Treatment outcome in uncooperative child dental patients: an exploratory study

Abstracts on this page have been chosen andedited by Dr Trevor Watts

Abstract

Behaviour management techniques, with sedation if needed, were effective in treating 90% of a group of patients.

Main

Arnrup K, Broberg AG et al. Int J Paediatr Dent 2003; 13: 304–319

Behaviour problems are a frequent reason for referral to a paediatric dentist, and do not always result from fear and anxiety. In this study, 81 uncooperative patients aged 4–12 yrs referred to the paediatric dental clinic in a Swedish county were treated by experienced specialists. Parents answered a questionnaire, and dentists assessed child behaviour in relation to treatment.

Children were classified as: fearful, extrovert, outgoing (FEO: n = 20), fearful, inhibited (FI: 17), externalizing, impulsive (EI: 10) and as not fearful, extrovert, outgoing (NFEO: 34). Parental fear and stress were greatest in the FEO group. Parental locus of control was lowest in the EI group, who also had the highest level of social interaction problems. Treatment was permanently discontinued for 4 NFEO children and 1 FEO child, and 2 EI children were referred for GA treatment. The authors give some recommendations regarding management.