The communication of pain in Paediatric Dentistry
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AIM: In this paper the communication model of pain is reviewed and the information then applied to understanding the acute pain experience of children in dentistry, with attention directed to improving the process of pain assessment. BACKGROUND: Expression of pain in children is of great importance as it enables them to engage others who may provide care. The experience of pain, however, is inherently private and not directly accessible to others. Therefore, it requires judgment and skill on the part of observers if pain is to be assessed accurately. In addition, there are striking individual differences in how people react to pain, which makes the assessment of pain in others an even greater challenge. Craig and colleagues  have proposed the use of the social communication model of pain that gives priority to understanding the numerous social factors that affect whether children are successful in communicating painful distress. CONCLUSION: When children’s pain is underestimated or a child’s self-report is not seen as credible, there is a considerable risk of failure to deliver needed dental care.
Key wordssocio-communication model pain children dentistry
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- Anand KJS, Grunau RVE, Oberlander TF. Developmental character and long-term consequences of pain in infants and children. Child Adolesc Psychiatr Clin N Am 1997;6:703–724.Google Scholar
- Craig KD. Emotions and psychobiology. In: McMahon S. and Koltzenburg M. (eds). Melzack and Wall’s Textbook of Pain. 5th ed. Elsevier/ Churchill-Livingstone, 2005, pp231–239.Google Scholar
- Craig KD, Grunau RVE. Developmental Issues: Infants and Toddlers. In: Bush JP, Harkins SW. (eds.). Children in pain clinical and research issues from a developmental perspective. New York: Springer-Verlag, 1991.Google Scholar
- Craig KD, Korol CT. Developmental issues in understanding, assessing, and managing pediatric pain. In: Walco G, Goldschnieder K. (eds.). Pediatric Pain Management in Primary Care: A Practical Guide. Totowa, New Jersy (USA): The Humana Press Inc, 2008.Google Scholar
- Gaffney A, McGrath PJ, Dick B. Measuring pain in children: developmental and instrument issues. In: Schechter NL, Berde CB, Yaster M. (eds.). Pain in infants, children, and adolescents. Philadelphia (USA): Lippincott Williams and Wilkins, 2003.Google Scholar
- Gedaly-Duff V. Developmental issues: preschool and school-age children. In: Bush JP, Harkins SW. (eds.). Children in pain clinical and research issues from a developmental perspective. New York: Springer-Verlag, 1991.Google Scholar
- Hester NO, Foster RL, Jordan-Marsh M, Vojir CP, Miller KL. Putting pain measurement into clinical practice. Prog Pain Res Manag 1998;10:179–198.Google Scholar
- IASP. Pain terms: a list with definitions and notes on usage. Pain 1979;6:249–252.Google Scholar
- Klingberg G. Dental fear and behaviour management problems in children. A study of measurement, prevalence, concomitant factors, and clinical effects. Swed Dent J Suppl 1995;103:1–78.Google Scholar