{"id":19282,"date":"2021-10-26T11:10:49","date_gmt":"2021-10-26T16:10:49","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19282"},"modified":"2023-03-06T11:53:51","modified_gmt":"2023-03-06T16:53:51","slug":"manage-dental-anxiety-kids","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/manage-dental-anxiety-kids\/","title":{"rendered":"4 Ways To Manage Kids&#8217; Dental Anxiety"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Going to the dentist can be nerve-wracking for anyone, even kids. <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17935593\/\"><span style=\"font-weight: 400;\">Research<\/span><\/a><span style=\"font-weight: 400;\"> shows about 9% of kids and adolescents have fear about going to the dentist. The younger the child, the more likely they are to get anxious about a cleaning or procedure.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dental anxiety isn\u2019t just uncomfortable \u2014 it can also impact dental health. It can be difficult to drag\u00a0 anxious children to the dentist&#8217;s office in the first place. And squirmy or noncompliant kids can interfere with how a dental procedure goes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Luckily, there are tactics that parents, dentists and dental office staff can use to make kids feel more comfortable before and during the visit. <\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To start, the office environment can play a big role in easing kids\u2019 anxiety about dental procedures, says Dr. <\/span><a href=\"https:\/\/dental.washington.edu\/people\/anna-forsyth\/\"><span style=\"font-weight: 400;\">Anna Forsyth<\/span><\/a><span style=\"font-weight: 400;\">, a clinical assistant professor of pediatric dentistry at the University of Washington School of Dentistry. Most pediatric dental clinics use warm communication and body language from the moment the child enters the office.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But the office environment isn\u2019t the only factor. When it comes to calming kids\u2019 nerves, Forsyth says many clinics follow guidelines from the <\/span><a href=\"https:\/\/www.aapd.org\/globalassets\/media\/policies_guidelines\/bp_behavguide.pdf\"><span style=\"font-weight: 400;\">American Academy of Pediatric Dentistry<\/span><\/a><span style=\"font-weight: 400;\"> and refer to evidence-backed research about what actually helps kids stay calm in the dentist\u2019s chair.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are some of the most frequently used techniques to help children with dental anxiety.<\/span><b><\/b><\/p>\n<hr class=\"squiggle\" \/>\n<h3>Educational videos and apps<\/h3>\n<p><span style=\"font-weight: 400;\">Helping kids understand what to expect at the dentist can be an effective way to calm fears. Many pediatric dental practices create or buy videos about going to the dentist, Forsyth says, which they share on their websites for parents and children.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Parents can also prep their kids for dentist appointments with educational videos from YouTube and apps designed to alleviate dental anxiety. A <\/span><a href=\"https:\/\/www.hindawi.com\/journals\/bmri\/2021\/1119710\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> published in 2021 found that dental video songs and a mobile app called <\/span><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=cn.edaysoft.LittleLovelyDentist&amp;hl=en_US&amp;gl=US\"><span style=\"font-weight: 400;\">Little Lovely Dentist<\/span><\/a><span style=\"font-weight: 400;\">, a game that allows kids to play \u201cdentist\u201d on fictional characters, were two effective methods in reducing kids\u2019 anxiety.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the study, kids who viewed the music videos and played the game prior to a dental procedure had lower heart rates and less anxious facial images than the control group.<\/span><b><\/b><\/p>\n<h3>Tell and show<\/h3>\n<p><span style=\"font-weight: 400;\">Many pediatric dentists use the &#8220;tell-show-do&#8221; technique to help ease children into the appointment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWith kids, we explain what we\u2019re doing in appropriate language, show them what we\u2019re talking about in a non-threatening way and then do the procedure,\u201d Forsyth says. For example, if the dentist wants to apply sealant to a patient\u2019s tooth to prevent tooth decay, they might explain the process, demonstrate it on the child\u2019s fingernail, then encourage the child to open their mouth.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While the tell-show-do method is common, evidence about its effectiveness is mixed. In the 2021 study cited above, researchers found that when the dentist used the tell-show-do method, pediatric patients had a higher heart rate than the group that watched videos; their anxiety levels were similar to the control group.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A 2019 <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6405344\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> found tell-show-do was more helpful when kids could try out the procedure themselves on a Play-Doh model of a mouth. Coupling the tell-show-do method with smartphone games about dentistry also resulted in better child behavior during dentist visits.\u00a0<\/span><\/p>\n<h3>Positive reinforcement<\/h3>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.aapd.org\/globalassets\/media\/policies_guidelines\/bp_behavguide.pdf\"><span style=\"font-weight: 400;\">American Academy of Pediatric Dentistry<\/span><\/a><span style=\"font-weight: 400;\"> encourages dentists to use positive reinforcement to help kids develop positive associations with the dentist. Dentists often do this by praising kids before, during and after dental visits. Forsyth says she might tell a child that she loves how they\u2019re sitting still during an exam, for example. Before a visit, she might remind the child how well they did last time.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Giving post-visit prizes like small toys is another way to decrease anxiety and motivate kids to come back to the dentist. One <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30560523\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> found preschool kids had less anxiety about dentist visits if they earned a prize afterward, but <\/span><a href=\"https:\/\/www.nature.com\/articles\/bdjopen201718\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> also shows not all prizes are equal. Kids might be more motivated if they have a choice in their post-visit prize \u2014 for many, a toy is a better incentive than a sticker.<\/span><\/p>\n<h3>Distraction<\/h3>\n<p><span style=\"font-weight: 400;\">Distracting kids is another way to reduce anxiety. If she&#8217;s working with young children, Forsyth says she often sings songs or tells them stories. Some kids benefit from a sensory distraction, such as holding a string of beads or popping bubble wrap.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While every patient\u2019s preference is different, evidence suggests videos are one of the most effective tools for distracting kids and increasing compliance. <\/span><span style=\"font-weight: 400;\">One <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31496566\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> of 80 kids found that ceiling-mounted TVs were the most helpful, followed by chair-mounted screens. Audio-only distraction didn\u2019t help as much, but it was better than nothing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Researchers have also studied virtual reality as a distraction tool. One small <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6265341\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> from 2018 found kids and adolescents experienced less pain and fear during potentially anxiety-provoking dental procedures, such as fillings or tooth extractions, when they engaged in immersive, interactive VR using VR goggles during their procedures.<\/span><\/p>\n<h3>Does parental presence or absence matter?<\/h3>\n<p><span style=\"font-weight: 400;\">You might think having a parent nearby would reduce a child\u2019s anxiety and drive positive behavior, but there\u2019s not much evidence to suggest a parent in the room makes a difference. Some dentists may attempt to keep anxious kids compliant by inviting a parent in, then threatening that the parent will leave if the child doesn\u2019t cooperate, Forsyth says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But that method isn\u2019t particularly effective: A 2018 <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29147888\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> found parental presence or absence was no more likely to encourage compliant behavior than other methods. Another older <\/span><a href=\"https:\/\/www.aapd.org\/globalassets\/media\/publications\/archives\/pfefferle-04-04.pdf\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> had similar findings: Kids\u2019 behavior at the dentist wasn\u2019t driven by parental presence or absence. (Plus, Forsyth says, making threats isn\u2019t a great way to build trust with a scared patient.)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While some anxiety-reduction methods show more promise than others, there\u2019s no silver bullet for addressing child anxiety. It\u2019s more important for dentists and parents to shape their strategies to address kids\u2019 specific fears, Forsyth says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cEvery child is different, so you want to make sure you\u2019re tailoring your methods to their needs,\u201d she says.<\/span><\/p>\n<hr \/>\n<h1 style=\"text-align: center;\">Ready to book a dentist&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/dentists?component=HomepageQuicklink\">Zocdoc.<\/a><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>Foolproof techniques for easing fear in the dentist&#8217;s chair. <\/p>\n","protected":false},"author":26,"featured_media":19283,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[97,108,41,201],"class_list":["post-19282","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-dental-care","tag-doctors-and-patients","tag-mental-health","tag-pediatric-care","reviewer-dr-nassim-assefi","specialist_by_city-dentists"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>4 Ways To Manage Kids&#039; Dental Anxiety - Guides<\/title>\n<meta name=\"description\" content=\"Foolproof techniques for easing fear in the dentist&#039;s chair.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/manage-dental-anxiety-kids\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"4 Ways To Manage Kids&#039; Dental Anxiety - Guides\" \/>\n<meta property=\"og:description\" content=\"Foolproof techniques for easing fear in the dentist&#039;s chair.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.zocdoc.com\/blog\/guides\/manage-dental-anxiety-kids\/\" \/>\n<meta property=\"og:site_name\" content=\"The Paper Gown\" \/>\n<meta property=\"article:published_time\" content=\"2021-10-26T16:10:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-06T16:53:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zocdoc.com\/blog\/wp-content\/uploads\/2021\/10\/Easing-Dental-Anxiety.png\" \/>\n\t<meta property=\"og:image:width\" content=\"964\" \/>\n\t<meta property=\"og:image:height\" content=\"452\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Ashley Abramson\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ashleyabrmsn\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ashley Abramson\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/guides\/manage-dental-anxiety-kids\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/guides\/manage-dental-anxiety-kids\/\"},\"author\":{\"name\":\"Ashley Abramson\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/a25c642efad8fd930ba3d310498e814b\"},\"headline\":\"4 Ways To Manage Kids&#8217; 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