Abstract
Objective: To assess the child’s behavior during primary tooth extractions, taking into account child’s psychosocial and demographic factors and maternal characteristics. Material and Methods: An observational cross-sectional study involving children aged 7-13 years attending at the dental clinics of the School of Dentistry, Federal University of Pelotas. Children who underwent primary tooth extraction under local anesthesia and accompanied by their mothers were included. Data collection consisted of a questionnaire applied to mothers, assessment of child’s behavior (Frankl Scale) and record of the presence of the mother. Data were analyzed using Stata 12.0 software. Descriptive analysis of the variables of interest and the Chi-square and Fisher Exact tests were performed to investigate the effect of independent variables on the outcome. The association between independent variables and the outcome was observed by crude and adjusted multivariate analysis by Poisson Regression (prevalence ratio). A 5% significance level was adopted. Results: Of 333 children evaluated, 124 were included in this study. Most were female (54.5%) aged 7-10 years (65.8%). The adjusted multivariate analysis, maternal dental anxiety and presence of the mother were the variables that remained associated with the child's behavior. Conclusion: This study suggests that presence of the mother and maternal dental anxiety negatively affect the behavior of children aged 7-13 years during primary tooth extraction.
Highlights
Pediatric Dentistry is a field that requires the professional knowledge of preventive measures and restorative skills to perform the dental treatment of a child or adolescent, as well as concern for their well-being during the execution of procedures.One of the biggest challenges faced by pediatric dentists is the management of their behavior during dental treatment, which is influenced by internal and external factors
This study suggests that presence of the mother and maternal dental anxiety negatively affect the behavior of children aged 7-13 years during primary tooth extraction
Inclusion criteria included tooth extraction of only one primary molar due to dental caries, procedure performed with local anesthesia, children in regular attendance in the Pediatric Dental Clinic, children accompanied by their mothers, and aged 7-13 years
Summary
Pediatric Dentistry is a field that requires the professional knowledge of preventive measures and restorative skills to perform the dental treatment of a child or adolescent, as well as concern for their well-being during the execution of procedures.One of the biggest challenges faced by pediatric dentists is the management of their behavior during dental treatment, which is influenced by internal and external factors. The presence of fear and anxiety, the child's personality and temper are internal factors that tend to influence the child’s behavior during dental treatment [1,2,3,4]. Dental pain and previous dental experiences, parents' feelings and expectations, as well as the clinical procedure itself, affect the child's behavior [1,3,4,5]. There is evidence that maternal anxiety has a reflection on quality of life related to the child's oral health [7], adherence to dental services [8], caries experience [9] and child’s behavior [1,10]
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