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Temperament and acceptance of dental treatment under sedation in preschool children

Jensen, B and Stjernqvist, Karin LU (2002) In Acta Odontologica Scandinavica 60(4). p.231-236
Abstract
The major aim of the study was to investigate whether differences concerning acceptance of dental treatment and amnesia after rectal sedation with midazolam can be explained by temperament traits in the child. Fifty children (1.5- 4.0 years), consecutively referred for dental extractions because of dental trauma or caries, were sedated with midazolam 0.3 mg kg(1) rectally. Level of sedation (state of mind) was assessed according to Wilton before and 10 min after administration of the sedative. The children's acceptance of procedures during the oral examination, the administration of the sedative, and the dental treatment were assessed according to Holst. Acceptance of an injection of local anesthesia and tooth extraction was dichotomized... (More)
The major aim of the study was to investigate whether differences concerning acceptance of dental treatment and amnesia after rectal sedation with midazolam can be explained by temperament traits in the child. Fifty children (1.5- 4.0 years), consecutively referred for dental extractions because of dental trauma or caries, were sedated with midazolam 0.3 mg kg(1) rectally. Level of sedation (state of mind) was assessed according to Wilton before and 10 min after administration of the sedative. The children's acceptance of procedures during the oral examination, the administration of the sedative, and the dental treatment were assessed according to Holst. Acceptance of an injection of local anesthesia and tooth extraction was dichotomized as satisfactory (n = 26) or unsatisfactory (n = 24). The parent assessed temperament using the Emotionality Activity Sociability (EAS) Scale of Child Temperament. Amnesia was evaluated by the parent on the following day. The relation between temperament and outcome variables was analyzed using a multiple logistic regression analysis. Children regarded as shy by the parent were at significantly greater risk of unsatisfactory acceptance of the dental treatment (P < 0.05). High scores of negative emotionality were significantly related to less amnesia (P < 0.05). We conclude that parental ratings of their child's temperament are valuable in predicting a child's acceptance of dental treatment under sedation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
child behavior, midazolam, rectal sedation, dental
in
Acta Odontologica Scandinavica
volume
60
issue
4
pages
231 - 236
publisher
Taylor & Francis
external identifiers
  • wos:000177409900008
  • pmid:12222648
  • scopus:0036690120
ISSN
1502-3850
DOI
10.1080/000163502760148007
language
English
LU publication?
yes
id
80749759-b807-42cb-b4c9-2b8e29757c78 (old id 331165)
date added to LUP
2007-10-31 12:34:07
date last changed
2017-11-19 04:10:52
@article{80749759-b807-42cb-b4c9-2b8e29757c78,
  abstract     = {The major aim of the study was to investigate whether differences concerning acceptance of dental treatment and amnesia after rectal sedation with midazolam can be explained by temperament traits in the child. Fifty children (1.5- 4.0 years), consecutively referred for dental extractions because of dental trauma or caries, were sedated with midazolam 0.3 mg kg(1) rectally. Level of sedation (state of mind) was assessed according to Wilton before and 10 min after administration of the sedative. The children's acceptance of procedures during the oral examination, the administration of the sedative, and the dental treatment were assessed according to Holst. Acceptance of an injection of local anesthesia and tooth extraction was dichotomized as satisfactory (n = 26) or unsatisfactory (n = 24). The parent assessed temperament using the Emotionality Activity Sociability (EAS) Scale of Child Temperament. Amnesia was evaluated by the parent on the following day. The relation between temperament and outcome variables was analyzed using a multiple logistic regression analysis. Children regarded as shy by the parent were at significantly greater risk of unsatisfactory acceptance of the dental treatment (P &lt; 0.05). High scores of negative emotionality were significantly related to less amnesia (P &lt; 0.05). We conclude that parental ratings of their child's temperament are valuable in predicting a child's acceptance of dental treatment under sedation.},
  author       = {Jensen, B and Stjernqvist, Karin},
  issn         = {1502-3850},
  keyword      = {child behavior,midazolam,rectal sedation,dental},
  language     = {eng},
  number       = {4},
  pages        = {231--236},
  publisher    = {Taylor & Francis},
  series       = {Acta Odontologica Scandinavica},
  title        = {Temperament and acceptance of dental treatment under sedation in preschool children},
  url          = {http://dx.doi.org/10.1080/000163502760148007},
  volume       = {60},
  year         = {2002},
}