Can parents and children evaluate each other's dental fear?
Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland. European Journal Of Oral Sciences
(Impact Factor: 1.49).
06/2010; 118(3):254-8. DOI: 10.1111/j.1600-0722.2010.00727.x
Luoto A, Tolvanen M, Rantavuori K, Pohjola V, Lahti S. Can parents and children evaluate each other’s dental fear? Eur J Oral Sci 2010; 118: 254–258. © 2010 The Authors. Journal compilation © 2010 Eur J Oral Sci
The aim of this study was to determine whether parents and their 11–16-yr-old children can evaluate each other’s dental fear. At baseline the participants were 11–12-yr-old children from the Finnish Cities of Pori (n = 1,691) and Rauma (n = 807), and one of their parents. The children and their parents were asked if they or their family members were afraid of dental care. Fears were assessed using single 5-point Likert-scale questions that included a ‘do not know’ option. Children and parents answered the questionnaire independently of each other. Background variables were the child’s and their parent’s gender. Parents’ and children’s knowledge of each other’s dental fear was evaluated with kappa statistics and with sensitivity and specificity statistics using dichotomized fear variables. All kappa values were < 0.42. When dental fear among children and parents was evaluated, all sensitivities varied between 0.10 and 0.39, and all specificities varied between 0.93 and 0.99. Evaluating dental fear among fearful children and parents, the sensitivities varied between 0.17 and 0.50 and the specificities varied between 0.85 and 0.94, respectively. Parents and children could not recognize each other’s dental fear. Therefore, parents and children cannot be used as reliable proxies for determining each other’s dental fear.
Available from: Katarzyna Emerich
- "Inne badanie, w którym rodzice i ich dzieci w wieku 11–16 lat, oceniali nawzajem poziom swojego strachu dentystycznego, udowodniło, że rodzice nie są w stanie wiarygodnie określić poziom lęku swojego dziecka. Autorzy tego badania wywnioskowali, że ocena strachu stomatologicznego wśród młodzieży w wieku 11–16 lat powinna opierać się tylko na informacjach uzyskanych od samego dziecka . Inni badacze zalecają, aby metody samooceny stosowane były już u dzieci w wieku 8 lat jako uzupełnienie oceny lęku dziecka przez jego rodzica . "
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The objectives of this article are to approach the problem of dental fear in children and adolescents, which is met by dentists in dental practices and to describe the methods of its evaluation. There are objective and subjective methods for the assessment of the intensity of dental anxiety. These methods can be useful for treatment planning in anxious patients.
The dental fear and anxiety of a child patient which is associated with a dental appointment may take many different forms. An adequate evaluation of the behaviour of a child patient in the dental treatment is very important at the very first contact with the dentist, as it allows the dental team to choose the right method. In dental practices especially those, who do not specialize in pediatric dentistry, may barely have skills sufficient to properly evaluate the behaviour of a young patient. This results in the selection of inappropriate methods of conduct with a child, during the first appointment, the consequence of which is a lack of cooperation during treatments, present and future.
Dentists lacking abilities and experience to assess patients’ behaviour, should considering a wider variety of evaluation methods for dental anxiety in children and adolescents. A proper relationship between dentist and patient will have a positive influence on children's attitudes in dental treatment and will improve the comfort of work and increase the effectiveness of the treatment.
- "Inne badanie, w którym rodzice i ich dzieci w wieku 11–16 lat, oceniali nawzajem poziom swojego strachu dentystycznego, udowodniło, że rodzice nie są w stanie wiarygodnie określić poziom lęku swojego dziecka. Autorzy tego badania wywnioskowali, że ocena strachu stomatologicznego wśród młodzieży w wieku 11–16 lat powinna opierać się tylko na informacjach uzyskanych od samego dziecka. Inni badacze zalecają, aby metody samooceny stosowane były już u dzieci w wieku 8 lat jako uzupełnienie oceny lęku dziecka przez jego rodzica. "
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ABSTRACT: The aim of this study is to present objective measures of assessing dental anxiety in children and adolescents and possibilities of their use for dental practice. Early and reliable evaluation of child's anxiety and its level is very important and should be an essential part of dental examination. Proper management of an anxious child in the dental office has a positive effect on young patient's cooperation, reduces the levels of fear, improves the comfort of dentist's work and increases the effectiveness of treatment. Objective methods of assessing anxiety are based on physiological responses to fear-producing situations. Although they play an important role in psychophysiology, they are not commonly used in everyday dental practice. It is mainly because they require financial outlays, specialized equipment and extra time spent in the dental office.
Available from: Paula Pesonen
- "The children in grades 1 and 2 filled the forms at home with the help of their parents which makes the results more reliable for them. Even if parents may not be aware of their children's fear , they can be expected to know about 1st and 2nd graders tooth brushing habits. A deficiency of this study is also the lack of IDs of the respondents which hinders comparing results on the survey in 2009 and 2010 at individual basis, as well as having information on attendance in oral health promotion program at individual basis. "
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ABSTRACT: The aim of this study was to evaluate the effect of a school-based intervention project conducted in a mid-sized Finnish city, Laukaa on schoolchildren's oral health behavior. Material and Methods. In the intervention, all children received dental education and some of the 7-12-year-old schoolchildren received individual tooth brushing instructions by a dental nurse in 2009-2010. Parents were present at the instruction sessions. In 2009 and 2010, all the children answered a questionnaire or an oral hygienist on their oral health behavior without identification. Results. Tooth brushing frequency increased significantly among the schoolchildren between the years 2009 (61.2%) and 2010 (65%) (P < 0.05); more so among younger children (7-10-year-olds) compared to the older ones (11-12-year-olds). The 2010 results showed a slight trend of decreasing tooth brushing frequency by age both among girls and boys. Younger children got significantly more often parental help or reminding. The girls brushed their teeth significantly more frequently (71.9%) than boys (57.0%). Conclusions. Our findings indicate that oral health intervention can be beneficial on health behavior especially for children at low grades. All children, 11 to 12 years of age, especially boys, need continuous health promotion.
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