J Dent Res Dent Clin Dent Prospects. 2018;12(1):68-76.
doi: 10.15171/joddd.2018.011
PMID: 29732024
PMCID: PMC5928478
  Abstract View: 681
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Clinical Dentistry

Does the length of dental treatment influence children’s behaviour during and after treatment? A systematic review and critical appraisal

Zahra Jamali 1, Ebrahim Najafpour 2, Ziya Ebrahim Adhami 3, Alireza Sighari Deljavan 4, Naser Asl Aminabadi 5, Sajjad Shirazi 6,7 *

1 Assistant Professor, Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
2 Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
3 Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
4 Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
5 Postgraduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran
6 Researcher and Lecturer, Dental and Periodontal Research Center, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
7 Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran

Article

The aim of this systematic review was to investigate the effect of treatment duration on children’s behaviour and/or anxiety in the dental setting. For this purpose, a systematic search was conducted in Pubmed/medline and Scopus from 1970 to march 2017 for English language articles that assessed the relationship between dental treatment duration or length, and fear/anxiety or behaviour in children aged <12 years old with no confounding medical and/or psychological history and neuro-psychiatric disabilities. Four studies investigating the effect of treatment duration on children’s behaviour during and/or after treatment were included. None of the reviewed studies investigated the effect of treatment duration on children’s dental anxiety or fear. There was a general tendency towards deterioration of children’s behaviour with the increase of treatment duration. In conclusion, our results undermine the validity of current suggestions about the appropriate treatment duration. Further clinical trials are needed to establish appropriate treatment duration for more effective behavioural management of paediatric patients during dental procedures.
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Submitted: 24 Feb 2018
Accepted: 04 Mar 2018
First published online: 04 Mar 2018
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