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. 2015 Jun;16(3):283-90.
doi: 10.1007/s40368-014-0161-9. Epub 2014 Dec 17.

Parent-reported distress in children under 3 years old during preventive medical and dental care

T M Nelson  1 , C E Huebner, A Kim, J M Scott, J E Pickrell
Affiliations

Parent-reported distress in children under 3 years old during preventive medical and dental care

T M Nelson et al. Eur Arch Paediatr Dent. 2015 Jun.

Abstract

Purpose: This study examined factors related to young children's distress during preventive oral health visits. Additionally, associations between parent-reported child behaviour during the dental visit and during previous medical visits were tested.

Methods: One hundred twenty-two children under 3 years of age enrolled in a government insurance programme for low-income children were seen for examination, prophylaxis, and fluoride application at a university-based dental clinic. Child distress was rated by parents on a numerical rating scale.

Results: The average age of children enrolled was 23.5 ± 7.3 months. The majority (55.7 %) were judged to have little or no distress pre-examination. Mild or no distress during the examination was reported for 42.6 % of the children and severe distress was reported for 39.4 %. Intensity of distress during the examination was not associated with the child's age, gender, dental health, or previous experience with dental care. Distress was also unrelated to the caregiver's education level or own dental health. Intensity of distress was associated with the child's pre-dental examination distress and distress during prior medical examinations and injections.

Conclusions: Dental professionals can better anticipate child distress by assessing children before a dental examination and enquiring about previous medical experiences. Strategies to prepare parents and alleviate distress may help children cope with the preventive dental visit.

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Conflict of interest statement

Conflict of Interest:

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Figure 1a: Child Distress at the Dental Visit *Graphic created with MS Word Figure 1b: Child’s Experience at a Medical Visit *Graphic created with MS Word
Figure 1
Figure 1
Figure 1a: Child Distress at the Dental Visit *Graphic created with MS Word Figure 1b: Child’s Experience at a Medical Visit *Graphic created with MS Word
See this image and copyright information in PMC

References

    1. American Academy of Pediatric Dentistry. Guideline on infant oral health care. Pediatr Dent. 2012;34(5):148–52. - PubMed
    1. Alio AP, Salihu HM. Maternal determinants of pediatric preventive care utilization among blacks and whites. J Natl Med Assoc. 2005;97(6):792–7. - PMC - PubMed
    1. Beil H, Rozier RG, Preisser JS, Stearns SC, Lee JY. Effects of early dental office visits on dental caries experience. Am J Public Health 2013 - PMC - PubMed
    1. Bhaskar V, Mcgraw KA, Divaris K. The importance of preventive dental visits from a young age: Systematic review and current perspectives. In. Clin cosmet investig dent. 2014:21–27. - PMC - PubMed
    1. Bitar King B, Huebner C, Slayton R, Leggott P. Barriers to obtaining needed dental treatment for head start children in washington. University of Washington; 2011. unpublished data.

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