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Home A short-term follow-up of treatment outcome in groups of uncooperative child dental patients

A short-term follow-up of treatment outcome in groups of uncooperative child dental patients

Authors:

  • K. Arnrup
    Departments of Pedodontics, Postgraduate Dental Education Centre, rebro, Sweden
  • U. Berggren
    Oral Diagnosis/Endodontology, Faculty of Odontology, Gteborg University, Sweden
  • A. G. Broberg
    Department of Psychology, Gteborg University, Sweden
  • L. Bodin
    Statistics Unit, Clinical Research Centre, rebro University Hospital, Sweden

ABSTRACT


Aim

To evaluate the short-term follow-up outcome in four subgroups of uncooperative child dental patients referred to a
specialist paediatric dental clinic in Sweden.

Methods

Seventy children, classified into four groups (based on fear, temperament,
behaviour and verbal intelligence), were followed-up at their public dental clinics after termination of specialist dental treatment.
Questionnaire assessments of children's dental and general fear, parental dental fear, emotional stress, locus of control and parenting
efficacy were made by parents pre and post treatment and at follow-up and were analysed within and between groups. At follow-up,
parents rated their children's coping and procedure stress, while treatment acceptance was rated by the dentists.

Results

Decreases
in child dental fear were maintained at follow-up, although a third of children still had moderate or high dental fear. For those children
who had been classified into the externalising, impulsive group, an increased risk of non-acceptance (RR=3.7) was indicated. The risk of
dental fear at follow-up was increased for the group of fearful, inhibited children (RR=3.8). For the study group as a whole a poorer
follow-up outcome could be predicted by avoidance behaviour (OR 12.9-16.6) and moderate or high post treatment dental fear (OR 6.5-
21.3). CONCLUSIONS: Fearful, inhibited child dental patients may need, due to dental fear, extra attention even after successful dental
treatment at a specialist clinic. Externalising, impulsive children constitute a special challenge for dentistry. The continued need for
adjusted management after termination of specialist treatment can be predicted from avoidance behaviour and post treatment dental
fear scores.

PLUMX METRICS

Publication date:

Dec /2004

Keywords:

behaviour management problems, dental fear, personality characteristics

Issue:

Vol.5 – n.4/2004

Page:

216 – 224

Publisher:

Ariesdue

Cite:


Harvard: K. Arnrup, U. Berggren, A. G. Broberg, L. Bodin (2004) "A short-term follow-up of treatment outcome in groups of uncooperative child dental patients", European Journal of Paediatric Dentistry, 5(4), pp216-224. doi:
Vancouver: K. Arnrup, U. Berggren, A. G. Broberg, L. Bodin. A short-term follow-up of treatment outcome in groups of uncooperative child dental patients. European Journal of Paediatric Dentistry [Internet]. 2004Dec.1 [cited 2025May.12];5(4):216-224. Available from: https://www.ejpd.eu/abstract-pubmed/a-short-term-follow-up-of-treatment-outcome-in-groups-of-uncooperativechild-dental-patients/
MLA: K. Arnrup, U. Berggren, A. G. Broberg, L. Bodin A short-term follow-up of treatment outcome in groups of uncooperative child dental patients. European Journal of Paediatric Dentistry. 2004;5(4):216-224

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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