Abstract
Purpose
To investigate the prevalence of negative behaviour in preschool children attending dental clinics and its association with sociodemographic, oral health-related and parental psychosocial factors.
Methods
A cross-sectional study was carried out with 145 parents/guardians and their children aged 4–6 years attending paediatric dentistry training programmes in a capital city of Midwest Brazil. Data were obtained from children’s dental records, interviews, and questionnaires for parents/guardians. The outcome was negative child behaviour, based on the dentists’ use or indication of behavioural control measures during the dental appointments, as registered in the children's dental records. Covariates were sociodemographic, clinical and parent/guardian psychosocial factors religiosity (DUREL index) and Sense of Coherence (SOC-13 scale). Bivariate analyses and Poisson regression with robust variance were performed.
Results
The prevalence of negative behaviour was 24.1% (95% CI = 17.9–31.7). In the bivariate analyses, the variables initially selected for the regression models (p < 0.25) were the parent/guardians’ number of children and religiosity, and the children’s dental pain and caries status in deciduous teeth. After adjustment, the prevalence of negative behaviour was 2.12 higher in children with teeth extracted due to caries.
Conclusion
The prevalence of negative behaviour was high and associated with the presence of missing teeth due to caries, regardless of sociodemographic, psychosocial, and other oral health factors.
Similar content being viewed by others
Data availability
The data that support the findings of this study are not openly available due to reasons of sensitivity and are available from the corresponding author upon reasonable request.
References
Afshar H, Baradaran Nakhjavani Y, Mahmoudi-Gharaei J, Paryab M, Zadhoosh S. The effect of parental presence on the 5 year-old children’s anxiety and cooperative behavior in the first and second dental visit. Iran J Pediatric. 2011;21:193–200.
Alagla M, Al-Hussyeen A, Alhowaish L. Parenting styles and preschool children’s behaviour in a Saudi Arabian postgraduate dental setting. Eur Arch Paediatr Dent. 2021;22:163–73. https://doi.org/10.1007/s40368-020-00540-y.
Alsadat FA, El-Housseiny AA, Alamoudi NM, Elderwi DA, Ainosa AM, Dardeer FM. Dental fear in primary school children and its relation to dental caries. Niger J Clin Pract. 2018;21:1454–60. https://doi.org/10.4103/njcp.njcp_160_18.
Aminabadi NA, Pourkazemi M, Babapour J, Oskouei SG. The impact of maternal emotional intelligence and parenting style on child anxiety and behavior in the dental setting. Med Oral Patol Oral Cir Bucal. 2012;17:e1089–95. https://doi.org/10.4317/medoral.17839.
Antonovsky A. Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass; 1987.
Bajrić E, Kobašlija S, Huseinbegović A, Marković N, Selimović-Dragaš M, Arslanagić MA. Factors that determine child behavior during dental treatment. Balk J Dent Med. 2016;20:69–77. https://doi.org/10.1515/bjdm-2016-0011.
Carter AE, Carter G, Boschen M, AlShwaimi E, George R. Pathways of fear and anxiety in dentistry: a review. World J Clin Cases. 2014;2:642–53. https://doi.org/10.12998/wjcc.v2.i11.642.
Colares V, Richman L. Factors associated with uncooperative behavior by Brazilian preschool children in the dental office. ASDC J Dent Child. 2002;69(87–91):13.
Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc. 1978;97:816–9. https://doi.org/10.14219/jada.archive.1978.0394.
de Oliveira TN, Dos Santos IBF, Souza GLN, Alvarenga RN, et al. Sense of coherence and dental fear/dental anxiety: a systematic review and meta-analysis. Spec Care Dentist. 2022;42(3):257–65. https://doi.org/10.1111/scd.12663.
Elyasi M, Abreu LG, Badri P, Saltaji H, Flores-Mir C, Amin M. Impact of sense of coherence on oral health behaviors: a systematic review. PloS one. 2015;10:e0133918. https://doi.org/10.1371/journal.pone.0133918.
Freire MCM, Hardy R, Sheiham A. Mothers’ sense of coherence and their adolescent children’s oral health status and behaviours. Community Dent Health. 2002;19:24–31.
Howenstein J, Kumar A, Casamassimo PS, McTigue D, Coury D, Yin H. Correlating parenting styles with child behavior and caries. Pediatr Dent. 2015;37:59–64.
Ismail AI, Lim S, Sohn W, Willem JM. Determinants of early childhood caries in low-income African American young children. Pediatr Dent. 2008;30:289–96.
Jaakkola S, Rautava P, Saarinen M, Lahti S, et al. Dental fear and sense of coherence among 18-yr-old adolescents in Finland. Eur J Oral Sci. 2013;121:247–51. https://doi.org/10.1111/eos.12006.
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 Pediatric Dent. 2007;17:391–406. https://doi.org/10.1111/j.1600-0722.1995.tb01865.x.
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. https://doi.org/10.1111/j.1365-263X.2007.00872.x.
Koenig HG. Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry. 2012;2012:278730. https://doi.org/10.5402/2012/278730.
Kramer PF, Corrêa Brusco L, Ilha MC, Bervian J, Vargas-Ferreira F, Feldens CA. Dental behaviour management problems and associated factors in Brazilian children. Eur J Paediatr Dent. 2020;21:192–6. https://doi.org/10.23804/ejpd.2020.21.03.06.
Lucchetti G, Granero Lucchetti AL, Peres MF, Leão FC, Moreira-Almeida A, Koenig HG. Validation of the Duke Religion Index: DUREL (Portuguese version). J Relig Health. 2012;51:579–86. https://doi.org/10.1007/s10943-010-9429-5.
Pfefferle J, Machen JB, Fields HW, Posnick WR. Child behavior in the dental setting relative to parental presence. Pediatr Dent. 1982;4:311–6.
Piovesan C, Guedes RS, Nicolau B, Ardenghi TM, Mendes FM. Associação da religiosidade da família e cárie dentária em crianças pré-escolares. Rev Assoc Paul Cir Dent. 2017;71:132–9.
Ramos-Jorge ML, Marques LS, Pavia SM, Serra-Negra JM, Pordeus IA. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent. 2006;7:253–7. https://doi.org/10.1007/BF03262561.
Sivakumar P, Gurunathan D. Behavior of children toward various dental procedures. Int J Clin Pediatr Dent. 2019;12:379–84. https://doi.org/10.5005/jp-journals-10005-1670.
Torres TAP, Corradi-Dias L, Oliveira PD, Martins CC, Paiva SM, Pordeus IA, Abreu LG. Association between sense of coherence and dental caries: systematic review and meta-analysis. Health Promot Int. 2020;1(35):586–97. https://doi.org/10.1093/heapro/daz038.
Torriani DD, Teixeira AM, Pinheiro R, Goettems ML, Bonow MLM. Adaptação transcultural de instrumentos para mensurar ansiedade e comportamento em clínica odontológica infantil. Arq Cent Estud Curso Odontol. 2008;44:17–23.
Torriani DD, Ferro RL, Bonow ML, Santos IS, et al. Dental caries is associated with dental fear in childhood: findings from a birth cohort study. Caries Res. 2014;48:263–70. https://doi.org/10.1159/000356306.
Victora CG, Huttly SR, Fuchs SC, Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 1997;26:224–7. https://doi.org/10.1093/ije/26.1.224.
Viswanath D, Krishna AV. Correlation between dental anxiety, Sense of Coherence (SOC) and dental caries in school children from Bangalore North: a cross-sectional study. J Indian Soc Pedod Prev Dent. 2015;33:15–8. https://doi.org/10.4103/0970-4388.148962.
Xia B, Wang CL, Ge LH. Factors associated with dental behaviour management problems in children aged 2–8 years in Beijing. China Int J Paediatr Dent. 2011;21:200–9. https://doi.org/10.1111/j.1365-263X.2011.01111.x.
Acknowledgements
The study was funded by the Coordination for the Improvement of Higher Education Personnel (CAPES), Finance code 001; the State of Goias Research Foundation (FAPEG), Grant 201710267000525; and the National Council for Scientific and Technological Development (CNPq), research productivity scholarship.
Author information
Authors and Affiliations
Contributions
JBSF contributed to the study design, data collection, analysis, interpretation, and writing of the paper. DCAR contributed to the collection and interpretation of the data. LRC contributed to the study design and data interpretation. MCMF contributed to the study design, data analysis, interpretation and writing of the paper. All authors have read and approved the final manuscript for submission.
Corresponding author
Ethics declarations
Conflict of interest
Authors declare that they have no conflict of interest.
Consent to participate
Written informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ferreira, J.B.S., Rigo, D.C.A., Costa, L.R. et al. Prevalence of negative behaviour in the dental setting and association with sociodemographic, oral health-related and psychosocial factors amongst Brazilian preschool children. Eur Arch Paediatr Dent 24, 481–489 (2023). https://doi.org/10.1007/s40368-023-00815-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40368-023-00815-0