Gizani, Sotiria; Seremidi, Kyriaki; Katsouli, Konstantina; Markouli, Antigoni; Kloukos, Dimitrios (2022). Basic behavioral management techniques in paediatric dentistry: A systematic review and meta-analysis. Journal of dentistry, 126, p. 104303. Elsevier Science 10.1016/j.jdent.2022.104303
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OBJECTIVE
To systematically retrieve and assess studies regarding the effectiveness of basic behavioral management techniques (BMTs) in paediatric patients.
DATA SOURCES
Electronic and hand searches were conducted to locate Randomized Controlled Trials (RCTs) reporting on objective and subjective evaluation of anxiety and behavior of children up to 12 years of age. Data extraction and risk of bias evaluation, using the Cochrane risk of bias tool (RoB 2.0 Tool), were performed independently and in duplicate for all included studies. Mean differences and standard deviations were used to summarize the data from each study and meta-analyses were conducted with studies of limited heterogeneity.
STUDY SELECTION
A total of 708 papers were identified and screened, 122 retrieved for full text appraisal and 62 finally included. Results suggested that all basic BMTs have acceptable effectiveness on paediatric patients' anxiety, fear and behavior during dental treatment. Meta-analysis showed a statistically significant difference in favor of distraction for subjective anxiety using facial scale (Mean diff.: 2.78; 95% CI: -3.08, -0.53; p=0.005) and Modified Child Dental Anxiety Scale (Mean diff.: 12.76; 95% CI: -6.09, -4.47; p=0.001) and a non-significant difference for heart rate (Mean diff.: 1.70; 95% CI: -6.54, 0.46; p=0.09). Music significantly reduced heart rate when compared to a control comparator, underlining the superiority of the BMT (Mean diff.: 2.71; 95% CI: -3.70, -0.59; p=0.007).
CONCLUSIONS
Limited evidence about efficacy of one technique over another raises important issues on the topic for future research regarding the management of the child patient in the dental setting of the 21st century.
CLINICAL SIGNIFICANCE
Behavioral management comprises a challenge for clinicians, who need to be familiar with a range of techniques to meet patients' needs at individual level and be flexible in their implementation. Appropriate technique should incorporate patients' personality and parents' active involvement, within the contents of the changes in modern societies.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics |
UniBE Contributor: |
Kloukos, Dimitrios (B) |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0300-5712 |
Publisher: |
Elsevier Science |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
26 Sep 2022 13:10 |
Last Modified: |
22 Sep 2023 00:25 |
Publisher DOI: |
10.1016/j.jdent.2022.104303 |
PubMed ID: |
36152953 |
Uncontrolled Keywords: |
basic techniques behavioral management child behavior dental anxiety dental fear |
BORIS DOI: |
10.48350/173254 |
URI: |
https://boris.unibe.ch/id/eprint/173254 |
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