Avia Fux-Noy1,2, Shani Sazbon3, Aviv Shmueli4, Elinor Halperson4, Moti Moskovitz4, Diana Ram4. 1. Department of Paediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel. fuxavia@gmail.com. 2. Department of Paediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, The Hebrew University of Jerusalem, P.O.B. 12272, 9112102, Jerusalem, Israel. fuxavia@gmail.com. 3. , Haifa, Israel. 4. Department of Paediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Abstract
PURPOSE: To examine children's behaviours during consecutive dental treatments, relative to gender, age, and behaviour guidance techniques. METHODS: A retrospective study of medical records of children treated by four residents in a Department of Paediatric Dentistry, during 2015-2018. Data included: age, gender, behaviour guidance technique (no medication, inhaled sedation, conscious sedation with hydroxyzine or benzodiazepines) and behaviour according to Frankl scale. RESULTS: Of 205 children, 134 were 3-6 yo (Group 1) and 71 were 6.1-11 yo (Group 2). Most presented a positive behavioural profile, with significant difference between groups (p = 0.02), no significant difference between genders (p = 0.72). A significant association between behaviour guidance techniques and behavioural profile was found (p = 0.01). Most children with positive behaviour received inhaled sedation (83%), while most children with negative behaviour received conscious sedation using benzodiazepines (8%). Negative behaviour was observed only in the younger children receiving conscious sedation with benzodiazepines (9%) or hydroxyzine (3%). CONCLUSIONS: Most 3-11 yo patients exhibited positive behaviour during four consecutive dental treatments, with different behaviour guidance techniques. Negative behaviour was more frequent among 3-6 yo children, where sedation was often required to achieve cooperation, and 4.5% could benefit from general anesthesia.
PURPOSE: To examine children's behaviours during consecutive dental treatments, relative to gender, age, and behaviour guidance techniques. METHODS: A retrospective study of medical records of children treated by four residents in a Department of Paediatric Dentistry, during 2015-2018. Data included: age, gender, behaviour guidance technique (no medication, inhaled sedation, conscious sedation with hydroxyzine or benzodiazepines) and behaviour according to Frankl scale. RESULTS: Of 205 children, 134 were 3-6 yo (Group 1) and 71 were 6.1-11 yo (Group 2). Most presented a positive behavioural profile, with significant difference between groups (p = 0.02), no significant difference between genders (p = 0.72). A significant association between behaviour guidance techniques and behavioural profile was found (p = 0.01). Most children with positive behaviour received inhaled sedation (83%), while most children with negative behaviour received conscious sedation using benzodiazepines (8%). Negative behaviour was observed only in the younger children receiving conscious sedation with benzodiazepines (9%) or hydroxyzine (3%). CONCLUSIONS: Most 3-11 yo patients exhibited positive behaviour during four consecutive dental treatments, with different behaviour guidance techniques. Negative behaviour was more frequent among 3-6 yo children, where sedation was often required to achieve cooperation, and 4.5% could benefit from general anesthesia.
Authors: Joana Ramos-Jorge; Leandro S Marques; Márcio A Homem; Saul M Paiva; Meire C Ferreira; Fernanda Oliveira Ferreira; Maria L Ramos-Jorge Journal: Int J Paediatr Dent Date: 2012-03-21 Impact factor: 3.455