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European Archives of Paediatric Dentistry
Published in: European Archives of Paediatric Dentistry 6/2019

01-12-2019 | Care | Original Scientific Article

Do preschoolers with adverse birth outcomes have more distress during dental examination?

Authors: Ana Paula Mundim, Patrícia Corrêa-Faria, Luciane Rezende Costa

Published in: European Archives of Paediatric Dentistry | Issue 6/2019

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Abstract

Purpose

Studies assessing the influence of neonatal complications on children’s dental behaviour are lacking. We aimed to investigate whether prematurity, birth weight, and history of neonatal intensive care unit (NICU) hospitalisation are associated with distress during dental examination in children.

Methods

This preliminary longitudinal, retrospective study included 42 5- and 6-year-old children. Distress during dental examination was assessed using the observational FLACC Pain Assessment Tool through video files. Children self-reported their pain (Faces Pain Scale-Revised) at the end of the session. Information about neonatal complications was obtained through medical records. Bivariate analysis was performed (P < 0.05).

Results

Children with low birth weight (P = 0.047) and toothache history (P = 0.005) had higher frequency of distress during dental examination. There was no association between distress, prematurity and history of NICU hospitalisation (P > 0.05).

Conclusions

Health professionals can help to disseminate the knowledge that children with history of low birth weight are more prone to perceive distress with apparently painless procedures.
Literature
Babl FE, Crellin D, Cheng J, et al. The use of the faces, legs, activity, cry and consolability scale to assess procedural pain and distress in young children. Pediatri Emerg Care. 2012;28:1281–96.CrossRef
Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties. Pain. 1990;41:139–50.CrossRef
Blencowe H, Cousens S, Oestergaard MZ, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012;379:2162–72.CrossRef
Bouza H. The impact of pain in the immature brain. J Matern Fetal Neonatal Med. 2009;22:722–32.CrossRef
Brogårdh-Roth S, Stjernqvist K, Matsson L. Dental behavioural management problems and dental caries prevalence in 3- to 6-year-old Swedish children born preterm. Int J Paediatr Dent. 2008;18:341–7.CrossRef
Burnett AC, Scratch SE, Lee KJ, et al. Victorian Infant Collaborative Study Group. Executive function in adolescents born %3c 1000 g or %3c 28 weeks: a prospective cohort study. Pediatrics. 2015;135:e826–e834834.CrossRef
Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008;300:60–70.CrossRef
Charry CLE, Piola JS, Linhares MBM, Silva JA. Validity and reliability assessment of the Brazilian version of the Faces Pain Scale-Revised. Psychol Neurosci. 2014;7:55–9.CrossRef
Conrad AL, Richman L, Lindgren S, Nopoulos P. Biological and environmental predictors of behavioral sequelae in children born preterm. Pediatrics. 2010;125:e83–e8989.CrossRef
Delobel-Ayoub M, Arnaud C, White-Koning M, et al. Behavioral problems and cognitive performance at 5 years of age after very preterm birth: the EPIPAGE study. Pediatrics. 2009;123:1485–92.CrossRef
Farooqi A, Hägglöf B, Sedin G, Gothefors L, Serenius F. Mental health and social competencies of 10-to 12-year-old children born at 23 to 25 weeks of gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics. 2007;120:118–33.CrossRef
Gaspardo CM, Cassiano RGM, Gracioli SMA, Furini GCB, Linhares MBM. Effects of neonatal pain and temperament on attention problems in toddlers born preterm. J Pediatr Psychol. 2001;43:342–51.CrossRef
Gomes HS, Vieira LA, Costa PS, Batista AC, Costa LR. Professional dental prophylaxis increases salivary cortisol in children with dental behavioural management problems: a longitudinal study. BMC Oral Health. 2016;16:74.CrossRef
Hack M, Taylor HG, Schluchter M, et al. Behavioral outcomes of extremely low birth weight children at age 8 years. J Dev Behav Pediatr. 2009;30:122–30.CrossRef
Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B. The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain. 2001;93:173–83.CrossRef
Johnson S, Marlow N. Preterm birth and childhood psychiatric disorders. Pediatr Res. 2011;69:11R–8R.CrossRef
Johnston C, Barrington KJ, Taddio A, Carbajal R, Filion F. Pain in Canadian NICUs: have we improved over the past 12 years? Clin J Pain. 2011;27:225–32.CrossRef
Klein VC, Gaspardo CM, Martinez FE, Grunau RE, Linhares MB. Pain and distress reactivity and recovery as early predictors of temperament in toddlers born preterm. Early Hum Dev. 2009;85:569–76.CrossRef
Latimer K, Wilson P, Kemp J, et al. Disruptive behaviour disorders: a systematic review of environmental antenatal and early years risk factors. Child Care Health Dev. 2012;38:611–28.CrossRef
Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997;23:293–7.PubMed
Puffer RR, Serrano C. Patterns of birth weight. Washington, DC: PAHO; 1987.
Ramos-Jorge ML, Marques LS, Paiva SM, Serra-Negra JM, Pordeus IA. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent. 2006;7:253–7.CrossRef
Schwaller F, Fitzgerald M. The consequences of pain in early life: injury-induced plasticity in developing pain pathways. Eur J Neurosci. 2014;39:344–52.CrossRef
Scott MN, Taylor HG, Fristad MA, et al. Behavior disorders in extremely preterm/extremely low birth weight children in kindergarten. J Dev Behav Pediatr. 2012;33:202–13.CrossRef
Tomlinson D, von Baeyer CL, Stinson JN, Sung L. A systematic review of faces scales for the self-report of pain intensity in children. Pediatrics. 2010;126:e1168–e1198198.CrossRef
Tsang AK. The special needs of preterm children—an oral health perspective. Dent Clin North Am. 2016;60:737–56.CrossRef
WHO. Recommended definitions, terminology and format for statistical tables related to the perinatal period and use of a new certificate for cause perinatal period and use of a new certificate for cause perinatal deaths. Modifications recommended by FIGO as amended October 14, 1976. Acta Obastet Gynecol Scand. 1977;56:247–53.
World Health Organization. Oral health surveys: basic methods. 3rd ed. Geneva: ORH/EPID; 1987.
Xia B, Wang CL, Ge LH. Factors associated with dental behaviour management problems in children aged 2–8 years in Beijing, China. Int J Paediatr Dent. 2011;21:200–9.CrossRef
Zhou Y, Humphris GM. Reassurance and distress behavior in preschool children undergoing dental preventive care procedures in a community setting: a multilevel observational study. Ann Behav Med. 2014;48:100–11.CrossRef
Metadata
Title
Do preschoolers with adverse birth outcomes have more distress during dental examination?
Authors
Ana Paula Mundim
Patrícia Corrêa-Faria
Luciane Rezende Costa
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Keyword
Care
Published in
European Archives of Paediatric Dentistry / Issue 6/2019
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-019-00438-4

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