Basel). 2021;8(5). doi:10.3390/children8050416.
  • Kitsaras G, Pretty IA, Allan J. Bedtime Routines Intervention for Children (BRIC) project: results from a non-randomised feasibility, proof-of-concept study. Pilot Feasibility Stud. 2022;8(1):79. doi:10.1186/s40814-022-01039-7.
  • Kitsaras G, Pretty IA, Allan J. Bedtime routine characteristics and activities in families with young children in the North of England. Int J Environ Res Public Health. 2021;18(17). doi:10.3390/ijerph18178983.
  • Klingberg G. Dental anxiety and behaviour management problems in paediatric dentistry—a review of background factors and diagnostics. Eur Arch Paediatr Dent. 2008;9:11–15. doi:10.1007/BF03262650.
  • Lengua LJ, Kovacs EA. Bidirectional associations between temperament and parenting and the prediction of adjustment problems in middle childhood. J Appl Dev Psychol. 2005;26(1):21–38. doi:10.1016/j.appdev.2004.10.001.
  • Levine RS. Caries experience and bedtime consumption of sugar-sweetened food and drinks—a survey of 600 children. Community Dent Health. 2001;18(4):228–31.
  • Levine RS, Nugent ZJ, Rudolf MC, Sahota P. Dietary patterns, toothbrushing habits and caries experience of schoolchildren in West Yorkshire, England. Community Dent Health. 2007;24(2):82–7.
  • Masi G, Mucci M, Millepiedi S. Separation anxiety disorder in children and adolescents: epidemiology, diagnosis and management. CNS Drugs. 2001;15(2):93–104. doi:10.2165/00023210-200115020-00002.
  • Mindell JA, Telofski LS, Wiegand B, Kurtz ES. A nightly bedtime routine: impact on sleep in young children and maternal mood. Sleep. 2009;32(5):599–606.
  • Obregón-Rodríguez N, Fernández-Riveiro P, Piñeiro-Lamas M, Smyth-Chamosa E, Montes-Martínez A, Suárez-Cunqueiro MM. Prevalence and caries-related risk factors in schoolchildren of 12- and 15-year-old: a cross-sectional study. BMC Oral Health. 2019;19(1):120. doi:10.1186/s12903-019-0806-5.
  • Organization WH. Oral health surveys: basic methods. World Health Organization; 2013.
  • Paryab M, Hosseinbor M. Dental anxiety and behavioral problems: a study of prevalence and related factors among a group of Iranian children aged 6-12. J Indian Soc Pedod Prev Dent. 2013;31(2):82–86.
  • Raj S, Agarwal M, Aradhya K, Konde S, Nagakishore V. Evaluation of dental fear in children during dental visit using children’s fear survey schedule-dental subscale. Int J Clin Pediatr Dent. 2013;6(1):12. doi:10.5005/jp-journals-10005-1178.
  • Rebok G, Riley A, Forrest C, Starfield B, Green B, Robertson J, et al. Elementary school-aged children’s reports of their health: a cognitive interviewing study. Qual Life Res. 2001;10(1):59–70. doi 10.1023/A:1016693417166.
  • Shroff S, Hughes C, Mobley C. Attitudes and preferences of parents about being present in the dental operatory. Pediatr Dent. 2015;37(1):51–55.
  • Thribhuvanan L, Saravanakumar M, Anjana G. Influence of parental anxiety on children’s behaviour during their visits to dental clinic: a short clinical study. Bull Natl Res Cent. 2021;45:1–8.
  • Townsend JA, Wells MH. In: Behavior guidance of the pediatric dental patient. Elsevier. 2019. p. 352–370. e2.
  • Tugba S, Oba AA, ARIKAN V, Şahin ND. 7-15 Yaş Arası Çocuklarda Dental Anksiyete Sıklığı Ve Ebeveynlerin Anksiyetesi İle İlişkisi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi. 2020;8(1):36–45.
  • Vasiliki B, Konstantinos A, Vassilis K, Nikolaos K, van Loveren C, Jaap V. The effect of parental presence on the child’s perception and co-operation during dental treatment. Eur Arch Paediatr Dent. 2016;17(5):381–386. doi:10.1007/s40368-016-0241-0.
  • Vlad R, Pop AM, Olah P, Monea M. The evaluation of dental anxiety in primary school children: A cross-sectional study from Romania. Children. 2020;7(10):158. doi:10.3390/children7100158.
  • Yigit T, Gucyetmez Topal B, Ozgocmen E. The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial. Clin Child Psychol Psychiatry. 2022;27(4):1234–1245. doi:10.1177/13591045211067556.
  • Yilmaz DO. Ebeveyn Dental Kaygısı ve Öngörüsünün Çocukların Dental Kaygısı Üzerindeki Etkisi. Curr Res Dent Sci. 2022;32(3):219–225.
There are 44 citations in total.

Details

Primary Language English
Subjects Paedodontics
Journal Section Original Research Articles
Authors

Hamit Tunç 0000-0002-1513-9860

Early Pub Date August 31, 2024
Publication Date August 31, 2024
Submission Date April 15, 2024
Acceptance Date June 21, 2024
Published in Issue Year 2024 Volume: 51 Issue: 2

Cite

Vancouver Tunç H. The Effect of Parental Absence or Presence on Dental Anxiety of Pediatric Patients in Dental Clinic. EADS. 2024;51(2):79-83.