Skip to main content
Erschienen in: European Archives of Paediatric Dentistry 2/2019

18.12.2018 | Original Scientific Article

Effect of awards after dental care in children’s motivation

Erschienen in: European Archives of Paediatric Dentistry | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Aims

To verify the effect of awards after dental care in children’s motivation in two visits to the dentist and if differences occur between genders.

Methods

This was a randomised and blinded study with a systematic convenience sample consisting of 306 children of 4.99 ± 0.89 years old, with no previous dental experience for both genders, who sought the public dental services. The children were divided into Control group (G1) and Experimental group (G2), who received a positive reinforcement technique with awards after dental care. A projective test with the Venham Picture Test self-analysis was applied and the inference test was the Chi square test with a significance level of p < 0.05.

Results

In G1, there was evidence of a significant association between the T1, T2 and T4 application times and anxiety levels measured in children (p < 10− 4; x2 = 15.43), this same association was observed for the G2 group (p < 10− 10; x2 > 29.46). For boys there was no significant difference of anxiety between G1 and G2 groups, however in G2, girls showed more anxiety before dental treatment (p = 0.0095; x2 = 6.71) and less anxiety than boys during the second visit (p = 0.0014; x2 = 10.20).

Conclusions

The award after dental care demonstrated a positive result for the decrease of anxiety in preschool children for two visits to the dentist. Girls in the experimental group showed less anxiety than boys during the second visit.
Literatur
Zurück zum Zitat American Academy of Pediatric Dentistry Clinical Affairs Committee – Behavior Management Subcommittee. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2011; 33:161–73. American Academy of Pediatric Dentistry Clinical Affairs Committee – Behavior Management Subcommittee. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2011; 33:161–73.
Zurück zum Zitat Arapostathis KN, Coolidge T, Emmanouil D, Kotsanos N. Reliability and validity of the Greek version of the Children’s Fear Survey Schedule-Dental Subscale. Int J Paediatr Dent. 2008;18(5):374–9.CrossRefPubMed Arapostathis KN, Coolidge T, Emmanouil D, Kotsanos N. Reliability and validity of the Greek version of the Children’s Fear Survey Schedule-Dental Subscale. Int J Paediatr Dent. 2008;18(5):374–9.CrossRefPubMed
Zurück zum Zitat Cameron J, Banko KM, Pierce DW. Pervasive negative effects of rewards on intrinsic motivation: The myth continues. Behav Anal. 2001;24(1):1–44.CrossRefPubMedPubMedCentral Cameron J, Banko KM, Pierce DW. Pervasive negative effects of rewards on intrinsic motivation: The myth continues. Behav Anal. 2001;24(1):1–44.CrossRefPubMedPubMedCentral
Zurück zum Zitat Carrillo-Diaz M, Crego A, Armfield JM, Romero-Maroto M. Treatment experience, frequency of dental visits, and childrens dental fear: a cognitive approach. Eur J Oral Sci. 2012;120:75–81.CrossRefPubMed Carrillo-Diaz M, Crego A, Armfield JM, Romero-Maroto M. Treatment experience, frequency of dental visits, and childrens dental fear: a cognitive approach. Eur J Oral Sci. 2012;120:75–81.CrossRefPubMed
Zurück zum Zitat Chellappah NK, Vignesha H, Milgrom P, Lo GL. Prevalence of dental anxiety and fear in children in Singapore. Commun Dent Oral Epidemiol. 1990;18(5):269–71.CrossRef Chellappah NK, Vignesha H, Milgrom P, Lo GL. Prevalence of dental anxiety and fear in children in Singapore. Commun Dent Oral Epidemiol. 1990;18(5):269–71.CrossRef
Zurück zum Zitat Colares V, Caraciolo GM, Miranda AM, Araújo GVB, Guerra P. Fear and/or anxiety related to the avoidance of dental visits. Arq Odontol. 2004;40(1):59–72. Colares V, Caraciolo GM, Miranda AM, Araújo GVB, Guerra P. Fear and/or anxiety related to the avoidance of dental visits. Arq Odontol. 2004;40(1):59–72.
Zurück zum Zitat Crall JJ. Delivery sistems for preschool children. Dent Clin N Am. 1995;39(4):897–07.PubMed Crall JJ. Delivery sistems for preschool children. Dent Clin N Am. 1995;39(4):897–07.PubMed
Zurück zum Zitat Cuthbert MI, Melamed BG. A screening device: children at risk for dental fears and management problems. ASDC J Dent Children. 1982; 49(6): 432–6. Cuthbert MI, Melamed BG. A screening device: children at risk for dental fears and management problems. ASDC J Dent Children. 1982; 49(6): 432–6.
Zurück zum Zitat Deci EL, Ryan RM, Koestner R. A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation. Psychol Bull. 1999;125(6):627–68.CrossRefPubMed Deci EL, Ryan RM, Koestner R. A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation. Psychol Bull. 1999;125(6):627–68.CrossRefPubMed
Zurück zum Zitat Eli L, Uziel N, Bath R, Kleinhauz M. Antecedents of dental anxiety: Learned responses versus personality traits. Community Dent Oral Epidemiol. 1997;25(3):233–7.CrossRefPubMed Eli L, Uziel N, Bath R, Kleinhauz M. Antecedents of dental anxiety: Learned responses versus personality traits. Community Dent Oral Epidemiol. 1997;25(3):233–7.CrossRefPubMed
Zurück zum Zitat Folayan MO, Idehen EE, Ojo OO. The modulating effect of culture on the expression of dental anxiety in children: a literature review. Int J Paediatr Dent. 2004;14:241–5.CrossRefPubMed Folayan MO, Idehen EE, Ojo OO. The modulating effect of culture on the expression of dental anxiety in children: a literature review. Int J Paediatr Dent. 2004;14:241–5.CrossRefPubMed
Zurück zum Zitat Grinberg S, Schor M. First encounter of child and dentist: an analysis of the introductory session. ASDC J Dent Children 1984;51(6):438–40. Grinberg S, Schor M. First encounter of child and dentist: an analysis of the introductory session. ASDC J Dent Children 1984;51(6):438–40.
Zurück zum Zitat Katz AP, Koftkin JA. Race, Gender and young children. In: Luthar SS (eds) Developmental psychopathology: perspectives on adjustment, risk and disorder. Cambridge: Cambridge University Press; 1997. p. 51. Katz AP, Koftkin JA. Race, Gender and young children. In: Luthar SS (eds) Developmental psychopathology: perspectives on adjustment, risk and disorder. Cambridge: Cambridge University Press; 1997. p. 51.
Zurück zum Zitat Klingberg G, Broberg AG. Dental fear/anxiety and dental behavior management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007;17:391–06.CrossRefPubMed Klingberg G, Broberg AG. Dental fear/anxiety and dental behavior management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007;17:391–06.CrossRefPubMed
Zurück zum Zitat Klingberg G, Berggren U, Carlsson SG, Norén JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci 1995;103(6):405–12.CrossRefPubMed Klingberg G, Berggren U, Carlsson SG, Norén JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci 1995;103(6):405–12.CrossRefPubMed
Zurück zum Zitat Klorman R, Ratner J, Arata CLG, King JB, Sveen OB. Predicting the child’s uncooperativeness in dental treatment from maternal trait, state, and dental anxiety. ASDC J Dent Child. 1978;45:62–7.PubMed Klorman R, Ratner J, Arata CLG, King JB, Sveen OB. Predicting the child’s uncooperativeness in dental treatment from maternal trait, state, and dental anxiety. ASDC J Dent Child. 1978;45:62–7.PubMed
Zurück zum Zitat Koenigsberg SR, Johnson R. Child behavior during three dental visits. ASDC J Dent Children 1975;42(3):197–00. Koenigsberg SR, Johnson R. Child behavior during three dental visits. ASDC J Dent Children 1975;42(3):197–00.
Zurück zum Zitat Kohn A. By all available means: Cameron and Pierce’s defense of extrinsic motivators. Rev Educ Res 1996;66:1–4.CrossRef Kohn A. By all available means: Cameron and Pierce’s defense of extrinsic motivators. Rev Educ Res 1996;66:1–4.CrossRef
Zurück zum Zitat Melamed BG. Assessment and management strategies for the difficult pediatric dental patient. Anesth Prog 1986 July–Aug: 197–00.PubMedPubMedCentral Melamed BG. Assessment and management strategies for the difficult pediatric dental patient. Anesth Prog 1986 July–Aug: 197–00.PubMedPubMedCentral
Zurück zum Zitat Milgrom P, Mancl L, King B, Weinstein P. Origins of childhood dental fear. Behav Res Ther 1995;33(3):313–9.CrossRefPubMed Milgrom P, Mancl L, King B, Weinstein P. Origins of childhood dental fear. Behav Res Ther 1995;33(3):313–9.CrossRefPubMed
Zurück zum Zitat Miller CS, Dembo JB, Falace DA, et al. Salivary cortisol response to dental treatment of varying stress. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(4):436–41.CrossRefPubMed Miller CS, Dembo JB, Falace DA, et al. Salivary cortisol response to dental treatment of varying stress. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(4):436–41.CrossRefPubMed
Zurück zum Zitat Nainar SMH, Crall JJ. Child patient behavior: a new perspective. ASDC J Dent Children. 1991;58(4):303–5. Nainar SMH, Crall JJ. Child patient behavior: a new perspective. ASDC J Dent Children. 1991;58(4):303–5.
Zurück zum Zitat Nomura LH, Bastos JLD, Peres MA. Dental pain prevalence and association with dental caries and socioeconomic status in schoolchildren, Southern Brazil, 2002. Braz Oral Res. 2004;18(2):134–40.CrossRefPubMed Nomura LH, Bastos JLD, Peres MA. Dental pain prevalence and association with dental caries and socioeconomic status in schoolchildren, Southern Brazil, 2002. Braz Oral Res. 2004;18(2):134–40.CrossRefPubMed
Zurück zum Zitat Oliveira MMT, Colares V. The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil. Cadernos de Saúde Pública. 2009;25(4):743–50.CrossRefPubMed Oliveira MMT, Colares V. The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil. Cadernos de Saúde Pública. 2009;25(4):743–50.CrossRefPubMed
Zurück zum Zitat Peretz B, Gluck G. Magic trick: a behavioural strategy for the management of strong-willed children. Int J Paediatr Dent. 2005;15(6):429–36.CrossRefPubMed Peretz B, Gluck G. Magic trick: a behavioural strategy for the management of strong-willed children. Int J Paediatr Dent. 2005;15(6):429–36.CrossRefPubMed
Zurück zum Zitat Pfefferle JC, Machen JB, Fields HW, et al. Child behavior in the dental setting relative to parental presence. Pediatr Dent. 1982;4(4):311–6. Pfefferle JC, Machen JB, Fields HW, et al. Child behavior in the dental setting relative to parental presence. Pediatr Dent. 1982;4(4):311–6.
Zurück zum Zitat Pinkham JR. Fear of dentistry: a discussion of its usefulness to certain child dental patients. ASDC J Dent Children. 1983;50(2):111–3. Pinkham JR. Fear of dentistry: a discussion of its usefulness to certain child dental patients. ASDC J Dent Children. 1983;50(2):111–3.
Zurück zum Zitat Sarnat H, Arad P, Hanauer D, Shohami E. Communication strategies used during pediatric dental treatment: a pilot study. Pediatr Dent. 2001;23(3):337–42.PubMed Sarnat H, Arad P, Hanauer D, Shohami E. Communication strategies used during pediatric dental treatment: a pilot study. Pediatr Dent. 2001;23(3):337–42.PubMed
Zurück zum Zitat Schunk DH. Enhancing self-efficacy and achievement through rewards and goals: Motivational and informational effects. J Educ Res. 1984;78(1):29–4.CrossRef Schunk DH. Enhancing self-efficacy and achievement through rewards and goals: Motivational and informational effects. J Educ Res. 1984;78(1):29–4.CrossRef
Zurück zum Zitat Settineri S, Tatì F, Fanara G. Gender differences in dental anxiety: is the chair position important. J Contemp Dent Pract. 2005;6(1):1–6.CrossRef Settineri S, Tatì F, Fanara G. Gender differences in dental anxiety: is the chair position important. J Contemp Dent Pract. 2005;6(1):1–6.CrossRef
Zurück zum Zitat Soares FC, Lima RA, Santos CFBF, Barros MVG, Colares V. Predictors of dental anxiety in Brazilian 5–7 years old children. Compr Psychiatry. 2016;67:46–53.CrossRefPubMed Soares FC, Lima RA, Santos CFBF, Barros MVG, Colares V. Predictors of dental anxiety in Brazilian 5–7 years old children. Compr Psychiatry. 2016;67:46–53.CrossRefPubMed
Zurück zum Zitat Sonnemberg E, Venham L. Human figure drawings as a measure of the child’s response to dental visits. ASDC J Dent Children. 1977;44(6):438–42. Sonnemberg E, Venham L. Human figure drawings as a measure of the child’s response to dental visits. ASDC J Dent Children. 1977;44(6):438–42.
Zurück zum Zitat Spomiak-Tutak K. Emotional states related to dental treatment. Ann Acad Med Stetin. 2000;46:253–63. Spomiak-Tutak K. Emotional states related to dental treatment. Ann Acad Med Stetin. 2000;46:253–63.
Zurück zum Zitat Ten Berge M, Veerkamp JS, Hoogstraten J. The etiology of childhood dental fear: the role of dental and conditioning experiences. J Anxiety Disord. 2002;16(3):321–9.CrossRefPubMed Ten Berge M, Veerkamp JS, Hoogstraten J. The etiology of childhood dental fear: the role of dental and conditioning experiences. J Anxiety Disord. 2002;16(3):321–9.CrossRefPubMed
Zurück zum Zitat Vasiliki B, Konstantinos A, Vassilis K. The effect of parental presence on the child’s perception and co-operation during dental treatment. Eur Arch Paediatr Dent. 2016;17:381–6.CrossRefPubMed Vasiliki B, Konstantinos A, Vassilis K. The effect of parental presence on the child’s perception and co-operation during dental treatment. Eur Arch Paediatr Dent. 2016;17:381–6.CrossRefPubMed
Zurück zum Zitat Venham LL, Gaulin-Kremer EA. Self-report measure of situational anxiety for young children. Pedriatr Dent. 1979;1(2):91–6. Venham LL, Gaulin-Kremer EA. Self-report measure of situational anxiety for young children. Pedriatr Dent. 1979;1(2):91–6.
Zurück zum Zitat Welly A, Lang H, Welly D, Kropp P. Impact of dental atmosphere and behaviour of the dentist on children’s cooperation. Appl Psychophysiol Biofeedback. 2012;37(3):195–04.CrossRefPubMed Welly A, Lang H, Welly D, Kropp P. Impact of dental atmosphere and behaviour of the dentist on children’s cooperation. Appl Psychophysiol Biofeedback. 2012;37(3):195–04.CrossRefPubMed
Metadaten
Titel
Effect of awards after dental care in children’s motivation
Publikationsdatum
18.12.2018
Erschienen in
European Archives of Paediatric Dentistry / Ausgabe 2/2019
Print ISSN: 1818-6300
Elektronische ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-018-0394-0

Weitere Artikel der Ausgabe 2/2019

European Archives of Paediatric Dentistry 2/2019 Zur Ausgabe

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

11.04.2024 Endokarditis Nachrichten

Bei welchen Personen eine Antibiotikaprophylaxe zur Prävention einer infektiösen Endokarditis nach invasiven zahnärztlichen Eingriffen sinnvoll ist, wird diskutiert. Neue Daten stehen im Einklang mit den europäischen Leitlinienempfehlungen.

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

08.04.2024 Zahnmedizin Nachrichten

Der Aufbau von Geweben und Organen während der Embryonalentwicklung wird von den Zellen bemerkenswert choreografiert. Für diesen Prozess braucht es spezielle sogenannte „Organisatoren“. In einer aktuellen Veröffentlichung im Fachjournal Nature Cell Biology berichten Forschende durch welchen Vorgang diese Organisatoren im Gewebe entstehen und wie sie dann die Bildung von Zähnen orchestrieren.

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

11.03.2024 Kinderzahnmedizin Nachrichten

Infolge der Umbenennung der Deutschen Gesellschaft für Kinderzahnheilkunde in Deutsche Gesellschaft für Kinderzahnmedizin (DGKiZ) wird deren Mitgliederzeitschrift Oralprophylaxe & Kinderzahnheilkunde in Oralprophylaxe & Kinderzahnmedizin umbenannt. Aus diesem Grunde trägt die erste Ausgabe in 2024 erstmalig den neuen Titel.

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.