RESUMO
PURPOSE: This study aimed to investigate the interaction between parenting style and child's temperament as modulators of anxiety and behavior in children during the dental procedure. METHODS: Healthy four- to six-year-olds (n equals 288), with carious primary molars scheduled to receive amalgam fillings were selected. The Primary Caregivers Practices Report was used to assess the parenting style, and the Children's Behavior Questionnaire-Very Short Form was used to evaluate child temperament. Children were managed using common behavior management strategies. Child behavior and anxiety during the procedure were assessed using the Frankl behavior rating scale and the verbal skill scale, respectively. Spearman's correlation coefficient was used to examine the correlation among variables. RESULTS: Authoritative parenting style was positively related to positive child's behavior (P<.05) and negatively related to child's anxiety (P<.05). A positive relationship existed between permissive subscale and negative behaviors (P<.05) and child's anxiety (P<.05). There was a significant direct effect of authoritative parenting style on the effortful control trait (P<.05) and permissive parent style on the child negative affectivity (P<.05). CONCLUSIONS: Parenting style appeared to mediate child temperament and anxiety, and was related to the child's behavior. Parenting style should be considered in the selection of behavior guidance techniques.
Assuntos
Relações Dentista-Paciente , Relações Pais-Filho , Poder Familiar , Relações Profissional-Família , Temperamento , Anestesia Dentária/métodos , Autoritarismo , Controle Comportamental , Criança , Comportamento Infantil , Pré-Escolar , Amálgama Dentário/química , Ansiedade ao Tratamento Odontológico/psicologia , Cárie Dentária/terapia , Preparo da Cavidade Dentária/métodos , Restauração Dentária Permanente/métodos , Feminino , Humanos , Masculino , Nervo Mandibular/efeitos dos fármacos , Dente Molar/patologia , Bloqueio Nervoso/métodos , Permissividade , Dente Decíduo/patologiaRESUMO
BACKGROUND: The ability of mineral trioxide aggregate (MTA) to strengthen the tooth structure has been studied with contradictory results, and there is a lack of data in the case of Calcium-enriched mixture (CEM) cement as a novel endodontic biomaterial. The aim of the present study was to evaluate the reinforcing effect of MTA and CEM cement on simulated immature teeth. MATERIALS AND METHODS: This ex vivo study was carried out on a total of 46 human maxillary incisors. Access cavities were prepared. Five teeth were randomly selected as negative control. The root length of the remaining teeth was standardized to 9 mm. Rotary files and peeso reamers were used to enlarge the canals. The prepared specimens were randomly assigned into three experimental (n = 12) and a positive control (n = 5) groups. In groups 1 and 2, the canals were filled with MTA or CEM cement, respectively. In group 3, a 5-mm MTA plug was placed, and the remainder of the canal was filled with composite resin. The canals of the positive control were kept unfilled. After 6 months, the teeth were tested for fracture strength in a universal testing machine. The groups were compared using Univariate analysis of variance (ANOVA). RESULTS: There were significant differences between fracture strength of experimental groups with that of both control groups (P<0.05). However, the differences among the three experimental groups were not statistically significant (P>0.05). CONCLUSION: After 6 months, MTA and CEM cement exhibit distinct reinforcing effect on immature teeth.
