• Journal of the korean academy of Pediatric Dentistry
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• v.23 no.2
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• pp.461-476
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• 1996

The purpose of this study was to investigate the effect of dental experience on the attitude of children toward the dentist and the dental treatment. The subjects of the study were 1,090 children from second grade to forth grade of three elementary schools of the Iksan city. The children were investigated by the questionnaire which consisted of seven items about the attitude toward the dentist, the attitude toward the dental treatment, the dental reatment experience, the number of times of dental treatment, the last time of the dental visit, pain of dental treatment, and fear of dental treatment. There were significant differences among the grades in the attitude toward the dental treatment and in the attitude toward the dentist (P<0.01). Second grade children had the most negative attitudes. But, there were no differences between boys and girls. Girls felt more pain and fear than boys (P<0.01). There were significant relationships between the pain and the attitude toward the dentist, between the pain and the attitude toward the dental treatment, between the fear and the attitude toward the dentist, and between the fear and the attitude toward the dental treatment (P<0.01, all). The number of dental visit had significant relationship with the attitude toward the dental treatment (P<0.05). There were significant relationships between the pain and the fear and between the attitude toward the dentist and the attitude toward the dental treatment.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.1
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• pp.29-36
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• 2019

Background: An inability to cope with threatening dental stimuli, i.e., sight, sound, and sensation of airotor, manifests as anxiety and behavioral management problems. Behavior modification techniques involving pre-exposure to dental equipment will give children a first-hand experience of their use, sounds, and clinical effects. The aim of this study was to compare the techniques of Tell-Show-Play-doh, a smartphone dentist game, and a conventional Tell-Show-Do method in the behavior modification of anxious children in the dental operatory. Methods: Sixty children in the age group of 4-8 years, with Frankl's behavior rating score of 2 or 3, requiring Class I and II cavity restorations were divided into three groups. The groups were Group 1: Tell-Show-Play-doh; Group 2: smartphone dentist game; and Group 3: Tell-Show-Do technique and each group comprised of 20 children. Pulse rate, Facial Image Scale (FIS), Frankl's behavior rating scale, and FLACC (Face, Leg, Activity, Cry, Consolability) behavior scales were used to quantify anxious behavior. Operator compliance was recorded through a validated questionnaire. Results: The results showed lower mean pulse rates, lower FIS and FLACC scores, higher percentage of children with Frankl's behavior rating score of 4, and better operator compliance in both the Tell-Show-Play-doh and smartphone dentist game groups than in the conventional Tell-Show-Do group. Conclusion: The Tell-Show-Play-doh and smartphone dentist game techniques are effective tools to reduce dental anxiety in pediatric patients.

• The Journal of the Korean dental association
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• v.53 no.8
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• pp.538-544
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• 2015

In a dental treatment, a dentist has to know the possibility to happen all kinds of the emergency and to prepare for managing that situation. Especially, the cardiac arrest is the most serious emergent problem. If the accident were happened, most dentists got embarrassed. The American Heart Association (AHA) is offering the Basic Life Support (BLS), Advanced Cardiopulmonary Life Support (ACLS) and Pediatric Advanced Life Support (PALS) programs for the healthcare who need to prepare the life threatening situation. The PALS is specialized to someone who participate in pediatric health-care field. This program is composed of three major emergency problems, such as respiratory emergencies, shock and cardiac arrests. The main concepts of the PALS are early recognition and systemic team approach. The purpose of this study was to introduce about PALS and to prepare response system for emergencies in the dental environment.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.2
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• pp.204-209
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• 2002

The purpose of this survey was to investigate parental recognition and preference on pediatric dentist and their behavior management technique. The subjects were the parents of new children visiting the Department of Pediatric Dentistry, Pusan National University Hospital for 6 months. The questionnaire was performed over 2 times : at 1st visit and 1 month after that. The parental preference about pediatric dentist - one's sex, color of gown and glass-wearing - and about behavior management technique - parental separation, oral sedation, voice control and physical restraints-were asked through the questionaire and obtained the results were as fellows: 1. The preference on sex of dentists was not shown. 2. The parents recognized not so close relation between glass-wearing and children's anxiety level, but on color of gown, showed various opinions. 3. Most parents opposed to the separation from their children in operatory. 4. For the behavior management technique, parents accepted generally. 5. There was no significant difference between the first and second survey.

• Journal of the korean academy of Pediatric Dentistry
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• v.34 no.1
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• pp.150-155
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• 2007

Mucopolysaccharidosis (MPS) is a disorder of storage in which there is excessive accumulation of glycosaminoglycans (GAGs) from lysosomal enzyme defect. Lysosomal accumulation of GAGs eventually results in cell, tissue and organ dysfunction. This patient may manifest mental retardation and physical disorders. This clinical report presents a girl with MPS having severe gingival hyperplasia. Gingivectomy was performed under general anesthesia. The pediatric dentist must be aware of oral manifestations present in the MPS. The approach to dental management will require teamwork between the dentist and the patient's physician.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.6
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• pp.369-378
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• 2019

Background: Behavior guidance is a technique used to subdue inappropriate behavior by establishing communication that meets the needs of a child. This study aimed to measure the effectiveness of a mobile app (Little Lovely Dentist) compared to the tell-show-do (TSD) technique in managing anxious children during their first dental visit. Methods: Fifty children (30 boys and 20 girls) without any past dental experience, aged from 7 to 11 years, were randomly allocated into either the dental app group or the TSD group. The pre- and post-operative anxiety of children who underwent prophylactic cleaning was assessed both physiologically and subjectively using a heart rate measurement and the RMS pictorial scale, respectively. Results: The intragroup comparison of heart rate and RMS scores for children allocated to the dental app group was statistically significant (P value ≤ 0.001). However, a significant reduction only occurred in the RMS scores, but not the heart rate measurements, in the TSD group. Conversely, there was an increase in heart rates in the TSD group. Conclusion: Educating the child prior to a dental procedure using a smartphone application such as Little Lovely Dentist can significantly alleviate the anticipatory anxiety and engage children in dental treatment during their first visit.

• Journal of the korean academy of Pediatric Dentistry
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• v.21 no.2
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• pp.456-462
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• 1994

The purpose of this study was to investigate the relationship between the caries experience and anxiety level to the dentist in the preschool children. 511 preschool children were brought to the dental hospital and examined for caries experience. Caries experience was measured as dDT index, fFT index, dDfFT index, dDT rate, and fFT rate. Children were requested to draw a dentist. Drawings were analyzed by the method of Human Figure Drawing Anxiety Score. Pearson correlation coefficents and their significance were calculated between caries experience and anxiety scores. There were significant negative correlation between fFT index and anxiety scores, between dDfFT index and anxiety scores, and between fFT rate and anxiety scores. There was significant positive correlation between dDT rate and anxiety scores. The results seemed to suggest that dental treatment experience reduced children's anxiety toward dentists. But, because there was obvious negative correlation between age and anxiety scores, age factor should be considered in the interpretation of the results.

• The Journal of the Korean dental association
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• v.54 no.11
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• pp.917-922
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• 2016

Attitudes of parents toward behavior guidance techniques used in pediatric dentistry have changed for decades. Some techniques were regarded acceptable with authority of dentists' assistance, but now face the objection of caregivers. For the way of breeding is changing, dentist should understand the situation and try to communicate with caregiver for eliminating misunderstanding of the procedures that could induce lawsuit for abusive techniques. Most of all, dentist should try to find the best method for the patient and help to overcome the fear and anxiety. The meaningful knowledge driven from clinical experience should be shared with other dentists to build up sound theoretical foundation.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.1
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• pp.235-246
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• 1997

This study was done as a pilot study to develop a color test measuring children's dental anxiety. The subjects of study were 511 preschool children aged from 3 to 6. Caries experience was examined. Children's drawings of the dentist were collected and analyzed by the method of human figure drawing test modified by Sonnenberg and Venham. Colors of high dental anxiety level were black, brown, purple, red, yellow, pink, green, orange, blue, gray, yellow ochre, and white in that order. Colors of high frequency of use were yellow ochre, green, blue, red, orange, pink, black & purple, yellow, brown, gray, and white in that order. As the age increased, white & gray, yellow ochre, and blue increased and black, purple, and pink decreased. Boys liked green and blue, and girls liked orange and yellow. Filled teeth rate was highest in yellow ochre group and very low in black group. Children who had an educational dental visit before the test used green color more than the rest of children.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.4
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• pp.589-594
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• 2005

With the progress of medical treatment techniques of bleeding control, dental care of the patient with hemophilia has become more convenient. So many surgical treatments can be performed with out-patient. 2 cases of intraoral surgical treatment of children, one with hemophilia 3, sever, the other with hemophilia A, severe. While the former was treated under general anesthesia, the latter was treated under local anaesthesia. There are principles : 1. When a patient with hemophilia need dental treatment, the dentist must consult to his physician, pediatrician, or hematologist before dental treatment. 2. When the dentist make a treatment plan, there should be consideration of the general condition, cooperation of the patient and risk of the treatment needed. 3. Minimize the number of times of coming for dental treatment so that reduce the times that need replacement therapy of coagulation factor. And during the treatment, dentist should care for infection and bleeding.