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Factors affecting preoperative anxiety in children undergoing general anaesthesia for dental rehabilitation

S H Al-Jundi1, A J Mahmood

  • 1Dept. of Preventive Dentistry, Dental School, Jordan University of Science and Technology, Irbid, Jordan. aljundisuhad@yahoo.com

European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry
|February 5, 2010
PubMed

Insights

Childhood anxiety during dental rehabilitation under general anesthesia (GA) increases during induction. Previous GA experience and referral reason significantly impact this anxiety, highlighting the need for better preparation for children and parents.

Area of Science:

  • Pediatric Dentistry
  • Anesthesiology
  • Psychology

Background:

  • Preoperative anxiety in children undergoing dental rehabilitation under general anesthesia (GA) is a significant concern.
  • Understanding factors influencing this anxiety is crucial for effective patient management.

Purpose of the Study:

  • To examine anxiety levels in healthy children undergoing dental rehabilitation under GA.
  • To identify factors affecting preoperative anxiety in these children.
  • To assess parental distress and attitudes towards accompanying their children during the procedure.

Main Methods:

  • An observational, cross-sectional study involving 118 children at King Abdullah teaching hospital.
  • Anxiety levels were assessed using the Global Mood Score (GMS) during different phases of GA induction.
  • Multivariate analysis was used to identify factors influencing child anxiety, while a structured questionnaire assessed parental distress.

Main Results:

  • Child anxiety significantly increased, peaking during the induction phase of GA.
  • Previous GA experience and the reason for referral were significant predictors of child anxiety (P<0.05).
  • Parental distress was highest during induction, with mothers reporting higher stress than fathers, especially for children under 5.

Conclusions:

  • Childhood anxiety during GA for dental rehabilitation is influenced by age, prior GA exposure, and early referral age.
  • Parental distress, particularly among mothers, is notable during induction.
  • Comprehensive preoperative preparation for both children and parents is essential for optimal management.
Abstract

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