V Boka1,2, K Arapostathis3, G Charitoudis3, J Veerkamp4, C van Loveren4, N Kotsanos3. 1. Department of Paediatric Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Papafi 88, 54453, Thessaloniki, Greece. vanessaboka@yahoo.gr. 2. Department of Cariology, Endodontology and Pedodontology, ACTA Amsterdam, Amsterdam, The Netherlands. vanessaboka@yahoo.gr. 3. Department of Paediatric Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Papafi 88, 54453, Thessaloniki, Greece. 4. Department of Cariology, Endodontology and Pedodontology, ACTA Amsterdam, Amsterdam, The Netherlands.
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.
RCT Entities:
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.