1 research outputs found
The Effect of Parental Presence on the 5 year-Old Children's Anxiety and Cooperative Behavior in the First and Second Dental Visit
Objective: One of the most significant problems in pediatric dentistry
is behavioral resistance of preschool children in the first visit.
There is a debate on parental presence in operation room. The purpose
of this study was to evaluate the Iranian 5-year-old children's
behavior including anxiety and cooperation relative to parental
presence in the first and second dental appointments. Methods: The
study was conducted on sixty seven 5-year-old children selected
according to inclusion criteria and randomly divided into two
subgroups. Children in group I were visited in parent's presence and in
group II in parent's absence. Before the child's first dental visit,
parents were interviewed. Forty eight of the children receiving the
initial examination were recalled for a second visit. The children's
responses during the Holst procedure of the first visit and restorative
second visit were assessed using a combination of two measures
including heart rate and clinical behavior. The dentist-patient
interactions were regulated by standardized scripts and recorded on
videotape. Then, the behavior of the child on the recording during each
visit was quantified by two pediatric dentists independently according
to Venham 6-point rating scale and Frankle 4-point rating scale.
Findings: There were no significant differences between the heart rate
measures of children in group I and II in the first and second visit
(0.67, 0.8 respectively). There were also no significant differences
between the clinical anxiety scores of children in the two groups in
the first and second visit (0.98, 0.42 respectively). Moreover, there
were no significant differences between the clinical cooperation scores
of children in group I and group II in the first and second visit
(0.88, 0.40 respectively), neither were there any significant
differences between response measures of each child between two visits
(P>0.05). In addition, there were no significant differences related
to sex, parental education and dental experiences (P>0.05).
Conclusion: Parental presence or absence doesn't affect an Iranian
5-year-old child's anxiety on the first and second dental visit, as
well as an Iranian 5-year-old child's cooperation on the first and
second dental visit