Factors predicting Behavior Management Problems during Initial Dental Examination in Children Aged 2 to 8 Years

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

1. Nidhi Aggarwal
2. Aparna Singh
3. Vipula Mittal
4. Arun Sharma
Publishing Year
Author Affiliations
    1. Professor, Department of Pedodontics and Preventive Dentistry, ITS Centre for Dental Studies and Research Muradnagar, Ghaziabad, Uttar Pradesh, India
    1. Department of Prosthodontics, Dental Life Clinic, CGHS Dispensary, New Delhi, India
    1. Department of Pedodontics and Preventive Dentistry Institute of Dental Studies & Technologies, Ghaziabad, Uttar Pradesh, India
    1. Department of Periodontics and Oral Implantology SGT Dental College Hospital and Reasearch Institute Gurgaon, Haryana, India
  • Article keywords
    Behavior, Dental anxiety, Management problems, Prediction


    Aim: The aim of the present study was to identify the various background variables and its influence on behavior management problems (BMP) in children. Materials and methods: The study included 165 children aged 2 to 8 years. During the initial dental visit, an experienced operator obtained each child's background variables from accompanying guardians using a standardized questionnaire. Children's dental behavior was rated by Frankel behavior rating scale. The behavior was then analyzed in relation to the answers of the questionnaire, and a logistic regression model was used to determine the power of the variables, separately or combined, to predict BMP. Results: The logistic regression analysis considering differences in background variables between children with negative or positive behavior. Four variables turned out to be as predictors: Age, the guardian's expectation of the child's behavior at the dental examination, the child's anxiety when meeting unfamiliar people, and the presence and absence of toothache. Conclusion: The present study concluded that by means of simple questionnaire BMP in children may be expected if one of these attributes is found. Clinical significance: Information on the origin of dental fear and uncooperative behavior in a child patient prior to treatment process may help the pediatric dentist plan appropriate behavior management and treatment strategy.

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