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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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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Audiovisual distraction for dental anxiety in children?

Patients in the intervention group were shown a brief informational video before receiving their Internet based intervention, in the hope that this would encourage acceptance of the treatment. 

This review of the effectiveness of audiovisual distraction for reducing dental anxiety in children included 9 trials 6 of which were randomised. The findings suggested that audiovisual distraction was helpful in reducing dental anxiety although all the trials were considered to be at high risk of bias.

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Dental anxiety in paediatric patients: Is cognitive behavioural therapy effective?

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This review of cognitive behavioural therapy(CBT) for dental anxiety and dental phobia in children identified 6 RCTs suggesting it therapy produces better anxiety reduction than diverse behavioural management techniques. However the available evidence is of low quality.

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Tooth extraction: factors affecting anxiety and fear

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This review of factors affecting fear and anxiety in adult patients undergoing tooth extraction included 16 studies and identified a number of factors associated with anxiety although there are concerns over the quality of the available studies.

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