title: Predicting children's behaviour during dental treatment under oral sedation.
abstract: OBJECTIVE
  The primary aim of this study was to assess whether parents' own anxiety and their perception of their child's dental fear and child's general fear can predict preoperatively their child's behaviour during dental treatment under oral sedation. The secondary aim was to assess whether the child's age, gender and ASA classification grade are associated with a child's behaviour under oral sedation.
  
  
  METHODS
  Cross-sectional prospective study.
  
  
  METHODS
  The Corah's Dental Anxiety Scale (DAS), Children's Fear Survey Schedule Dental-Subscale (CFSS-DS) and Children's Fear Survey Schedule Short-Form (CFSS-SF) questionnaires were completed by parents of children undergoing dental treatment with oral midazolam. Behaviour was rated by a single clinician using the overall behaviour section of the Houpt-Scale and scores dichotomised into acceptable or unacceptable behaviour. Data were analysed using χ (2), t test and logistic regression analysis.
  
  
  RESULTS
  In total 404 children (215 girls, 53 %) were included, with the mean age of 4.57 years, SD = 1.9. Behaviour was scored as acceptable in 336 (83 %) and unacceptable in 68 (17 %) children.
  
  
  METHODS
  The level of a child's dental fear, as perceived by their parent, was significantly associated with the behaviour outcome (p = 0.001). Logistic regression analysis revealed that if the parentally perceived child's dental fear (CFSS-DS) rating was high, the odds of the child exhibiting unacceptable behaviour under oral sedation was two times greater than if their parents scored them a low dental fear rating (OR 2.27, 95 % CI 1.33-3.88, p = 0.003).
  
  
  CONCLUSIONS
  CFSS-DS may be used preoperatively to help predict behaviour outcome when children are treated under oral sedation and facilitate treatment planning.
authors.affiliation: Unit of Paediatric Dentistry, Dental Institute, King's College Hospital, Bessemer Road, London, SE5 9RS, UK. liege.matharu@kcl.ac.uk.
authors.forename: L
authors.initials: L
authors.lastname: Lourenço-Matharu
authors.affiliation: Oral and Maxillofacial Surgery Department, Queen Mary's Hospital, King's College Hospitals NHS Foundation Trust, Sidcup, Kent, UK.
authors.forename: A
authors.initials: A
authors.lastname: Papineni McIntosh
authors.affiliation: Division of Health and Social Care Research, King's College London, London, UK.|NIHR Biomedical Research Centre at Guy's and St. Thomas' National Health Service Foundation Trust and King's College London, London, UK.
authors.forename: J W
authors.initials: JW
authors.lastname: Lo
mesh_terms: D002648:Child; D002652:Child Behavior / Q000187:drug effects / Q000523:psychology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D016854:Dental Anxiety / Q000175:diagnosis / Q000188:drug therapy*; D019140:Dental Care for Children / Q000379:methods / Q000523:psychology*; D005239:Fear; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D016015:Logistic Models; D008297:Male; D008874:Midazolam / Q000627:therapeutic use*; D010290:Parents / Q000523:psychology; D011446:Prospective Studies; D011795:Surveys and Questionnaires
chemical_list: D006993:Hypnotics and Sedatives; D008874:Midazolam
keywords: Child dental and general fears; Children; Oral sedation; Parental anxiety