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1

Kiran D. P., Shital, Snehal M Ahire, Vinay Mulchandani, Vikram Jhamb, Mira Jani, and Aum Joshi. "Is there a link between dermatoglyphics and the Frankl behavior rating scale in the paediatric dental setting: A pilot study." Contemporary Pediatric Dentistry 3, no. 2 (2022): 73–79. http://dx.doi.org/10.51463/cpd.2022.105.

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Aim: Dermatoglyphics appears during the 12th and 13th weeks of pregnancy and persists throughout life. Fingerprints are blueprints for one's personality; they can provide information about one's perception, emotions, intellect, and motivation. Dermatoglyphic is a non-invasive and low-cost method of obtaining illness information. The aim of this study was to see if there was a link between distinct fingerprint patterns and Frankl's behavior rating scale in children aged 6 to 12. Methods: A total of 52 participants between the ages of 6 and 12 years old received dental procedures and were scored
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2

Sunder, Shivani Kiran, Dinesh Rao, Sunil Panwar, and Remi RV. "Assessment of child personality attributes using Pictorial Personality Traits Questionnaire (PPTQ-C) for prediction of child behavior at the first dental visit and its co-relation with the Frankl behavior rating scale." Journal of updates in Pediatric Dentistry 03, no. 01 (2024): 07–11. http://dx.doi.org/10.54276/jupd.2024.3103.

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Aim: To assess child personality attributes using Pictorial Personality Traits Questionnaire Children (PPTQ-C) for prediction of child behavior at the first dental visit and its co-relation with the Frankl behavior rating scale. Methodology: A sample size of 110 children between the ages 6-9 years requiring preventive treatment was included and they were asked to fill out the PPTQ-C before the treatment. The personality trait was evaluated. The Frankl behavior rating of the subjects was noted at the time of the treatment. A correlation was established between the personality trait and Frankl b
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Abdulla, AM, and AM Hegde. "Salivary Cortisol Levels and its Implication on Behavior In Children with Autism during Dental Treatment." Journal of Clinical Pediatric Dentistry 39, no. 2 (2015): 128–32. http://dx.doi.org/10.17796/jcpd.39.2.f6h32r2531841637.

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The aim of the study was to estimate the diurnal variations of salivary cortisol in children with autism and healthy children and it's implication on behavior during non-invasive dental procedures. Study design: 50 children with autism and 50 healthy children in the age group between 6 to 12 years of both genders with the need for dental treatment were included in the study. Whole unstimulated saliva was collected from them during early hours of the day and during evenings for 2 consecutive days . The collected saliva was then subjected to electrochemiluminescence assay . Minimum invasive dent
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4

John H, Unkel, Alexander C. Ian, Berry Elizabeth, Reinhartz Judy, and Reinhartz Dennis. "Effectiveness and Safety of Elevated Dosages of Nitrous Oxide on Behavior Management in Pediatric Dentistry." Journal of Clinical Pediatric Dentistry 46, no. 1 (2022): 58–61. http://dx.doi.org/10.17796/1053-4625-46.1.10.

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Objective: To determine if administering a higher dosage of nitrous oxide (>50%), with a nasal hood in pediatric dental restorative procedures, can allow for a safe and more cooperative experience for the pediatric patient as measured by observable adverse reactions and the Frankl Behavior Rating Scale. Study Design: A retrospective chart review was completed of 200 patients total, 100 for each nitrous oxide (N2O) dosage group (≤50% vs >50%). Adverse reactions and The Frankl Behavior Rating Scale during pediatric restorative procedures with N2O were compared between the two dosag
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5

Chopra, R., M. Mittal, K. Bansal, and P. Chaudhuri. "Buccal Midazolam Spray as an Alternative to Intranasal Route for Conscious Sedation in Pediatric Dentistry." Journal of Clinical Pediatric Dentistry 38, no. 2 (2013): 171–73. http://dx.doi.org/10.17796/jcpd.38.2.n055763721297702.

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Objectives: To evaluate the acceptance of midazolam spray through buccal route as compared to intranasal route and compare the efficacy of the drug through both the routes. Study Design: 30 patients aged 2-8 years with Grade I or II Frankl's Behaviour Rating Scale were selected who required similar treatment under local anesthesia on two teeth. Midazolam spray was administered randomly through buccal or intranasal routes for the two appointments. Scoring was done for the acceptance of drug and Houpt's score was recorded for the behaviour of patients during the treatment. Results: Acceptance of
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6

Alsaadoon, Alrouh M., Ayman M. Sulimany, Hebah M. Hamdan, and Ebtissam Z. Murshid. "The Use of a Dental Storybook as a Dental Anxiety Reduction Medium among Pediatric Patients: A Randomized Controlled Clinical Trial." Children 9, no. 3 (2022): 328. http://dx.doi.org/10.3390/children9030328.

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This randomized clinical trial aimed to evaluate the effectiveness of a specially designed dental storybook in reducing dental anxiety among children. Eighty-eight children (6–8 years old) were randomly divided into two groups: the intervention group (received the storybook) and the control group (did not receive the storybook). Three dental visits (screening, examination and cleaning, and treatment) were provided for each child. Anxiety was assessed following each visit using the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and the Venham clinical anxiety scale (VCAS). The behavi
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Kamel, Dalia O., Nadia A. Wahba, and Dalia M. Talaat. "Comparison between Positive Dental Images and Neutral Images in Managing Anticipatory Anxiety of Children." Journal of Clinical Pediatric Dentistry 41, no. 2 (2017): 116–19. http://dx.doi.org/10.17796/1053-4628-41.2.116.

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Objective: To evaluate the impact of positive images versus neutral images on child behavior during dental treatment and their dental anxiety after dental treatment. Study design: Sixty, 4 to 6 year old healthy pediatric dental patients, indicated for pulpotomy and stainless steel crown restorations, were divided randomly into two equal groups. Group I (experimental group viewed positive dental images and group II (control group) viewed neutral cartoon images prior to treatment. Behavior was assessed using Frankl rating scale in all four treatment phases: seating, local anesthesia administrati
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Kupietzky, A., E. Tal, and KG Vargas. "Parental Cooperation Scale in the Pediatric Dentistry Setting: Reliability and Criteria." Journal of Clinical Pediatric Dentistry 37, no. 2 (2012): 157–61. http://dx.doi.org/10.17796/jcpd.37.2.j1r7n414v1614135.

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Objective: The purpose of this study was to provide reliability and criteria data on a newly defined parental cooperation scale (PCS) and in addition correlate between parent scores and their child's behavior in the dental setting. Study design: 244 parents accompanying their child to a dental visit were evaluated by two independent pediatric dentist evaluators. 150 parents were designated to be revaluated at least two weeks following the initial evaluation by the same examiner. Children's dental behavior was previously evaluated using the Frankl rating scale. Results: A majority of the parent
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Kim, Doosoo, Sangho Lee, Nanyoung Lee, Myeongkwan Jih, and Jihye Ahn. "Effect of Virtual Reality Distraction on Pain and Anxiety in Children during Local Anesthesia." JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY 48, no. 1 (2021): 95–104. http://dx.doi.org/10.5933/jkapd.2021.48.1.95.

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The purpose of this study was to evaluate the effect of virtual reality distraction on pain and anxiety in children during local anesthesia. Local anesthesia was administered to 3 groups: a control group without distraction, a group watching TV, and a group using a virtual reality device. The pulse rate and oxygen saturation rate were measured before and at the time of local anesthesia to assess the patients’ pain and anxiety, and the Wong-Baker Faces Pain Rating Scale was completed after local anesthesia. The group using the virtual reality device had a significantly lower heart rate change a
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10

Agarwal, Nidhi, Ashish Anand, Sruthy Sreenivasan, Aakansha Sharma, and Varun K. "CORRELATION BETWEEN MOTHERS EMOTIONAL INTELLIGENCE ANDCHILDRENS ANXIETY IN PEDIATRIC DENTISTRY- AN OBSERVATIONAL STUDY." International Journal of Advanced Research 13, no. 01 (2025): 1299–303. https://doi.org/10.21474/ijar01/20317.

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Aim: Toassess the correlation between emotional intelligence of mother and the anxiety level of their children in a dental clinic. Methods: The study was done on a sample size of 80 mothers and their childrenaged 3-7years.A self- reported validated questionnaire ,the Schutte Emotional Intelligence scale was given to mothers to evaluate theiremotional intelligence and the children were assessed during the dental treatment procedure using Frankl Behavior Rating Scaleand Venhams Anxiety Rating Scale. Results: A statistically significant moderate positive correlation was found between mothers EQ a
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11

Eko Sri Yuni Astuti. "The role of non-pharmacological behavior management on the success of children's dental care." Makassar Dental Journal 11, no. 2 (2022): 211–13. http://dx.doi.org/10.35856/mdj.v11i2.597.

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The success of the dental treatment in children does not depend on mastering the basic techniques of the treatment but if can to manage the child's behavior. Children's fear and anxiety are child behaviors that can hinder the success of the treatment. The pur-pose of this paper is to discuss non-pharmacotherapy behavior management for the children. The nonpharmacologic behavior management methods are behavior shaping, tell show do (TSD), desensitization, modeling,distraction, positive reinforcement, voice control, retraining, and hand over mouth exercises (HOME). Behavior classification in hea
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Khosrozadeh, M., S. Ghadimi, M. Kazemzadeh Gharghabi, M. J. Kharrazifard, M. H. Hamrah, and A. Baghalian. "The Correlation between Children’s Intelligence Quotient and Their Behavior in Dental Setting: A Cross-Sectional Study." BioMed Research International 2022 (June 24, 2022): 1–6. http://dx.doi.org/10.1155/2022/2299215.

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Children with high intelligence quotient (IQ) are more capable of managing adverse situations. These children may show more cooperation to receive dental treatments. This study assessed the effect of intelligence quotient (IQ) of 5-10-year-old children on their cooperation during dental treatments. Eighty children without previous dental history and in need of pulpotomy and stainless steel crowns in one tooth were selected. A written consent was obtained from the parents, and after the children’s IQ was measured by Raven intelligence test, the treatments were performed and their cooperation le
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13

Komsic, Jelena, Sanja Vujkov, Isidora Neskovic, et al. "Comparative Evaluation of Alveolar Nerve Block with 2% Lidocaine–Epinephrine and 4% Articaine–Epinephrine Buccal Infiltration in Mandibular Premolar and Molar Region in Children: A Double-Blind, Randomized Trial." Children 12, no. 2 (2025): 215. https://doi.org/10.3390/children12020215.

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Background/Objectives: Effective pain control in pediatric dentistry combines behavior management, local anesthesia, and follow-up care. This study compared the efficacy of inferior alveolar nerve block (IANB) with 2% lidocaine and epinephrine versus buccal infiltration (BI) with 4% articaine and epinephrine in treating primary molars, permanent premolars, and molars in children. Methods: Sixty children aged 5–18 years were randomly assigned to two groups in a double-blind study. One group received 1.7 mL BI with 4% articaine, and the other 1.8 mL IANB with 2% lidocaine for dental treatment. P
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Luo, Shunhong, Yu Xie, Shangwen He, Jian Li, and Chunhua He. "A Study on the Effect of Nursing Intervention Based on Health Behavior Change Integration Theory on Patients with Limb Fracture and Its Effect on Limb Function and Self-Efficacy." Computational and Mathematical Methods in Medicine 2022 (July 13, 2022): 1–8. http://dx.doi.org/10.1155/2022/1621210.

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Objective. To assess the impact on nursing care based on the theory of health behavior change integration in patients with limb fracture and its effect on limb function and self-efficacy. Methods. The starting and ending time of this study is from February 2021 to February 2022. In this study, 116 hospitalized patients with limb fracture were selected as the object of study. According to the method of random number table, the patients were divided into study group and control group. The patients of the study cohort were given nursing healthcare based on the theory of health behavior change int
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15

Aminabadi, NA, ZE Adhami, SG Oskouei, E. Najafpour, and Z. Jamali. "Emotional Intelligence Subscales: Are They Correlated with Child Anxiety and Behavior in the Dental Setting?" Journal of Clinical Pediatric Dentistry 38, no. 1 (2013): 61–66. http://dx.doi.org/10.17796/jcpd.38.1.k754h164m3210764.

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Objectives: The present study aimed at evaluating the correlation between emotional intelligence subscales and child's anxiety and behavior in the dental setting. Study design: The study included 123 children aged 7-12 years, who were scheduled to attend two consecutive sessions. In the first session, the Bar-On Emotional Quotient Inventory: Youth Version (Bar-on EQ-I: YV) was administered to participants. The anxiety and behavior in children was evaluated during similar dental procedures in the second session using the Clinical Anxiety Rating Scale and the Frankl scale, respectively. Results:
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16

Alamoudi, Rana Abdullah, Nada Bamashmous, Nuha Hamdi Albeladi, and Heba Jafar Sabbagh. "Risk Factors Associated with Children’s Behavior in Dental Clinics: A Cross-Sectional Study." Children 11, no. 6 (2024): 677. http://dx.doi.org/10.3390/children11060677.

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One of the most crucial tasks of pediatric dentists is to control children’s negative behaviors. This study aimed to assess dental behavior and the associated risk factors among children aged 4–12. This cross-sectional study recruited healthy, unaffected children aged 4 to 12 years. Parents were interviewed regarding the sociodemographic details and characteristics of their children’s dental visits. Two collaborative dentists examined the children for dental caries (DMFT/DMFT) and behavioral status (Frankl’s behavior rating scale). This study included 439 children: 27.3% exhibited uncooperativ
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17

Bogovska-Gigova, Ralitsa. "Tell-Show-Do: Effective Behavior Management for Children aged 5 to 9 years." International Journal of Medical Science and Dental Health 11, no. 06 (2025): 22–27. https://doi.org/10.55640/ijmsdh-11-06-04.

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Dental fear affects 24–36% of children aged 5–9, complicating treatment and increasing risks of poor oral health outcomes. The Tell-Show-Do (TSD) technique, a non-pharmacological behavior management strategy, aims to reduce anxiety and enhance cooperation in pediatric dentistry. Aim: This study evaluated TSD's effectiveness in a private dental clinic in Sofia, Bulgaria, from February to April 2025. It involved 60 children (30 boys, 30 girls) aged 5–9 with dental fear and no prior dental experience who required restorations for carious primary molars. Material and methods: The TSD group (n=30)
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18

Shabbir, Afreen, Sham Bhat, Hegde Sundeep, and Sheikh Mohammed Salman. "Comparison of Oral Midazolam and Triclofos in Conscious Sedation of Uncooperative Children." Journal of Clinical Pediatric Dentistry 36, no. 2 (2011): 189–96. http://dx.doi.org/10.17796/jcpd.36.2.0346178414pvw865.

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Objective: To compare the safety and efficacy of two orally administered conscious sedation agents, Triclofos 70mg/kg and Midazolam 0.5mg/kg in pediatric dental patients. Study Design: In this cross over study twenty four sedation sessions were carried out with twelve children between the age group of 3 to 9 years. Children exhibiting negative behavior according to Frankl behavior rating scale (Rating No.2) were selected. Patients were randomly assigned to receive oral midazolam 0.5mg/kg or triclofos 70mg/kg. The alternate drug was administered at the next appointment. Patients' behavioral res
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Subramaniam, Priya, Maryam Haqh, and Megha Gupta. "Assessment of trait and state anxiety in 3-6-year old children during sequential phases of dental treatment." Contemporary Pediatric Dentistry 1, no. 1 (2020): 22–32. http://dx.doi.org/10.51463/cpd.2020.10.

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Aim: To assess changes in trait and state anxiety of children during sequential phases of dental treatment. Methods: Three hundred children, aged between 3 to < 6 years, who reported for their first dental visit were included. Both parents and children were evaluated over five sequential phases of dental treatment. Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and Modified Dental Anxiety Scale (MDAS) were used to assess child’s trait anxiety. Children’s Emotional Manifestation Scale (CEMS) and Facial Image Scale (FIS) were used to assess child’s state anxiety. Child’s behavior w
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Kolb, AK, K. Schmied, P. Faßheber, and R. Heinrich-Weltzien. "Preschool Children's Taste Acceptance of Highly Concentrated Fluoride Compounds: Effects on Nonverbal Behavior." Journal of Clinical Pediatric Dentistry 38, no. 1 (2013): 31–37. http://dx.doi.org/10.17796/jcpd.38.1.1501887254xt5u07.

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Objective: The aim of this video-based study was to examine the taste acceptance of children between the ages of 2 and 5 years regarding highly concentrated fluoride preparations in kindergarten-based preventive programs. Study design: The fluoride preparation Duraphat was applied to 16 children, Elmex fluid to 15 children, and Fluoridin N5 to 14 children. The procedure was conducted according to a standardized protocol and videotaped. Three raters evaluated the children's nonverbal behavior as a measure of taste acceptance on the Frankl Behavior Rating Scale. The interrater reliability (intra
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Subramaniam, P., and M. Gupta. "Oral Health Status of Autistic Children in India." Journal of Clinical Pediatric Dentistry 36, no. 1 (2011): 43–48. http://dx.doi.org/10.17796/jcpd.36.1.l6287842uj536x13.

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Autism is one of the most severe childhood neuropsychiatric disorders. Autistic individuals are characterized by impairment in social interaction with a restricted range of interests and often, stereotyped repetitive behaviors. Studies on oral health conditions in children with autism are sparse. The complicated disability itself makes clinical research difficult. Aim: The need for baseline information regarding the oral health status of children with autism is essential. Method: The present study assessed the oral health status of 106 autistic children aged 4 to 15 years in Bangalore city, In
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Birajee, Gajendra, Bandana Koirala, Balkrishna Bhattarai, Mamta Dali, Sneha Shrestha, and Surya Raj Niraula. "Assessment of Dental Fear and Anxiety in Children Undergoing Nitrous Oxide-Oxygen Inhalation Sedation visiting BPKIHS." Journal of Nepalese Association of Pediatric Dentistry 4, no. 1 (2023): 12–17. http://dx.doi.org/10.3126/jnapd.v4i1.68689.

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Introduction: Dental treatment of children is the most needed service that remains neglected because of a lack of skill to manage dental fear and anxiety (DFA). Both the non-pharmacological and pharmacological behavior management continuum should be followed to treat children. Objective: To assess and compare DFA levels in children before and after dental treatment using nitrous oxide-oxygen inhalation sedation (NOIS), to assess and compare the change in behavior in children undergoing NOIS, and to compare the level of DFA in children undergoing invasive and non-invasive dental treatment. Meth
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Mathius, Ni Putu Nathalia Emilly, Linda Sari Sembiring, and Meilani Rohinsa. "Tingkat kecemasan dental anak usia 7-12 tahun yang akan melakukan ekstraksi gigiDental anxiety level of 7 - 12-years old children who will perform tooth extraction at dental hospital." Padjadjaran Journal of Dental Researchers and Students 3, no. 1 (2019): 33. http://dx.doi.org/10.24198/pjdrs.v3i1.22486.

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Pendahuluan: Kecemasan merupakan suatu hal yang sering dialami oleh sebagian pasien yang akan melakukan prosedur perawatan dental. Kecemasan dental merupakan respon kecemasan yang hampir identik dengan respon rasa takut, yang keduanya memiliki fisiologis, kognitif serta komponen perilaku. Kecemasan dental sendiri merupakan salah satu hal yang harus diperhatikan karena tidak hanya akan menyebabkan stres kepada pasien melainkan juga pada dokter gigi saat akan melakukan perawatan. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan dental anak usia 7-12 tahun yang akan melakukan ekstraksi
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Bangash, Madeeha, Fatimah Shiraz, Laila Mustafa, Nabhan Zakir, Gulandama Alam Khan, and Ammara Sami. "EFFECTIVENESS OF PARENTAL PRESENCE/ABSENCE TECHNIQUE AS A BEHAVIOR MANAGEMENT TECHNIQUE IN PAEDIATRIC DENTSTRY." Pakistan Armed Forces Medical Journal 70, no. 6 (2020): 1853–58. http://dx.doi.org/10.51253/pafmj.v70i6.4866.

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Objective: To assess the deliberate use of a parental presence/absence (PPA) intervention as a behaviormanagement technique to manage uncooperative children as well as its association with age.
 Study Design: Cross sectional study.
 Place and Duration of Study: Study was conducted at department of Paediatric dentistry, Rehman College ofDentistry, Peshawar, from Jan to Apr 2019.
 Methodology: Practice patient records were examined over a period of 3 months, during which Frankel behavior ratings were made for each patient. About 2 to 14 years olds were included in the study who ha
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Bagattoni, Simone, Francesca Nascimben, Elena Biondi, et al. "Preparing Children for Their First Dental Visit: A Guide for Parents." Healthcare 10, no. 11 (2022): 2321. http://dx.doi.org/10.3390/healthcare10112321.

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The aim of the study was to test an information booklet containing suggestions to parents on how to prepare their child for the first dental visit. Forty-five children and one parent per included child took part in the trial. Children were randomized in two groups; the information booklet was e-mailed to the parents of the study group. At the end of the visit, the dentist and the parent evaluated the child’s behavior through the Frankl Behavior Rating Scale (FBRS) and the utility of the booklet through a Likert scale. The children evaluated the pleasantness of the visit and the perceived pain
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Nagarwal, Priya, Vivek Rana, Nikhil Srivastava, Noopur Kaushik, and Tushar Pruthi. "Reliability of three pain assessment tools in children requiring dental treatment: A comparative clinical study." Journal of Indian Society of Pedodontics and Preventive Dentistry 41, no. 2 (2023): 126–32. http://dx.doi.org/10.4103/jisppd.jisppd_132_23.

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ABSTRACT Background: The appropriate intervention of pain is based on its accurate evaluation, which is a challenge in the pediatric population as they often do not have the language development or cognitive sophistication to describe it correctly. Untreated pain has a negative impact on the psychosocial well-being of children. Aim and Objectives: The study aimed to evaluate and compare the reliability of different pain assessment scales, namely, the Wong Baker Facial Pain Rating scale (WBFPS), Modified Emoji Pain Scale (MEPS), and indigenously developed indigenously made GIF Pain Scale (SPGPS
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Khinda, Vineet, Nitika Bajaj, and Paramjit Kaur Khinda. "The Influence of Parental Dental Anxiety on Children’s Acceptance of Dental Treatment." International Journal of Medical and Oral Research 9, no. 2 (2024): 42–44. https://doi.org/10.4103/ijmo.ijmo_11_24.

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Background:: Dental anxiety is a significant issue that impacts both parents and children, with parental anxiety potentially influencing children’s behavior during dental visits. Understanding this relationship is critical to improving pediatric dental experiences and outcomes. Aim:: The aim of this study is to evaluate the influence of parental dental anxiety on children’s acceptance of dental treatment. Materials and Methods:: A cross-sectional study involving 500 child–parent pairs was conducted in a pediatric dental clinic in Faridkot, India, from February 2024 to June 2024. Parental denta
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Vishwanathaiah, Satish, Nassreen H. Albar, Fatemah Tawfeg Abkar Alraghi, et al. "Comparative Evaluation of New Needleless Local Anesthetic System (INJEX) and Conventional Syringe Needle Technique during Pulpotomy Treatment: A Randomized Clinical Trial." Children 11, no. 5 (2024): 514. http://dx.doi.org/10.3390/children11050514.

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Background: The dreaded sensation of pain in the dental chair has a significant impact on children’s behavior. This study aimed to compare and contrast the perception of pain and patient behavior between the use of INJEX and the conventional syringe needle technique during pulpotomy among children. Methods: A randomized clinical trial was designed and conducted among pediatric dentistry patients aged 6–12 years old. Fifty-eight children were divided into two groups, conventional syringe needle and INJEX, using simple randomization method applying the sequentially numbered, opaque, sealed envel
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Dave, Bhavna Haresh, Yash Manoj Lalwani, Charmi Haresh Shah, and Lipsa S. Shah. "Evaluation of dental behavior, anxiety, fear, and its correlation with trait emotional intelligence in 8–12-year-old children: Exploring a new frontier in behavior modification." Journal of Indian Society of Pedodontics and Preventive Dentistry 42, no. 3 (2024): 211–16. http://dx.doi.org/10.4103/jisppd.jisppd_141_24.

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ABSTRACT Background: Children’s fear and distress in dental settings often lead to anxiety and behavior issues. This study delves into why some children experience dental anxiety, whereas others do not, attributing differences to child-rearing and personality traits. Emotional intelligence (EQ), the ability to comprehend, generate, and manage emotions, is explored as a factor influencing a child’s dental experience. This novel intelligence theory accommodates the intricacies of human–environment interactions. Aim: The study aimed to investigate the relationship between EQ and a child’s dental
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Reis, Caio Luiz Bitencourt, Ana Cláudia Pedreira de Almeida, Edmêr Silvestre Pereira Júnior, et al. "Effectiveness of Virtual Reality Glasses in Reducing Anxiety in Children and Dentists' Operative Time for Pediatric Dental Procedures: A Randomized Clinical Trial." Journal of Advances in Medicine and Medical Research 35, no. 21 (2023): 149–55. http://dx.doi.org/10.9734/jammr/2023/v35i215221.

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This randomized clinical trial aimed to evaluate the effects of audiovisual distraction using virtual reality glasses during inferior alveolar nerve block in pediatric dental patients. This clinical trial randomly included 20 participants aged 4 to 11 years from a pediatric dentistry clinic to receive anesthesia with or without VR glasses. Behavioral assessments were conducted using the Frankl scale, FLACC (Face, Legs, Activity, Cry, Consolability) scale, and Wong-Baker FACES Pain Rating Scale (PRS). Anesthesia administration time was recorded. The results were compared by Wilcoxon test, and C
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Muhammed, Przha, and Arass Noori. "The Effect of an Audiovisual Distraction Method on 6-10-Years Old Children’s Behavior During Dental Treatment: A Clinical Trial." Sulaimani Dental Journal 9, no. 2 (2022): 47–52. http://dx.doi.org/10.17656/sdj.10157.

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Objective: Management of uncooperative and anxious children during dental treatment is a major problem in pediatric dentistry. This study was designed to assess the effect of an audiovisual distraction method in minimizing the fear and anxiety of the child patient during dental treatment. Methods: A randomized clinical trial with a parallel design was carried out on 40 children aged between 6 and 10 years to ascertain the efficacy of the audiovisual (virtual reality eyeglasses) distraction method in reducing children's dental anxiety during local anesthetic administration. Forty children were
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Muhammed, Przha, and Arass Noori. "The Effect of an Audiovisual Distraction Method on 6-10-Years Old Children’s Behavior During Dental Treatment A Clinical Trial." Sulaimani Dental Journal 9, no. 2 (2022): 47–52. https://doi.org/10.17656/sdj-10157.

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Objective: Management of uncooperative and anxious children during dental treatment is a major problem in pediatric dentistry. This study was designed to assess the effect of an audiovisual distraction method in minimizing the fear and anxiety of the child patient during dental treatment. Methods: A randomized clinical trial with a parallel design was carried out on 40 children aged between 6 and 10 years to ascertain the efficacy of the audiovisual (virtual reality eyeglasses) distraction method in reducing children's dental anxiety during local anesthetic administration. Forty children were
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Sabbagh, Heba J., Ghadeer Sharton, Jumana Almaghrabi, Manal Al-Malik, Mona Hassan Ahmed Hassan, and Narmin Helal. "Effect of Environmental Tobacco Smoke on Children’s Anxiety and Behavior in Dental Clinics, Jeddah, Saudi Arabia: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 1 (2021): 319. http://dx.doi.org/10.3390/ijerph18010319.

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Background: Environmental tobacco smoke (ETS) has been linked to behavioral problems, but no study has assessed its relationship with dental anxiety. Therefore, this study’s goal is to assess the relation between ETS and both behavioral problems and dental anxiety among children. Methods: The study sample was collected from two centres in Jeddah from October 2019 to January 2020. Inclusion criteria included healthy 5–16-year-old children having their first dental visit with no emergency complaint. The questionnaire including general information, ETS exposure, the child’s anxiety using the Abee
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Nivedita, Pande, and Katre Amar. "Comparison of effect of Interactive mobile game (IMG) with Tell-Show-Do technique (TSD) on behavior in six to twelve year-old children: A pilot trial." Journal of Dental Health, Oral Disorders & Therapy 10, no. 4 (2019): 241–45. http://dx.doi.org/10.15406/jdhodt.2019.10.00489.

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Introduction: Fear and anxiety experienced by children during dental treatment may cause them to decline further treatment. Digital tools like interactive mobile games could be explored further for altering child behavior. Aim: To compare effect of interactive mobile game with Tell-Show-Do technique on behavior in 6-12 year-old children. Methodology: Thirty healthy children aged 6-12 years requiring restorative treatments were recruited in this parallel arm trial. Facial Image scale (FIS) score, Frankl Rating (FR) and Pulse Rate (PR) were analyzed at baseline and post-restorative treatment. FI
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Viswanath, S., S. Asokan, PR Geethapriya, and K. Eswara. "Parenting Styles and their Influence on Child's Dental Behavior and Caries Status: An Analytical Cross-Sectional Study." Journal of Clinical Pediatric Dentistry 44, no. 1 (2020): 8–14. http://dx.doi.org/10.17796/1053-4625-44.1.2.

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Aim: The present study aimed to evaluate the association between parenting styles, child's behavior in dental setting and dental caries status. Study design: Children aged 3–7 years on their first dental visit were included in the study. Their parents were asked to complete Parenting Style Dimension Questionnaire (PSDQ) to assess their parenting style. Oral prophylaxis was performed for the children and their behavior was assessed using Frankl behavior rating scale. Their caries status was recorded using DMFT/deft index. Results: Out of 315 parents, 240 parents exhibited authoritative parentin
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Ummat, Arshia, Sreejeeta Dey, P. Anupama Nayak, Nitin Joseph, Ashwin Rao, and Y. M. Karuna. "Association Between Dental Fear and Anxiety and Behavior Amongst Children During Their Dental Visit." Biomedical and Pharmacology Journal 12, no. 2 (2019): 907–13. http://dx.doi.org/10.13005/bpj/1716.

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Dental fear and anxiety (DFA) serves as significant problem in child patient management as it leads to greater prevalence and increased severity of the disease associated with delayed dental visits. Therefore, it is necessary to effectively predict children dental behaviour and identify children at risk of Behaviour Management problems. Study of factors influencing DFA and its association with behaviour in children during first dental visit. The study included 209 children (5-14 years). DFA levels were assessed using 3 standardised questionnaires i.e. Facial Image Scale (FIS), Dental Anxiety S
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Mohan, Rohini, Guna Shekhar Madiraju, Chiew Ying Chieng, Yousef Majed Almugla, and Faris Yahya I. Asiri. "Evaluation of Taste Acceptance of Three Different Fluoride Varnishes in Children with Autistic Spectrum Disorder: A Randomized Clinical Trial." Journal of Clinical Medicine 14, no. 6 (2025): 1948. https://doi.org/10.3390/jcm14061948.

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Background/Objective: The taste perception of clinical materials used in dental treatment procedures can influence the compliance of autistic children during dental visits due to their heightened anxiety and sensory processing difficulties. This study aimed to evaluate the taste acceptance of different fluoride varnish preparations among children with autism spectrum disorder (ASD) in a clinical setting. Methods: This parallel-arm single-blinded randomized clinical study included autistic children aged 6–14 years, referred to a community dental clinic unit for preventive dental care. Non-verba
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Mittal, Meenu, Radhika Chopra, Deepanshi Malhotra, et al. "Impact of dentistry modeling story on dental anxiety in 6–8-year-old children of industrial workers: A randomized controlled trial." Journal of Indian Society of Pedodontics and Preventive Dentistry 43, no. 1 (2025): 95–103. https://doi.org/10.4103/jisppd.jisppd_469_24.

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Aims: This study aimed to evaluate the impact of a specially designed dentistry modelling story on dental anxiety and managing behavior among children of industrial workers. Materials and Methods: Two hundred and ten children of age 6–8 years, at their first dental visit, were randomly assigned to one of the two groups: Intervention group – Group A (n = 105) who received a specially designed dentistry modeling story followed by Tell, Show, Do (TSD) technique of behavior guidance; and control group – Group B (n = 105) who received a folk story, not related to dentistry and TSD. Situational anxi
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Candan, Merve, Elifcan Kutlu, and İmran Gökçen Yilmaz Karaman. "Predictors of Parental Acceptance towards Contemporary Behavior Management Techniques Used in Pediatric Dentistry: A Preliminary Study on Turkish Population." Children 10, no. 10 (2023): 1592. http://dx.doi.org/10.3390/children10101592.

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Background: Parents, who make the final decision regarding their child’s treatment, play a significant role in their dental care. Parental approval is important for each stage of treatment and may affect the physician’s approach to the treatment. Therefore, it is essential for pediatric dentists to comprehend which behavior management techniques (BMTs) are acceptable to parents and to identify the factors that influence their acceptability. Methods: Parents who were bringing their children for dental treatment answered a survey on the acceptance of twenty contemporary BMTs. The sociodemographi
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Sethi, Ritika, and Monika Rathore. "Influence of parenting styles on oral health status, emotional status and behavior of children in the dental setting." International Journal Of Community Medicine And Public Health 10, no. 1 (2022): 281. http://dx.doi.org/10.18203/2394-6040.ijcmph20223558.

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Background: Parents are the most important source of information regarding their child’s oral health and emotional and behavioral problems. Thus, child-rearing practices may influence various aspects of children’s life. Furthermore, the association of parenting styles with the psychological attributes, oral health status, and behavior of children and adolescents has been studied less in an Indian dental setup.Methods: This cross-sectional study was conducted on 182 healthy children of 4-14 years accompanied by their parents in east Lucknow. The oral health status of the children was assessed v
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El-Housseiny, AA, NM Farsi, NM Alamoudi, SM Bagher, and D. El Derwi. "Assessment for the Children's Fear Survey Schedule—Dental Subscale." Journal of Clinical Pediatric Dentistry 39, no. 1 (2014): 40–46. http://dx.doi.org/10.17796/jcpd.39.1.ml4h38626g66p750.

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Objectives: Child dental fear causes a significant management problem. The Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) is the most widely used measure of dental fear in children. This study was undertaken to develop and test reliability and validity for the Arabic version of the CFSS-DS. Study design: the English CFSS-DS was translated to Arabic language and its reliability and validity were evaluated by distributing it to 6-12 year old Arabic pediatric dental patients (n=220). Of whom 144 children were assigned for test- retest reliability. To test criterion validity; 44 childre
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Binh, Nguyen Quang, Vo Truong Nhu Ngoc, Pham Quoc Khanh, et al. "Efficacy of Oral Midazolam for Sedation and Amnesia in Preschool Children with Dental Anxiety: A Double-Blind, Randomized Controlled Trial." Dentistry Journal 13, no. 7 (2025): 308. https://doi.org/10.3390/dj13070308.

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Background: Dental anxiety often poses a significant barrier to effective dental care in pediatric patients. This study evaluated the efficacy and safety of oral midazolam at two different doses for sedation and amnesia in preschool children undergoing dental procedures under 30 min, including primary teeth extraction, root canal treatment, dental filling, and stainless-steel crown. Methods: This prospective, double-blind, randomized controlled trial included 80 children aged 3–6 years with dental anxiety (Types 1 and 2 of the Frankl Behavior Rating Scale) at the National Hospital of Odonto-St
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Aminabadi, Naser Asl, Azin Sohrabi, Sina Ghertasi Oskouei, and Behjat Almolook Ajami. "Can Birth Order Affect Temperament, Anxiety and Behavior in 5 to 7-year-old Children in the Dental Setting?" Journal of Contemporary Dental Practice 12, no. 4 (2011): 225–31. http://dx.doi.org/10.5005/jp-journals-10024-1039.

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ABSTRACT Aim The aim of this study was to evaluate the relationships between birth order and child's temperament, anxiety and behavior in the dental setting. Materials and methods A total of 200 healthy children aged 5 to 7 years, were included in this double-blind randomized controlled trial. The study consisted of two sessions. In the initial appointment, parents were provided with instructions and asked to complete children's behavior questionnaire (CBQ). In the second appointment, identical dental treatments were rendered to all subjects. During treatment, Frankl scale for child's behavior
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Orellana Calderón, María Belén, and María de Lourdes Cedillo Armijos. "Evaluación de la eficacia de las escalas de comportamiento en odontopediatría: Revisión de la Literatura." Anatomía Digital 7, no. 3.2 (2024): 118–41. http://dx.doi.org/10.33262/anatomiadigital.v7i3.2.3110.

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Introducción. Las escalas de comportamiento son herramientas fundamentales en odontopediatría para evaluar y gestionar la ansiedad y el comportamiento de los niños durante el tratamiento dental. La identificación y manejo adecuado de estos factores es crucial para el éxito del tratamiento y la satisfacción del paciente. Objetivo. Evaluar la eficacia de diversas escalas de comportamiento utilizadas en odontopediatría. Metodología. Se revisaron y analizaron 50 estudios que refieren el uso de diferentes escalas de comportamiento en niños durante procedimientos dentales. Entre las escalas evaluada
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Perales-Terán, Maritza, Aida Sabbagh-Haddad, Karla Isabel Juárez-Ibarra, and Norma Cruz-Fierro. "Evaluación de tres técnicas para el manejo de conducta odontológica en pacientes con trastorno del espectro autista." Odontología Sanmarquina 24, no. 1 (2021): 7–14. http://dx.doi.org/10.15381/os.v24i1.19692.

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Objetivo. Evaluar tres técnicas para el manejo de conducta: Desensibilización Sistemática (DS), Método Treament and Education of Autistic and related Communication Handicapped Children (TEACCH) y la técnica Decir, Mostrar, Hacer (DMH), durante la atención dental a personas con trastorno del espectro autista (TEA). Métodos. Participaron 18 personas del Noreste de México con diagnóstico de TEA, con un rango de 13 a 15 años divididos en tres grupos según la técnica TEACCH, DS y DMH con seis personas por grupo. A los participantes se les realizó una profilaxis dental empleando la técnica de manejo
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Almaeen, Saud Hamdan, Mohammad Khursheed Alam, Haya Okab Alruwaili, and Buthainah Saleh Alshammri. "Comparative Study of Behavior Management Techniques in Pediatric Dentistry." Journal of Pharmacy and Bioallied Sciences 17, Suppl 2 (2025): S1249—S1251. https://doi.org/10.4103/jpbs.jpbs_76_25.

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ABSTRACT Background: Behavior management is a critical component of pediatric dentistry, essential for delivering effective dental care to children. Various techniques, such as tell-show-do, distraction, and voice control, are utilized to minimize anxiety and promote cooperation during dental procedures. This study aims to compare the effectiveness of these behavior management techniques in achieving successful treatment outcomes. Materials and Methods: This randomized clinical study included 90 children aged 4–10 years, divided equally into three groups (n = 30) based on the behavior manageme
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Ismail, Mafaz M., and Aseel H. Haidar. "Impact of Brix 3000 and conventional restorative treatment on pain reaction during caries removal among group of children in Baghdad city." Journal of Baghdad College of Dentistry 31, no. 2 (2019): 7–13. http://dx.doi.org/10.26477/jbcd.v31i2.2617.

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Background: Pain and the usage of local anesthetic agents are still real problem in pediatric dentistry, for these reasons, the use of minimal invasive dentistry (MID) in regard to the patient comfort is important especially for children, anxious and uncooperative patients. Chemomechanical caries removal (CMCR) methods involve the selective removal of the carious dentine hence it avoided the painful removal of the sound dentine and the anxiety resulted due to the vibration of the hand piece which is also decreased thus it appears to be more acceptable and comfortable to the patient. Aims of th
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Gao, Shuo, Jiaxuan Lu, Pei Li, Dongsheng Yu, and Wei Zhao. "Prevalence and risk factors of children’s dental anxiety in China: a longitudinal study." BMJ Open 11, no. 4 (2021): e043647. http://dx.doi.org/10.1136/bmjopen-2020-043647.

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ObjectivesDental anxiety remains widespread among children, may continue into adulthood and affect their oral health-related quality of life and clinical management. The aim of the study was to explore the trend of children’s dental anxiety over time and potential risk factors.DesignLongitudinal study.MethodsChildren aged between 5 and 12 years were investigated with the Chinese version of face version of Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and Frankl Behavior Rating scale from 2008 to 2017, and influential factors were explored.ResultsClinical data were available from 10
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Martignon, Stefania, Andrea Cortes, Soledad Isabel Gómez, et al. "How Long does it Take to Examine Young Children with the Caries ICDAS System and how do they Respond?" Brazilian Dental Journal 29, no. 4 (2018): 374–80. http://dx.doi.org/10.1590/0103-6440201801949.

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Abstract A caries-epidemiological study using the ICDASepi-merged system was conducted in Colombian young children. This study aimed at associating the time needed for the clinical examination of caries and caries risk in 1 to 5-year-old children according to age and caries risk, and to assess behavior and child pain self-perception during examination according to age. After IRB approval and given parents/caregivers’ informed consent, seven trained examiners assessed 1 to 5-year olds in kindergartens under local field conditions. ICDASepi-merged caries experience (depiMEmf) was assessed as fol
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Bakhurji, Eman, Jumana Alagil, Hussah Almulhim, Raghad Alfuhaid, Sarah Alqanas, and Khalifa S. Al-Khalifa. "Does the Behavior of Pediatric Patients towards Dental Treatment Influence the Pattern of Adjacent (Sound, Decayed, and Filled) Proximal Surfaces in Primary Molars?" Applied Sciences 12, no. 4 (2022): 1910. http://dx.doi.org/10.3390/app12041910.

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This retrospective study aimed to investigate the influence of patient behavior toward dental treatment on the presence of adjacent (sound, decayed, or filled) proximal surfaces in the primary molars. The study included a records review of 2226 pediatric patients. Records were eligible if the patients were in primary or mixed dentition, and if they included a complete set of bitewings and periapical intraoral radiographs of all their primary molars. Four calibrated reviewers used intraoral radiographs to record the sound, decayed, and filled proximal distal surfaces of the first primary molars
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