Assessment of Correlation of Predisposed Maternal Apprehension on their Children’s Behavior in their Course of Sequential Visits to Dental Clinic- A Cross Sectional Study
Main Article Content
Abstract
Background: Pediatric dental patients experiencing unidentified fear and anxiety towards dental care is considered as one of the most anticipatory and prevalent dental health concern. Parents especially mothers are known to transmit their inherent assumptions and concerned fear with regards to dental care to their wards. Hence this maternal influence is determined to have considerable effect on child’s behavior in the dental clinical setting.
Methods: A cross sectional study was conducted in the department to determine the influence of maternal anxiety on their children during their subsequent visit to dental clinics. Hundred and Twenty subjects were identified along with their mothers and were recruited for the study. They were then provided with the Modified Dental Anxiety Scale Questionnaire (MDAS) and both the mothers and child’s physiologic parameters were recorded during each visit. In a similar manner the child’s level of anxiety were recorded using the Raghavendra, Madhuri, Sujata (RMS) Pictorial Scale (RMS-PS) along with their physiologic parameters.
Results: The obtained figures definitely suggests a clear association (P <0.05) between the recorded scores (MDAS and RMS-PS) and measured variables (blood pressure and heart rate) of mothers and wards. There existed no significant variation with regard to oxygen saturation of both mothers and wards.
Conclusion: The anxiety levels pertinently persisting among mothers have a substantial association’ with the child”s level of anxiety and fear in dental environment
Article Details
References
Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health J Oral Rehabil. 2006;33:588–93.
Pramila M, Murthy AK, Chandrakala B, Ranganath S. Dental fear in children and its relation to dental caries and gingival condition - A cross sectional study in Bangalore city, India Int J Clin Dent Sci. 2010;1:1–5.
Padawe D, Chettiankandy TJ, Rathi GV, Sachdev SS, Takate VS, Yadav T. Effectivity of Binaural Beats in Reduction of Anxiety during Dental Treatment in Pediatric Patients. Global Journal of Medical, Pharmaceutical, and Biomedical Update. 2023 Feb 8;18.
Harsha L, Jeevanandan G. A scale to assess child’s dental anxiety. Int J Multidisciplinary Res Modern Educ 2017;3(1):301–303. DOI: 10.5281/zenodo.573166.
Humphris GM, Morrison T, Lindsay SJ (1995) The modifed dental anxiety scale: validation and United Kingdom norms. Commun Dent Health
Farhat-McHayleh N, Harfouche A, Souaid P (2009) Techniques for managing behaviour in pediatric dentistry: comparative study of live modelling and tell-show-do based on children’s heart rates during treatment. J Can Dent Assoc 75:283
Shetty RM, Khandelwal M, Rath S. RMS Pictorial Scale (RMS-PS): An innovative scale for the assessment of child's dental anxiety. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2015 Jan 1;33(1):48.
Thribhuvanan L, Saravanakumar MS, Anjana G. Influence of parental anxiety on children’s behaviour during their visits to dental clinic: a short clinical study. Bulletin of the National Research Centre. 2021 Dec;45:1-8.
Vilas-Boas ADM, Vieira JOS, Diniz MB. Child’s behavior and its relationship with the level of maternal-child anxiety during dental care. Pesqui Bras Odontopediatria Clín Integr 2017;17(1):36-46.
Verma N, Gupta A, Garg S, Dogra S, Joshi S, Vaid P Outcome of Conventional versus Digital Mode of Behaviour Modification With or Without Maternal Presence in Paediatric Dental Patients-A Pilot Study. Journal of Clinical & Diagnostic Research. 2022 Jun 1;16(6).
Shim YS, Kim AH, Jeon EY, An SY. Dental fear & anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med 2015; 15(2):53-61
Khawja SG, Arora R, Shah AH, Wyne AH, Sharma A. Maternal dental anxiety and its effect on caries experience among children in Udaipur, India J Clin Diagn Res. 2015;9:42–5.
Venham L, Bengston D, Cipes M. Children’s response to sequential dental visits. J Dent Res 1977; 56:454‑9.
Howard KE, Freeman R. Reliability and validity of a faces versionof the modified child dentalanxiety scale. Int J Paediatr Dent2007;17:281–288.
Best CH, Taylor NB: The physiological basis of medical practice. The Williams and Williams and Wilkins Co, Baltimore, pages: 127-205,1945.
Popescu SM, Dascălu IT, Scrieciu M, Mercut V, Moraru I, Tuculină MJ. Dental Anxiety and its association with behavioral factors in children. Curr Health Sci J 2014; 40(4):261-4.
Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973;86(4):842–848
Kyritsi MA, Dimou G, Lygidakis NA. Parental attitudes andperceptions affecting children’s dental behaviour in Greek population: A clinical study. Eur Arch Pediatr Dent 2009;10:29-32
Koenigsberg SR, Johnson R: Child behavior during three dental visits, J Dent Child, 33 - 36,1975.
Sinha M, Christopher NC, et al. Evaluation of nonpharmacologic methods of pain and anxiety management for laceration repair in the pediatric emergency department. Pediatrics 2006;117:1162–1168. DOI: 10.1542/peds.2005-1100.
Beck FM, Weaver JM: Blood pressure and heart rate responses to anticipated high stress dental treatment, J Dent Res, 60: 26 - 29,1981.
Al-Namankany A, de Souza M, Ashley P. Evidence-based dentistry: analysis of dental anxiety scales for children. Br Dent J 2012;212(5):219–222. DOI: 10.1038/sj.bdj.2012.174.
Krishnappa S, Srinath S, Vishwanath SK, et al. Evaluation of facial image scale and Venham picture test used to assess dental anxiety in children. J Indian Assoc Public Health Dent 2013;11(2):31–35
Ilgüy D, Ilgüy M, Dinçer S, Bayirli G (2005) Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res 33:252–259Return to ref 2005 in article
Soares FC, Lima RA, Barros MVG, Colares V. Factors Associated with Dental Anxiety in Brazilian Children of 5 to 8 years. Brazilian Research in Pediatric Dentistry and Integrated Clinic. 2014;14(2):97-105
Suprabha BS, Rao A, Choudhary S, Shenoy R. Child dental fear and behavior: the role of environmental factors in a hospital cohort. J Indian Soc Pedod Prev Dent 2011; 29(2):95-101
Rajwar AS, Goswami M. Prevalence of dental fear and its causes using three measurement scales among children in New Delhi. J Indian Soc Pedod Prev Dent 2017; 35(2):128-33.
Guinot Jimeno F, Mercadé Bellido M, Cuadros Fernández C, Lorente Rodríguez AI, Llopis Pérez J, Boj Quesada JR. Effect of audiovisual distraction on children’s behavior anxiety and pain in the dental setting. Eur J Paediatr Dent. 2014;15(3):297-302.
Myers DR, Kramer WS, et al. A study of the heart action of the child dental patient. ASDC J Dent Child 1972;39(2):99–106
Sowjanya V, Tondon S, et al. Physiological response to dental anxiety in children. J Indian Soc Pedod Prevent Dent 1995;13:13–17.
Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2007 Oct 1;25(4):177.’
Elicherla SR, Bandi S, Nuvvula S, subbareddy Challa R, Saikiran KV, Priyanka VJ. Comparative evaluation of the effectiveness of a mobile app (Little Lovely Dentist) and the tell-show-do technique in the management of dental anxiety and fear: a randomized controlled trial. Journal of dental anesthesia and pain medicine. 2019 Dec 1;19(6):369-78.
Asl Aminabadi N, Erfanparast L, et al. The impact of virtual reality distraction on pain and anxiety during dental treatment in 4–6 year old children: a randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospects
2012;6:117–124. DOI: 10.5681/joddd.2012.025.
Navit S, Johri N, et al. Effectiveness and Comparison of Various Audio Distraction Aids in Management of Anxious Dental Paediatric Patients. J Clin Diagn Res 2015;9(12):ZC05–ZC09.
Tiwari N, Tiwari S, Thakur R, et al. Evaluation of treatment related fear using a newly developed fear scale for children: “Fear assessment picture scale” and its association with physiological response. Contemp Clin Dent 2015;6(3):327–331