Anxiety Levels Among Five-Year-Old Children Undergoing ART Restoration- A Cross-Sectional Study

Overview

Journal J Clin Diagn Res

Specialty General Medicine

Date 2017 Jun 3

PMID 28571260

Citations 5

Authors

Ishan

K K Shivlingesh

Vartika Agarwal

Bhuvan Deep Gupta

Richa Anand

Abhinav Sharma

Sumedha Kushwaha

Khateeb Khan

Affiliations

Soon will be listed here.

Abstract

Introduction: Atraumatic Restorative Treatment (ART) involves manually excavating the carious part of the tooth and restoring the prepared cavity with chemically adhesive restorative material [Glass Ionomer Cement (GIC)] and it may induce and/or impact the dental anxiety in children. It is well established that ART procedure is less anxiety producing when compared with other restorative procedures using dental drill.

Aim: The aim of this study was to evaluate the anxiety levels among five-year-old children undergoing ART restoration in I.T.S. Dental College, Greater Noida, India.

Materials And Methods: A sample of 50, five-year-old children visiting the Outpatient Department (OPD) of ITS Dental College, Greater Noida was selected for ART treatment using Fuji IX GIC. Modified Venham Anxiety Scale based on their behaviour and heart rate of the children were measured and recorded before, during and after the ART procedure. Heart rate was measured using Radial Pulse examination method. Chi-square test was used and tests were conducted using IBM SPSS software (ver.20.0; IBM, Chicago, IL, USA).

Results: Before the ART treatment, heart rates and Modified Venham Anxiety Scores of majority of children were higher than that after the treatment. A p-value was statistically significant (0.028 and 0.048 respectively) for association of gender with heart rate and Modified Venham's score before the ART treatment. No statistically significant relation was found between the variables during and after the ART treatment.

Conclusion: The level of anxiety for ART treatment in children was higher before the treatment than that during and after the treatment. There is a correlation between the gender of children and their level of anxiety for ART treatment.

Citing Articles

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The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study.

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References

Forsten L . Fluoride release and uptake by glass-ionomers and related materials and its clinical effect. Biomaterials. 1998; 19(6):503-8. DOI: 10.1016/s0142-9612(97)00130-0. View

van Amerongen W, RAHIMTOOLA S . Is ART really atraumatic?. Community Dent Oral Epidemiol. 1999; 27(6):431-5. DOI: 10.1111/j.1600-0528.1999.tb02044.x. View

Tyas M, Anusavice K, Frencken J, Mount G . Minimal intervention dentistry--a review. FDI Commission Project 1-97. Int Dent J. 2000; 50(1):1-12. DOI: 10.1111/j.1875-595x.2000.tb00540.x. View

Roshan N, Sakeenabi B . Anxiety in children during occlusal ART restorations in primary molars placed in school environment and hospital dental setup. J Clin Pediatr Dent. 2012; 36(4):349-52. DOI: 10.17796/jcpd.36.4.n77742x585742084. View

Phantumvanit P, Songpaisan Y, Pilot T, Frencken J . Atraumatic restorative treatment (ART): a three-year community field trial in Thailand--survival of one-surface restorations in the permanent dentition. J Public Health Dent. 1996; 56(3 Spec No):141-5; discussion 161-3. DOI: 10.1111/j.1752-7325.1996.tb02424.x. View

Aartman I, van Everdingen T, Hoogstraten J, SCHUURS A . Self-report measurements of dental anxiety and fear in children: a critical assessment. ASDC J Dent Child. 1998; 65(4):252-8, 229-30. View

Croll T, Nicholson J . Glass ionomer cements in pediatric dentistry: review of the literature. Pediatr Dent. 2002; 24(5):423-9. View

Hume W, Mount G . In vitro studies on the potential for pulpal cytotoxicity of glass-ionomer cements. J Dent Res. 1988; 67(6):915-8. DOI: 10.1177/00220345880670060501. View

Schriks M, van Amerongen W . Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments. Community Dent Oral Epidemiol. 2003; 31(1):15-20. DOI: 10.1034/j.1600-0528.2003.00021.x. View

10.

Frencken J, Makoni F, Sithole W . ART restorations and glass ionomer sealants in Zimbabwe: survival after 3 years. Community Dent Oral Epidemiol. 1998; 26(6):372-81. DOI: 10.1111/j.1600-0528.1998.tb01975.x. View

11.

da Mata C, Allen P, Cronin M, OMahony D, McKenna G, Woods N . Cost-effectiveness of ART restorations in elderly adults: a randomized clinical trial. Community Dent Oral Epidemiol. 2013; 42(1):79-87. DOI: 10.1111/cdoe.12066. View

12.

Eli I, Uziel N, Baht R, Kleinhauz M . Antecedents of dental anxiety: learned responses versus personality traits. Community Dent Oral Epidemiol. 1997; 25(3):233-7. DOI: 10.1111/j.1600-0528.1997.tb00932.x. View

13.

Frencken J, Leal S . The correct use of the ART approach. J Appl Oral Sci. 2010; 18(1):1-4. PMC: 5349038. DOI: 10.1590/s1678-77572010000100002. View

14.

Frencken J, Taifour D, van t Hof M . Survival of ART and amalgam restorations in permanent teeth of children after 6.3 years. J Dent Res. 2006; 85(7):622-6. DOI: 10.1177/154405910608500708. View

15.

Mickenautsch S, Rudolph M . Implementation of the ART approach in South Africa: an activity report. SADJ. 2001; 56(7):327-9. View

16.

Mickenautsch S, Rudolph M . Undergraduate training in the atraumatic restorative treatment (ART) approach--an activity report. SADJ. 2002; 57(9):355-7. View

17.

Donly K, Nelson J . Fluoride release of restorative materials exposed to a fluoridated dentifrice. ASDC J Dent Child. 1997; 64(4):249-50. View

18.

Lo E, Holmgren C . Provision of Atraumatic Restorative Treatment (ART) restorations to Chinese pre-school children--a 30-month evaluation. Int J Paediatr Dent. 2001; 11(1):3-10. DOI: 10.1046/j.1365-263x.2001.00232.x. View

19.

Frencken J, Makoni F, Sithole W, Hackenitz E . Three-year survival of one-surface ART restorations and glass-ionomer sealants in a school oral health programme in Zimbabwe. Caries Res. 1998; 32(2):119-26. DOI: 10.1159/000016441. View

20.

Smales R, Gao W . In vitro caries inhibition at the enamel margins of glass ionomer restoratives developed for the ART approach. J Dent. 2000; 28(4):249-56. DOI: 10.1016/s0300-5712(99)00071-8. View