Carers' and paediatric dentists' perceptions of children's pain during restorative treatment.

Autor: Brilhante, V. O. M., Corrêa-Faria, P., Machado, G. C. M., Costa, L. R.
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Zdroj: European Archives of Paediatric Dentistry (Springer Science & Business Media B.V.); Apr2020, Vol. 21 Issue 2, p271-276, 6p, 2 Charts, 1 Graph
Abstrakt: Purpose: Parents/carers' and dentists' evaluations are important when assessing young children's pain. However, there is little evidence on agreement regarding children's pain according to proxy reports. The aims of this cross-sectional study were to investigate the agreement among paediatric dentists and parents/carers about children's pain during treatment and the association between the reporting of pain and child behaviour. Methods: Participants were 81 parents/carers of uncooperative children undergoing restorative treatment, and five paediatric dentists. Pain during dental treatment was assessed after dental procedures using the Visual Analogue Scale (0–4 mm: no pain; 5–44 mm: mild pain; 45–74 mm: moderate pain; 75–100 mm: severe pain). Child behaviour was assessed by calibrated researchers using the Ohio State University Behavioural Scale. The agreement between respondents about a child's pain was evaluated using the weighted kappa test. The association between the pain report and child behaviour was verified using the Kruskal–Wallis and Mann–Whitney tests. Results: Parents/carers (36, 44.4%) and paediatric dentists (40, 49.4%) reported that children felt mild pain in all sessions. The parents/carers reported that the children experienced higher pain intensities compared to paediatric dentists. The agreement between respondents was slight (weighted Kappa < 0.20). Higher pain intensities were more frequent when the children's behaviour was uncooperative. Conclusion: Parents/carers and paediatric dentists showed slight agreement regarding the pain felt by children in dental treatment. Pain proxy reporting in children is influenced by the children's behaviour. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index
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