Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
European Archives of Paediatric Dentistry
Published in: European Archives of Paediatric Dentistry 1/2013

01-02-2013 | Original Scientific Article

Pain-related behaviour in children: a randomised study during two sequential dental visits

Authors: E. J. Hembrecht, J. Nieuwenhuizen, I. H. A. Aartman, J. Krikken, J. S. J. Veerkamp

Published in: European Archives of Paediatric Dentistry | Issue 1/2013

Login to get access

Abstract

Aim

To determine the difference in pain- and distress-related behaviour in children between two consecutive dental treatment sessions using a computer-controlled local anaesthetic delivery system, with dental anxiety as co-variable.

Methods

A randomised prospective study over two sequential visits in three paediatric dental practices. For both visits 112 young, healthy children needing dental treatment were randomly assigned to either the use of the Wand® or the Sleeper One®. All statistical analyses were performed using SPSS 17. A significance level of p < 0.01 was used, correcting for conducting a high number of tests.

Results

Children showed significantly more muscle tension, more verbal protest, and more crying or screaming during the second treatment.

Conclusions

Sequential dental treatments seem to have a conditioning effect. It is important to know the level of dental anxiety to adjust the treatment sequence to the needs of the child.
Literature
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;12:200–4.PubMedCrossRef
Crombez G, Eccleston C, Baeyens F, Eelen P. The disruptive nature of pain: an experimental investigation. Behav Res Ther. 1996;34:911–8.PubMedCrossRef
Edwards RR, Fillingim RB. Effects of age on temporal summation and habituation of thermal pain: clinical relevance in healthy older and younger adults. J Pain. 2001;2:307–17.PubMedCrossRef
Harris CV, Bradlyn AS, Ritchey AK, Olsen BR, Pisaruk HI. Individual differences in pediatric cancer patients’ reactions to invasive medical procedures: a repeated measures analysis. Pediatr Hematol Oncol. 1994;11:293–9.PubMedCrossRef
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.PubMedCrossRef
Klingberg G, Berggren U, Carlsson SG, Noren JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci. 1995;103:405–12.PubMedCrossRef
Kuscu OO, Akyuz S. Is it the injection device or the anxiety experienced that causes pain during dental local anaesthesia? Int J of Paediatr Dent. 2008;18:139–45.CrossRef
Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res. 1999;78:790–6.PubMedCrossRef
Locker D, Thomson WM, Poulton R. Psychological disorder, conditioning experiences, and the onset of dental anxiety in early adulthood. J Dent Res. 2001;80:1588–92.PubMedCrossRef
Meechan J. Effective topical anesthetic agents and techniques. Dent Clin North Am. 2002;46:759–66.PubMedCrossRef
Nieuwenhuizen J, Hembrecht EJ, Aartman IHA, Krikken J, Veerkamp JSJ. Comparison of two computerized anaesthesia delivery systems: pain and pain-related behaviour in children during a dental injection. Eur Arch Paediatr Dent. 2013;14. doi:10.​1007/​s40368-012-0007-2
Rachman S. The conditioning theory of fear acquisition: a critical examination. Behav Res Ther. 1977;15:375–87.PubMedCrossRef
ten Berge M, Hoogstraten J, Veerkamp JS, Prins PJ. The dental subscale of the children’s fear survey schedule: a factor analytic study in the Netherlands. Commun Dent Oral Epidemiol. 1998;26:340–3.CrossRef
ten Berge M, Veerkamp JS, Hoogstraten J. The etiology of childhood dental fear: the role of dental and conditioning experiences. J Anxiety Disord. 2002;16:321–9.PubMedCrossRef
Townend E, Dimigen G, Fung D. A clinical study of child dental anxiety. Behav Res Ther. 2000;38:31–46.PubMedCrossRef
van Meurs P, Howard KE, Versloot J, Veerkamp JSJ, Freeman R. Child coping strategies, dental anxiety and dental treatment: the influence of age, gender and childhood caries prevalence. Eur J Paediatr Dent. 2005;6:173–8.PubMed
Veerkamp JSJ, Gruythuysen RJM, van Amerongen WE, Hoogstraten J. Dental treatment of fearful children, using nitrous oxide part IV, results after two years. J Dent Child. 1993;60:372–7.
Venham LL, Gaulin-Kremer E, Munster E, Bengston-Audia D, Cohan J, Interval rating scales for children’s dental anxiety and uncooperative behaviour. Pediatr Dent. 1980;2:195–202.
Versloot J, Veerkamp JSJ, Hoogstraten J. Assessment of pain by the child, dentist, and independent observers. Pediatr Dent. 2004;26:445–9.PubMed
Versloot J, Veerkamp JSJ, Hoogstraten J. Computerized anaesthesia delivery systems versus traditional syringe: comparing pain and pain-related behaviour in children. Eur J Oral Sci. 2005;113:488–93.PubMedCrossRef
Versloot J. Pain in paediatric dentistry, clinical dissertation. Amsterdam: UVA; 2007. p. 10.
Versloot J, Veerkamp JS, Hoogstraten J. Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. Br Dent J. 2008a;205(1):E2 (discussion 30–1).
Versloot J, Veerkamp JSJ, Hoogstraten J. Children’s self-reported pain at the dentist. Pain. 2008b;137:389–94.PubMedCrossRef
Metadata
Title
Pain-related behaviour in children: a randomised study during two sequential dental visits
Authors
E. J. Hembrecht
J. Nieuwenhuizen
I. H. A. Aartman
J. Krikken
J. S. J. Veerkamp
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
European Archives of Paediatric Dentistry / Issue 1/2013
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-012-0003-6

Other articles of this Issue 1/2013

European Archives of Paediatric Dentistry 1/2013 Go to the issue

Case Report

15-year follow-up of a case of amelogenesis imperfecta: importance of psychological aspect and impact on quality of life

Original Scientific Article

Registration of dental erosive wear on study models and intra-oral photographs

Editorial

New changes in EAPD

Original Scientific Article

Dental anxiety and dental pain in 5- to 12-year-old children in Recife, Brazil

Original Scientific Article

The prevalence and associated risk factors for tooth wear and dental erosion in 15- to 16-year-old schoolchildren in Amman, Jordan

Original Scientific Article

Incidence and prevention of traumatic injuries in paediatric handball players in Istanbul, Turkey