Ahuja Shilpa, Gandhi Kapil, Malhotra Ritika, Kapoor Rishabh, Maywad Shraddha, Datta Geetika
Department of Pedodontics and Preventive Dentistry, Inderprastha Dental College and Hospital, Ghaziabad, Uttar Pradesh, India.
J Indian Soc Pedod Prev Dent. 2018 Apr-Jun;36(2):167-172. doi: 10.4103/JISPPD.JISPPD_238_17.
Child presents a unique challenge to accept a dental treatment, and such a challenge gets modified by the presence or the absence of a parent in the operatory. Many dentists have reportedly and controversially used parental separation anxiety as a tool to control behavior of an uncooperative child and also to deliver quality dental treatment in young children. But is the parental separation beneficial for dentist to gain child cooperation?
The objective is to evaluate the influence of parental presence or absence in the operating room on child's behavior during dental procedure on children of 4 years and above.
The study was carried out on 30 children of 4-7 years of age group, 16 (4-6 years) preschoolers, and 14 (6-7 years) early schoolers. Two consecutive restorative procedures were carried out. On a first visit, parents were present and on a second visit, separation of parents was done. Behavior rating was done by commonly used Frankel's Behavior Rating Scale.
Chi-square test was performed for the statistical analysis. There was no significant difference found in the child's behavior by the presence or absence of parents in the perception of dental treatment in the dental operatory. In contrast to that there was a significant increase in cooperative behavior of some children due to other factors influencing the behavior of the child with a Chi-square value = 35.296, P < 0.001.
Parents can be excluded from the dental operatory to eliminate many behavior-related problems during the course of treatment.
儿童接受牙科治疗面临独特挑战，而诊疗室中家长的在场与否会改变这一挑战。据报道，许多牙医存在争议地将父母分离焦虑作为控制不合作儿童行为以及为幼儿提供高质量牙科治疗的一种手段。但父母分离对牙医获得儿童合作是否有益呢？
评估诊疗室中父母在场或不在场对4岁及以上儿童牙科治疗过程中儿童行为的影响。
该研究针对30名4 - 7岁儿童开展，其中16名（年龄4 - 6岁）为学龄前儿童，14名（年龄6 - 7岁）为小学低年级学生。进行了连续两次修复治疗。第一次就诊时父母在场，第二次就诊时父母与孩子分离。行为评级采用常用的弗兰克尔行为评级量表。
采用卡方检验进行统计分析。在诊疗室中，从对牙科治疗的感受来看，父母在场或不在场时儿童行为无显著差异。相比之下，由于其他影响儿童行为的因素，一些儿童的合作行为有显著增加，卡方值 = 35.296，P < 0.001。
治疗过程中可让家长不在诊疗室，以消除许多与行为相关的问题。
