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European Archives of Paediatric Dentistry
Published in: European Archives of Paediatric Dentistry 6/2017

01-12-2017 | Original Scientific Article

A study of parental presence/absence technique for child dental behaviour management

Authors: V. Boka, K. Arapostathis, G. Charitoudis, J. Veerkamp, C. van Loveren, N. Kotsanos

Published in: European Archives of Paediatric Dentistry | Issue 6/2017

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Abstract

Aim

To examine the effectiveness of parental presence/absence (PPA) technique on the dental behaviour management of children.

Materials and methods

This randomised control study recruited 61 child dental patients with uncooperative behaviour (Frankl 1 or 2) managed with AAPD-endorsed non-pharmacological techniques at a post-graduate university clinic. PPA was only used in the test group (31 children). Using a mini video-tape device, recording commenced at the onset of uncooperative behaviour and this was later rated, minute by minute, by a blinded experienced paediatric dentist.

Statistical analysis

Data were analysed with SPSS v.13.0. The Kolmogorov–Smirnov test was used for normality analysis. The Mann–Whitney U-test and Log Rank analysis were also performed.

Results

The mean point in time, after behavioural problems commenced that PPA or alternatives were applied was 1.82 ± 1.04 min. Behaviour improvement (technique success) was shown by 65.6% of all children. There was no statistically significant difference between the study and control groups in age, gender, mean Frankl score, in Frankl score 2 min before/after technique application or regarding the time point at which the technique was first applied. Behaviour improvement was seen in 17 patients (54.8%) in the PPA group and in 23 patients (76.7%) in the control group.

Conclusion

PPA applied to various dental sessions as a behaviour management technique showed no advantage over other basic, non-pharmacological techniques.
Literature
Adair SM, Waller JL, Schafer TE, Rockman RA. A survey of members of the American Academy of Pediatric Dentistry on their use of behavior management techniques. Pediatr Dent. 2004;26:159–66.PubMed
Arathi R, Ashwini R. Parental presence in the dental operatory—parent’s point of view. J Indian Soc Pedod Prev Dent. 1999;17:150–5.PubMed
Arnrup K, Broberg AG, Berggren U, Bodin L. Treatment outcome in subgroups of uncooperative child dental patients: an exploratory study. Int J Paediatr Dent. 2003;13:304–19.CrossRefPubMed
Boka V, Arapostathis K, Vretos N, Kotsanos N. Parental acceptance of behaviour management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paed Dent. 2014;15(5):333–9.CrossRef
Certo MA, Bernat JE. Parents in the operatory. N Y State Dent J. 1995;61(2):34–8.PubMed
Chundamala J, Wright JG, Kemp SM. An evidence-based review of parental presence during anesthesia induction and parent/child anxiety. Can J Anaesth. 2009;56(1):57–70.CrossRefPubMed
Cox IC, Krikken JB, Veerkamp JS. Influence of parental presence on the child’s perception of, and behaviour, during dental treatment. Eur Arch Paediatr Dent. 2011;12(4):200–4.CrossRefPubMed
Crossley ML, Joshi G. An investigation of paediatric dentists’ attitudes towards parent accompaniment and behavioural management techniques in the UK. Br Dent J. 2002;192:517–21.CrossRefPubMed
Fenlon WL, Dabbs AR, Curzon MEJ. Parental presence during treatment of the child patient: a study with British parents. Br Dent J. 1993;174:23–8.CrossRefPubMed
Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory. J Dent Child. 1962;29(1):150–63.
Freeman R. The case for the mother in the surgery. Br Dent J. 1999;186:610–3.PubMed
Gerull FC, Rapee RM. Mother knows best: effects of maternal modelling on the acquisition of fear and avoidance behaviour in toddlers. Behav Res Ther. 2002;40:279–87.CrossRefPubMed
Goepferd SJ, Garcia-Godoy F. Preventive oral health in early childhood. In: Harris NO, Garcia-Godoy F, editors. Primary preventive dentistry. 6th ed. New Jersey: Pearson; 2004. p. 501–16.
Guideline on Behavior Guidance for the Pediatric Dental Patient. Clinical Guidelines, American Academy of Pediatric Dentistry. www.​aapd.​org. Accessed at 06 Nov 2016.
Klingberg G, Berggren U, Noren JG. Dental fear in an urban Swedish population: prevalence and concomitant factors. Commun Dent Health. 1994;11:208–14.
Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17(6):391–406.CrossRefPubMed
Kotsanos N, Arhakis A, Coolidge T. Parental presence versus absence in the dental operatory: a technique to manage the uncooperative child dental patient. Eur J Paed Dent. 2005;3:144–8.
Kotsanos N, Coolidge T, Velonis D, Arapostathis KN. A form of ‘parental presence/absence’ (PPA) technique for the child patient with dental behaviour management problems. Eur Arch Paediatr Dent. 2009;10(2):90–2.CrossRefPubMed
McWhorter AG, Seale NS, King SA. Infant oral health education in US dental school curricula. Pediatr Dent. 2001;23:407–9.PubMed
Peretz B, Zadik D. Attitudes of parents towards their presence in the operatory during dental treatments to their children. J Clin Pediatr Dent. 1998;23:27–30.PubMed
Piira T, Sugiura T, Champion GD, Donnelly N, Cole AS. The role of parental presence in the context of children’s medical procedures: a systematic review. Child Care Health Dev. 2005;31(2):233–43.CrossRefPubMed
Rayman MS. Parent observation. Calif Dent Assoc J. 1987;15:20–4.
Townsend JA. Behavior guidance of the pediatric dental patient. In: Casamassimo PS, Fields HW, McTigue DJ, Nowak AJ, editors. Pediatric dentistry. Infancy through adolescence, Ch. 23. 5th ed. St Louis: Elsevier Saunders; 2013.
Varpio M, Wellfelt B. Some characteristics of children with dental behaviour problems. Five-year follow-up of pedodontic treatment. Swed Dent J. 1991;15:85–93.PubMed
Wright GZ, Kupietzky A. Non-pharmacologic approaches in behavior management. In: Wright GZ, Kupietzky A, editors. Behavior management in dentistry for children, Ch. 6. 2nd ed. Hoboken: Wiley; 2014.CrossRef
Metadata
Title
A study of parental presence/absence technique for child dental behaviour management
Authors
V. Boka
K. Arapostathis
G. Charitoudis
J. Veerkamp
C. van Loveren
N. Kotsanos
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Paediatric Dentistry / Issue 6/2017
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-017-0313-9

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