The Effect of Parental Presence on Dental Fear
Study Details
Study Description
Brief Summary
150 children aged between five and seven years presenting for the first dental visit, whose parents consented to participate in the study were selected from patients reporting to the dental clinics Riyadh Colleges of Dentistry and Pharmacy using convenience sampling. Pulse rate for each patient was measured at different clinical situation starting from patient parent separation until end of appointment using a pulse oximeter, Data which collected was statistically analyzed using appropriate statistical analyses using SPSS ver.19 data processing software.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 4 |
Detailed Description
150 children aged between five and seven years presenting for the first dental visit, whose parents consented to participate in the study were selected from patients reporting to the dental clinics Riyadh Colleges of Dentistry and Pharmacy using convenience sampling. Only children who were classified as anxious but able to cope were included in the study (Rating 2 on the Venham's scale).
Pulse rate for each patient was measured at six different clinical situations. 1) Baseline 2) Seating of the child at the chair, 3) Arrival of the dentist, 4) Administration of local anesthesia 5) During the procedure, 6) End of Appointment.
Based on the accompanying person the children were classified as children accompanied by mothers alone, children accompanied by fathers alone, children accompanied by both parents.
The behavior of the child at each situation was recorded using the modified Venham's scale at each interval. The heart rate and oxygen saturation were recorded using pulse oxymetry
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Father present Child seated at the dental chair, buccal maxillary infiltration anesthesia with 2%Lidocaine administered using a 27 gauge 21mm needle , restorative procedure completed , Father present |
Procedure: Restorative procedure
A restorative dental procedure requiring maxillary buccal infiltration anesthesia, and not exceeding 30 minutes of working time
Other Names:
Drug: Maxillary infiltration anesthesia with 2%Lidocaine
1.8ml of 2% Lidocaine with adrenaline administered using a 27 gauge 21mm needle
Other Names:
|
| Active Comparator: Mother Present Child seated at the dental chair, buccal maxillary infiltration anesthesia with 2%Lidocaine administered using a 27 gauge 21mm needle , restorative procedure completed , Mother present |
Procedure: Restorative procedure
A restorative dental procedure requiring maxillary buccal infiltration anesthesia, and not exceeding 30 minutes of working time
Other Names:
Drug: Maxillary infiltration anesthesia with 2%Lidocaine
1.8ml of 2% Lidocaine with adrenaline administered using a 27 gauge 21mm needle
Other Names:
|
| Active Comparator: Both parents present Child seated at the dental chair, buccal maxillary infiltration anesthesia with 2%Lidocaine administered using a 27 gauge 21mm needle , restorative procedure completed , both parents present |
Procedure: Restorative procedure
A restorative dental procedure requiring maxillary buccal infiltration anesthesia, and not exceeding 30 minutes of working time
Other Names:
Drug: Maxillary infiltration anesthesia with 2%Lidocaine
1.8ml of 2% Lidocaine with adrenaline administered using a 27 gauge 21mm needle
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Child behavior - Subjective [30min]
Child behavior monitored using the Venham scale
Secondary Outcome Measures
- Child Behavior - Objective [30 min]
Child Behavior Monitored using Pulse oximeter
Eligibility Criteria
Criteria
Inclusion Criteria:
-
No previous restorative dental experience
-
At least one maxillary posterior tooth requiring restorative care
-
Parental consent to participate in the study
Exclusion Criteria:
-
Children with previous restorative dental experience
-
Children with intellectual disability
-
Children with diagnosed neurobehavioral disorders, including (but not limited to ), Autism spectrum disorders, learning disabilities, cerebral palsy, attention deficit hyperactivity disorder
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Riyadh Colleges of Dentistry and Pharmacy | Riyadh | Saudi Arabia |
Sponsors and Collaborators
- Riyadh Colleges of Dentistry and Pharmacy
Investigators
- Study Director: Hezekiah Mosadomi, DMD, Riyadh Colleges of Dentistry and Pharmacy
Study Documents (Full-Text)
None provided.More Information
Publications
- Afshar H, Baradaran Nakhjavani Y, Mahmoudi-Gharaei J, Paryab M, Zadhoosh S. The Effect of Parental Presence on the 5 year-Old Children's Anxiety and Cooperative Behavior in the First and Second Dental Visit. Iran J Pediatr. 2011 Jun;21(2):193-200.
- Al-Shalan TA, Al-Musa BA, Al-Khamis AM. Parents' attitude towards children's first dental visit in the College of Dentistry, Riyadh, Saudi Arabia. Saudi Med J. 2002 Sep;23(9):1110-4.
- Arathi R, Ashwini R. Parental presence in the dental operatory-parent's point of view. J Indian Soc Pedod Prev Dent. 1999 Dec;17(4):150-5.
- 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 Aug;12(4):200-4.
- Marcum BK, Turner C, Courts FJ. Pediatric dentists' attitudes regarding parental presence during dental procedures. Pediatr Dent. 1995 Nov-Dec;17(7):432-6.
- IRP/2012/48