Parental presence and children’s dental anxiety

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This review of whether parents’ presence in the room influences children’s behaviour, anxiety and fear during dental treatment included 16 studies. The findings suggest that parents’ presence in the operation room does not influence children’s (up to 12 years old) behaviour, anxiety and fear during dental treatment. However the included studies are all at high risk of bias so the certainty of the evidence is very low.

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Dental Fear in Adults

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This review aiming to estimate the global prevalence of dental fear in adults included 31 observational studies the majority of which were at high risk of bias. The findings suggest an overal prevalence of 15.3 % (95%CI; 10.23 to 21.15%).

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Aromatherapy and dental anxiety

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This review of the efficacy of aromatherapy on dental anxiety included 17 studies (11 RCTs, 6 CCTs). The evidence suggets aromatherapy may reduce dental anxiety and has comparable effects on dental anxiety compared to music intervention but the evidence is limited and of low to very low certainty

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Vibration devices: Do they reduce pain linked to dental injections in children?

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This review evaluating the effect of vibration devices on paediatric dental injection pain reduction identified 6 RCTs. The findings suggest that the use of the DentalVibe was not effective but the evidence ws of low quality.

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Dental Anxiety: Prevalence in children and adolescents

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This review of the global prevalence of dental anxiety in children and adolescents included 50 studies reported in 57 papers. The findings showed that dental anxiety is a frequent problem in 3‐ to 18‐year‐olds worldwide being commoner in schoolchildren and preschool children than in adolescents.

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Local anaesthetic for dental treatment: interventions to improve acceptance in children

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Twenty six RCTs were included in this Cochrane systematic review of methods for the acceptance of local anaesthesia (LA) in children and adolescents during dental treatment. However the trials did not provide sufficient evidence to draw firm conclusions as to the best interventions

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Dental fear and anxiety: Is it related to negative oral health beliefs?

Media coverage of the paper by Davies and Read was emotive and damning in terms of the dangers of antidepressant medication.

This review of the evidence on the relationship of oral health beliefs with dental fear and anxiety included 10 studies and suggests that patients with negative health beliefs are more likely to suffer with dental fear and anxiety.

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Distraction techniques for managing dental anxiety in children and adolescents

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This review assessing whether distraction techniques reduce children’s/adolescent’s anxiety and fear during dental treatment included 20 RCTs providing very low certainty evidence that these techniques have a positive effect.

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Sedation for children undergoing dental treatment

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This Cochrane review update of the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry includes 50RCTs providing some moderate-certainty evidence that oral midazolam is an effective sedative agent for children undergoing dental treatment.

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Top Dental Elf Blogs: May – Aug 2018

The elves have been mining the archive for research blogs to support CQC's recommendations on high-quality adult social care services and support.

Popular Dental Elf blogs in May-Jun 2018 include; tooth whitening; oral surgery and anticoagulants, anxiety management in children using CBT and oral lichen planus

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