Advertisement

European Archives of Paediatric Dentistry

, Volume 16, Issue 4, pp 341–347 | Cite as

Dentists’ self-perceived stress and difficulties when performing restorative treatment in children

  • A. RønnebergEmail author
  • K. Strøm
  • A. B. Skaare
  • T. Willumsen
  • I. Espelid
Original Scientific Article

Abstract

Aim

This was to explore factors associated with dentists’ difficulties doing restorative treatment in children, in particular (1) stress, (2) clinical experience, (3) use of conscious sedation, and (4) use of local analgesia.

Methods

A precoded questionnaire (QuestBack) was sent electronically to all dentists working in the Public Dental Service (PDS) in eight counties in Norway. Chi-square statistics, McNemar’s test and bivariate logistic regression analyses were used.

Results

A total of 611 dentists received the questionnaire and 391 (65 %) returned the completed form. Self-reported stress was most frequent among dentists when treating patients aged 3–5 years and was statistically significantly associated with the dentists’ self-reported difficulties doing restorative treatment. Among dentists with ≤10 years experience about 60 % reported stress treating the youngest patients compared with 44 % among the more experienced dentists. Self-perceived stress and working experience was not associated with use of local analgesia and sedation.

Conclusions

The frequency of self-perceived stress among dentists when undertaking restorative treatment decreased with increasing patient age from 3 to 18 years. When treating preschool children, a small group of dentists frequently or always experienced this as stressful work. The use of local analgesia or conscious sedation was not related to dentists’ stress. Dentists reported less frequently use of local analgesia and conscious sedation in children younger than 10 years. Undergraduate and continuous education and support in the use of local analgesia and conscious sedation is essential to provide optimal dental care for this patient group.

Keywords

Children Dental anxiety Dentist–patient relations Self-assessment Behavioural management 

Notes

Acknowledgments

The authors would like to thank dentists in the Public Dental Service in the counties of Finnmark, Nordland, Sør-Trøndelag, Møre og Romsdal, Hordaland, Vest-Agder, Hedmark and Oslo for their contributions to the study.

References

  1. Atchison KA, Bibb CA, Lefever KH, et al. Gender differences in career and practice patterns of PGD-trained dentists. J Dent Educ. 2002;66:1358–67.PubMedGoogle Scholar
  2. Bedos C, Loignon C, Landry A, et al. How health professionals perceive and experience treating people on social assistance: a qualitative study among dentists in Montreal, Canada. BMC Health Serv Res. 2013;13:464.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Boran A, Shawaheen M, Khader Y, et al. Work-related stress among health professionals in northern Jordan. Occup Med (Lond). 2012;62:145–7.CrossRefGoogle Scholar
  4. Brahm CO, Lundgren J, Carlsson SG, et al. Dentists’ views on fearful patients. Problems and promises. Swed Dent J. 2012;36:79–89.PubMedGoogle Scholar
  5. Brahm CO, Lundgren J, Carlsson SG, et al. Dentists’ skills with fearful patients: education and treatment. Eur J Oral Sci. 2013;121:283–91.PubMedCrossRefGoogle Scholar
  6. Carver CS, Connor-Smith J. Personality and coping. Annu Rev Psychol. 2010;61:679–704.PubMedCrossRefGoogle Scholar
  7. Chadwick BL, Thompson S, Treasure ET. Sedation in Wales: a questionnaire. Br Dent J. 2006;201:453–6.PubMedCrossRefGoogle Scholar
  8. Diercke K, Ollinger I, Bermejo JL, et al. Dental fear in children and adolescents: a comparison of forms of anxiety management practised by general and paediatric dentists. Int J Paediatr Dent. 2012;22:60–7.PubMedCrossRefGoogle Scholar
  9. Gale EN. Stress in dentistry. N Y State Dent J. 1998;64:30–4.PubMedGoogle Scholar
  10. Gorter RC, Albrecht G, Hoogstraten J, Eijkman MA. Measuring work stress among Dutch dentists. Int Dent J. 1999;49:144–52.PubMedCrossRefGoogle Scholar
  11. Grytten J, Skau I, Holst D. Is the distribution of dentists in Norway uneven? Nor Tannlegeforen Tid. 2002;112:172–7.Google Scholar
  12. Gustafsson A, Broberg A, Bodin L, et al. Dental behaviour management problems: the role of child personal characteristics. Int J Paediatr Dent. 2010;20:242–53.PubMedCrossRefGoogle Scholar
  13. Hakanen JJ, Bakker AB, Demerouti E. How dentists cope with their job demands and stay engaged: the moderating role of job resources. Eur J Oral Sci. 2005;113:479–87.PubMedCrossRefGoogle Scholar
  14. Hakeberg M, Klingberg G, Noren JG, Berggren U. Swedish dentists’ perceptions of their patients. Acta Odontol Scand. 1992;50:245–52.PubMedCrossRefGoogle Scholar
  15. Hill KB, Hainsworth JM, Burke FJ, Fairbrother KJ. Evaluation of dentists’ perceived needs regarding treatment of the anxious patient. Br Dent J. 2008;204:E13 (discussion 442–3).PubMedCrossRefGoogle Scholar
  16. Hjortskov N, Garde AH, Ørbæk P, Hansen ÅM. Evaluation of salivary cortisol as a biomarker of self-reported mental stress in field studies. Stress Health. 2004;20:91–8.CrossRefGoogle Scholar
  17. Holt VP, Ladwa R. Mentoring. A quality assurance tool for dentists. Part 1: the need for mentoring in dental practice. Prim Dent Care. 2008;15:141–6.PubMedCrossRefGoogle Scholar
  18. Holt VP, Ladwa R. Mentoring. A quality assurance tool for dentists. Part 2: what are mentoring and coaching? Prim Dent Care. 2009;16:19–24.PubMedCrossRefGoogle Scholar
  19. Hunziker S, Laschinger L, Portmann-Schwarz S, et al. Perceived stress and team performance during a simulated resuscitation. Intensive Care Med. 2011;37:1473–9.PubMedCrossRefGoogle Scholar
  20. Klingberg G, Berggren U, Carlsson SG, Noren JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci. 1995;103:405–12.PubMedCrossRefGoogle Scholar
  21. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17:391–406.PubMedCrossRefGoogle Scholar
  22. LaPorta LD. Occupational stress in oral and maxillofacial surgeons: tendencies, traits, and triggers. Oral Maxillofac Surg Clin North Am. 2010;22:495–502.PubMedCrossRefGoogle Scholar
  23. LeBlanc VR. The effects of acute stress on performance: implications for health professions education. Acad Med. 2009;84:S25–33.PubMedCrossRefGoogle Scholar
  24. Lowe O. Communicating with parents and children in the dental office. J Calif Dent Assoc. 2013;41:597–601.PubMedGoogle Scholar
  25. Maheux B, Dufort F, Lambert J, Levesque A. The professional attitudes and practice characteristics of male and female specialists. J Am Med Womens Assoc. 1989;44:154–8.PubMedGoogle Scholar
  26. Marmot MG, Madge N. An epidemiological perspective on stress and health. In: Kasl SV, Cooper CL, editors. Research methods in stress and health psychology. New York: Wiley; 1987.Google Scholar
  27. Milgrom P, Weinstein P, Golletz D, et al. Pain management in school-aged children by private and public clinic practice dentists. Pediatr Dent. 1994;16:294–300.PubMedGoogle Scholar
  28. O’Shea RM, Corah NL, Ayer WA. Sources of dentists’ stress. J Am Dent Assoc. 1984;109:48–51.PubMedCrossRefGoogle Scholar
  29. Papineni A, Lourenco-Matharu L, Ashley PF. Safety of oral midazolam sedation use in paediatric dentistry: a review. Int J Paediatr Dent. 2012;24(1):2–13.PubMedCrossRefGoogle Scholar
  30. Rada RE, Johnson-Leong C. Stress, burnout, anxiety and depression among dentists. J Am Dent Assoc. 2004;135:788–94.PubMedCrossRefGoogle Scholar
  31. Scottish Dental Clinical Effectiveness Programme. Conscious sedation in dentistry dental clinical guidance. 2nd ed. Dundee: Dundee Dental Education Centre; 2012.Google Scholar
  32. Szabo S, Tache Y, Somogyi A. The legacy of Hans Selye and the origins of stress research: a retrospective 75 years after his landmark brief “letter” to the editor of nature. Stress. 2012;15:472–8.PubMedCrossRefGoogle Scholar
  33. van Dam B, Bruers J. The young child in dental practice. Ned Tandartsenblad. 2003;58:32–3.Google Scholar
  34. Versloot J, Veerkamp JS, Hoogstraten J. Children’s self-reported pain at the dentist. Pain. 2008;137:389–94.PubMedCrossRefGoogle Scholar
  35. Vuori M, Akila R, Kalakoski V, et al. Association between exposure to work stressors and cognitive performance. J Occup Environ Med. 2014;56:354–60.PubMedCrossRefGoogle Scholar
  36. Zhou Y, Cameron E, Forbes G, Humphris G. Systematic review of the effect of dental staff behaviour on child dental patient anxiety and behaviour. Patient Educ Couns. 2011;85:4–13.PubMedCrossRefGoogle Scholar
  37. Zitzmann NU, Zemp E, Weiger R, et al. Does a clinician’s sex influence treatment decisions? Int J Prosthodont. 2011;24:507–14.PubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2015

Authors and Affiliations

  • A. Rønneberg
    • 1
    Email author
  • K. Strøm
    • 1
  • A. B. Skaare
    • 1
  • T. Willumsen
    • 1
  • I. Espelid
    • 1
  1. 1.Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, Faculty of DentistryUniversity of OsloOsloNorway

Personalised recommendations