Advertisement

European Archives of Paediatric Dentistry

, Volume 12, Issue 4, pp 195–199 | Cite as

Impact of exposure to positive images on dental anxiety among children: a controlled trial

  • M. L. Ramos-JorgeEmail author
  • J. Ramos-Jorge
  • R. G. Vieira de Andrade
  • L. S. Marques
Article

Abstract

AIM: To determine whether exposing children to images of positive dental care would have an effect on their degree of anxiety, assessing anxiety three separate times. STUDY DESIGN: Controlled trial. METHODS: The 70 participants from 4–11 years of age were randomly assigned to one of two conditions. The intervention consisted of viewing positive images of dentistry and dental treatment (n=35). The control condition consisted of dentally neutral images (n=35). Outcome measures: Anxiety was assessed using the Venham Picture Test (VPT) prior to the intervention, immediately following the intervention and following the dental appointment. STATISTICS: Statistical analysis (chisquare and Mann-Whitney tests) was conducted blind to group allocation. RESULTS: No significant difference was detected between the scores of the VPT in the two groups at any evaluation time (p>0.05). Dental anxiety at the three evaluation times was not correlated to age. There was no difference in level of anxiety between male and female participants (p>0.05). CONCLUSIONS: Viewing positive images of dentistry and dentists did not have a greater effect on child anxiety in the dental setting than viewing neutral images, however, showed lower rates of anxiety for all children although this was not significant.

Keywords

Dental anxiety images children 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Aartman IH, van Everdingen T, Hoogstraten J et al. Self-report measurements of dental anxiety and fear in children: a critical assessment. ASDC J Dent Child 1998;65:252–258.PubMedGoogle Scholar
  2. Aartman IH, de Jongh A, Makkes PC et al. Dental anxiety reduction and dental attendance after treatment in a dental fear clinic: a follow-up study. Community Dent Oral Epidemiol 2000;28:435–442.PubMedCrossRefGoogle Scholar
  3. Adair SM. Behavior management conference panel I report: rationale for behaviour management techniques in pediatric dentistry. Pediatr Dent 2004;26:167–170.PubMedGoogle Scholar
  4. Colares V, Richman L. Factors associated with uncooperative behavior by Brazilian preschool children in the dental office. ASDC J Dent Child 2002;69:87–91.PubMedGoogle Scholar
  5. Fox C, Newton JT. A controlled trial of the impact of exposure to positive images of dentistry on anticipatory dental fear in children. Community Dent Oral Epidemiol 2006;34:455–459.PubMedCrossRefGoogle Scholar
  6. Gustafsson A, Broberg A, Bodin L et al. Dental behaviour management problems: the role of child personal characteristics. Int J Paediatr Dent 2010;20:242–253.PubMedCrossRefGoogle Scholar
  7. Howard KE, Freeman R. Reliability and validity of a faces version of the Modified Child Dental Anxiety Scale. Int J Paediatr Dent 2007;17:281–288.PubMedCrossRefGoogle Scholar
  8. Locker D, Liddell A, Dempster L et al. Age of onset of dental anxiety. J Dent Res 1999;78:790–796.PubMedCrossRefGoogle Scholar
  9. Nicolas E, Bessadet M, Collado V et al. Factors affecting dental fear in French children aged 5–12 years. Int J Paediatr Dent 2010;20:366–373.PubMedCrossRefGoogle Scholar
  10. Olumide F, Newton JT, Dunne S et al. Anticipatory anxiety in children visiting the dentist: lack of effect of preparatory information. Int J Paediatr Dent 2009;19:338–342.PubMedCrossRefGoogle Scholar
  11. Ramos-Jorge ML, Pordeus IA. Why and how to measure child’s anxiety in the dental environment: the modified VPT. JBP Rev Ibero-am Odontopediatr Odontol Bebe 2004;7:282–290.Google Scholar
  12. Ramos-Jorge ML, Marques LS, Paiva SM et al. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent 2006;7:253–257.PubMedCrossRefGoogle Scholar
  13. Sjogren A, Arnrup K, Jensen C et al. Pain and fear in connection to orthodontic extractions of deciduous canines. Int J Paediatr Dent 2010;20:193–200.PubMedCrossRefGoogle Scholar
  14. ten Berge M, Veerkamp JS, Hoogstraten J et al. Behavioural and emotional problems in children referred to a centre for special dental care. Community Dent Oral Epidemiol 1999;27:181–186.PubMedCrossRefGoogle Scholar
  15. ten Berge M, Veerkamp JS, Hoogstraten J et al. Childhood dental fear in the Netherlands: prevalence and normative data. Community Dent Oral Epidemiol 2002;30:101–107.PubMedCrossRefGoogle Scholar
  16. Themessl-Huber M, Freeman R, Humphris G et al. Empirical evidence of the relationship between parental and child dental fear: a structured review and meta-analysis. Int J Paediatr Dent 2010;20:83–101.PubMedCrossRefGoogle Scholar
  17. Wigen TI, Skaret E, Wang NJ. Dental avoidance behaviour in parent and child as risk indicators for caries in 5-year-old children. Int J Paediatr Dent 2009;19:431–437.PubMedCrossRefGoogle Scholar
  18. Wilson S, Cody WE. An analysis of behaviour management papers published in the pediatric dental literature. Pediatr Dent 2005;27:331–338.PubMedGoogle Scholar
  19. World Health Organisation (WHO). Oral health surveys. Basic methods. Geneva: WHO; 1999.Google Scholar

Copyright information

© European Archives of Paediatric Dentistry 2011

Authors and Affiliations

  • M. L. Ramos-Jorge
    • 1
    Email author
  • J. Ramos-Jorge
    • 2
  • R. G. Vieira de Andrade
    • 3
  • L. S. Marques
    • 3
  1. 1.Department of Paediatric Dentistry, School of DentistryFederal University of Vales do Jequitinhonha e MucuriDiamantinaBrazil
  2. 2.Department of Paediatric Dentistry, School of DentistryFederal University of Minas GeraisBelo HorizonteBrazil
  3. 3.Department of OrthodonticsUniversity of Vale do Rio Verde (UNINCOR)Três CoraçõesBrazil

Personalised recommendations