Communicating with children and parents: recommendations for a child-parent-centred approach for paediatric dentistry

  • R. FreemanEmail author


Background: The European Academy of Paediatric Dentistry has called for a series of evidence-based statements to inform their guidelines on the behavioural management of the child patient. Communication between dentist, parent and child based upon scientifically robust research evidence was felt to be central to this request in order to provide empathetic and child-centred care for children and their parents attending for dental health care. Review process: Shekelle and colleagues [1999] devised a series of steps to develop an evidence-based clinical guideline. This framework allows first, the identification and refinement of the subject area and secondly, the identification and assessment of the evidence-base. Four areas of communication were identified as being of central importance. These were identification of the mother-child dyad; affective communication skills; problem solving and negotiation skills. Conclusion: It was recommended that paediatric dentists should become knowledgeable and competent in these skills in order to provide patient-centred care for the children and parents attending their clinics for dental treatment.

Key words

communication parent-child dyad behavioural management 


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  1. Adair S: Behavior management conference panel I report—Rationale for behavior management techniques in pediatric dentistry Pediatr Dent 2004;26:167–170.Google Scholar
  2. Aldred C, Green J, Adams C: A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness. J Child Psychol Psychiatry 2004;45:1420–1430.PubMedCrossRefGoogle Scholar
  3. Barlow J, Parsons J. Group-based parent-training programmes for improving emotional and behavioural adjustment in 0–3 year old children. Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD003680. DOI: 10.1002/14651858.CD003680Google Scholar
  4. Barrett P, Rapee R, Dadda M, Ryan S: Family enhancement of cognitive style in anxious and aggressive children. J Abnormal Child Psychol 1996;24:187–203.CrossRefGoogle Scholar
  5. Black B, Logan A: Links between communication patterns in mother-child, father-child, and child-peer interactions and children’s social status. Child Develop 1995;66:255–271.CrossRefGoogle Scholar
  6. Blinkhorn A, Kay E, Atkinson J, Millar K: Advice for the dental team on coping with the nervous child. Dental UpDate 1990:415-419.Google Scholar
  7. Bloomfield L, Kendall S, Applin L. et al: A qualitative study exploring the experiences and views of mothers, health visitors and family support centre workers on the challenges and difficulties of parenting. Health Social Care in the Community 2005;13:46–55.PubMedCrossRefGoogle Scholar
  8. Burke F, Freeman R: Preparing for dental practice. Oxford., Oxford University Press, 2004.Google Scholar
  9. Carson P: Paediatric sedation and dental general anaesthesia: choices for the future. Belfast, Queen’s University of Belfast, 1998.Google Scholar
  10. Carson P, Freeman R: Tell-show-do: Reducing anticipatory anxiety in emergency paediatric dental patients. Int J Health Educ Promotion 1998;36:87–90.CrossRefGoogle Scholar
  11. Chadwick B: Non-pharmacological behaviour management.2002
  12. Chorpita B, Albano A, Barlow D: Cognitive processing in children: Relation to anxiety and family influences. J Clinic Child Psychol 1996;25:170–176.CrossRefGoogle Scholar
  13. Clayman M, Wissow L: Pediatric residents’ response to ambiguous words about child discipline and behavior. Parent Education and Counseling 2004;55:16–21.CrossRefGoogle Scholar
  14. Coren E, Barlow J. Individual and group-based parenting programmes for improving psychosocial outcomes for teenage parents and their children. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD002964. DOI: 10.1002/14651858.CD002964Google Scholar
  15. Corkey B, Freeman R: Predictors of dental anxiety in six-year-old children: findings from a pilot study. ASCD J Dent Child 1994;61:267–271Google Scholar
  16. Cox E, Smith M, Brown R, Fitzpatrick M: Effect of gender and visit length on particpation in pediatric visits. Patient Education and Counseling 2007;65:320–328.PubMedCrossRefGoogle Scholar
  17. Drummond J, Fleming D, McDonald L, Kysela G: Randomized controlled trial of a family problem-solving intervention. Clinic Nurs Res 2005;14:57–80.CrossRefGoogle Scholar
  18. Dumas J, LaFreniere P, Serketich W: “Balance of power”: a transactional analysis of control in mother-child dyads involving socially competent, aggressive, and anxious children. J Abnormal Psycholology. 1995;104:104–113.CrossRefGoogle Scholar
  19. Feigal R: Guiding and managing the child dental patient: a fresh look at old pedagogy. J Dent Educ 2001; 65:1369–1377.PubMedGoogle Scholar
  20. Finset A: Non-verbal communication — an important key to in-depth understanding of provider-patient interaction. Patient Education and Counseling 2007;66:127–128.PubMedCrossRefGoogle Scholar
  21. Freeman R: The psychology of dental patient care. London., British Dental Journal., 2000;27–35Google Scholar
  22. Freeman R: An anxious child attends: a psychoanalytic explanation of children’s responses to dental treatment. Int J Paediatr Dent 2007; 17:407–418PubMedCrossRefGoogle Scholar
  23. Freud A: The Role of Bodily Illness in the Mental Life of Children. Psychoanalytic Study of the Child 1952;7: 69–81.Google Scholar
  24. Gross D, Fogg L, Webster-Stratton C, et al: Parent training of toddlers in day care in low-income urban communities. J Consulting and Clinical Psychology 2003;71:261–278.CrossRefGoogle Scholar
  25. Hamburg D, Hamburg B: Learning to live together. Oxford, Oxford University Press, 2004.Google Scholar
  26. Holloway P, Swallow J: Child Dental Health, ed 2nd. Bristol, Wright, 1975. Hummel R, Gross A: Socially anxious children: An observational study of parent-child interaction. Child and Family Behavior Therapy 2001; 23:19–41.Google Scholar
  27. Hull P, Humphris GM: The effect of supplying patient dental anxiety information to dentists. J Dent Res 84(Spec Iss B): 234,2005.CrossRefGoogle Scholar
  28. Johnson G, Kent G, Leather J: Strengthening the parent-child relationship: a review of family interventions and their use in medical settings. Child-Care Health and Development 2005;31:25–32.CrossRefGoogle Scholar
  29. Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews 2001, Issue 4. Art. No.: CD003267. DOI: 10.1 002/14651858.CD003267.Google Scholar
  30. Portnoy S: Patient co-operation—how can it be improved? Brit J Ortho 1997;24:340–342.CrossRefGoogle Scholar
  31. Prussing E, Sobo E, Dennis K, Kurtin P: Communicating with pediatricians about complementary/alternative medicine: perspectives from parents of children with Down syndrome. Ambulatory Pediatr 2004;4:488–494.CrossRefGoogle Scholar
  32. Rollnick S, Mason P, Butler C (eds): Health behaviour change: a guide for practitioners. ed. Edinburgh., Churchill Livingstone., 2000.Google Scholar
  33. Roter D, Frankel R, Hall J, Sluyter D: The expression of emotion through nonverbal beahviour in medical visits. J Gen Intern Med 2006;21:S28–S34.PubMedCentralPubMedCrossRefGoogle Scholar
  34. Sermet O: Emotional and medical factors in child dental anxiety. J Child Psychol Psychiatry 1974;15:313–321.PubMedCrossRefGoogle Scholar
  35. Shaw O: Dental anxiety in children. Brit Dent J 1975;139:134–139.PubMedCrossRefGoogle Scholar
  36. Shekelle P, Woolf S, Eccles M, Grimshaw J: Clinical guidelines: developing guidelines. Brit Med J 1999;318:593–618.PubMedCentralPubMedCrossRefGoogle Scholar
  37. Shields L, Hunter J, Hall J: Parents’ and staff’s perceptions of parental needs during a child’s admission to hospital: an English perspective. J Child Health Care 2004;8:9–33.PubMedCrossRefGoogle Scholar
  38. Sobo E: Parents’ perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? Social Science and Medicine 2005;60:2341–2350.PubMedCrossRefGoogle Scholar
  39. Todes C: The child and the dentist: a psychoanalytical view. British Journal of Medical Psychology 1972;45:45–55.PubMedCrossRefGoogle Scholar
  40. Wassmer E, Minnaar G, Abdel Aal N, Atkinson M, et al: How do paediatricians communicate with children and parents? Acta Paediar 2004;93:1501–1506.CrossRefGoogle Scholar

Copyright information

© Adis Internationals 2008

Authors and Affiliations

  1. 1.Dental Health Services Research UnitUniversity of DundeeDundeeScotland

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