A narrative review on the effectiveness of therapeutic communication in reducing anxiety in children during dental treatment procedures

  • Authors

    2023-10-04
    https://doi.org/10.14419/kbf8ak63

  • Abstract

    Background: Dental anxiety is anxiety about dental treatment carried out before or immediately after a dental treatment procedure, which will have an impact on the difficulty of the dental team in carrying out dental treatment. One of the interventions that the dental team can carry out with pediatric patients is therapeutic communication.

    Objective: This study aims to further discuss regarding the effectiveness of therapeutic communication in reducing anxiety in children during dental treatment procedures.

    Methods: A systematic search of the Google Scholar database, then a narrative review of the identified articles was conducted with a focus on articles published in the last 10 years.

    Discussion: Therapeutic communication, a non-pharmacological intervention, plays an important role in managing anxiety in children when undergoing dental treatment procedures, because it has the benefit of reducing psychological problems in children such as anxiety, fear and changes in behavior, especially during dental treatment procedures. Some scientific evidence shows a significant value of p <0.05 and an OR value >1 which indicates a correlation between therapeutic communication and the level of dental anxiety.

    Conclusion: Based on the results of the narrative review conducted, we conclude that the better the therapeutic communication carried out by the dental team, the lower the level of anxiety in children during dental treatment procedures.

     

  • References

    1. R. J. Comer, Fundamentals of Abnormal Psychology, 7th ed. New York: Worth Publishers, 2014.
    2. R. J. Comer, Abnormal Psychology, 8th ed. New York: Worth Publishers, 2013.
    3. C. Katona, C. Cooper, and M. Robertson, Psychiatry at a Glance, 6th ed. West Sussex: Wiley-Blackwell, 2016.
    4. B. J. Sadock, V. A. Sadock, and P. Ruiz, Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 11th ed. Philadelphia: Wolters Kluwer, 2015.
    5. H. Qi et al., “Associations between depressive, anxiety, stress symptoms and elevated blood pressure: Findings from the CHCN-BTH cohort study and a two-sample Mendelian randomization analysis,” J Affect Disord, vol. 341, pp. 176–184, Nov. 2023, https://doi.org/10.1016/j.jad.2023.08.086.
    6. K. Yamashita, T. Kibe, S. Ohno, A. Kohjitani, and M. Sugimura, “The Effects of Music Listening During Extraction of the Impacted Mandibular Third Molar on the Autonomic Nervous System and Psychological State,” Journal of Oral and Maxillofacial Surgery, vol. 77, no. 6, pp. 1153.e1-1153.e8, Jun. 2019, https://doi.org/10.1016/j.joms.2019.02.028.
    7. H. Al Atassi, M. C. Shapiro, S. R. Rao, J. Dean, and A. Salama, “Oral and Maxillofacial Surgery Resident Perception of Personal Achievement and Anxiety: A Cross-Sectional Analysis,” Journal of Oral and Maxillofacial Surgery, vol. 76, no. 12, pp. 2532–2539, Dec. 2018, https://doi.org/10.1016/j.joms.2018.06.018.
    8. E. C. Sivrikaya, O. Yilmaz, and P. Sivrikaya, “Dentist–patient communication on dental anxiety using the social media: A randomized controlled trial,” Scand J Psychol, vol. 62, no. 6, pp. 780–786, Dec. 2021, https://doi.org/10.1111/sjop.12769.
    9. S. Ramaiah, Kecemasan, bagaimana mengatasi penyebabnya. Yogyakarta: Yayasan Obor Indonesia, 2003.
    10. D. Carnegie, Mengatasi Rasa Cemas dan Depresi. Yogyakarta: Penerbit THINK, 2007.
    11. C. B. Bunga’allo, B. S. Lampus, and P. N. Gunawan, “Hubungan perasaan takut anak terhadap perawatan gigi dengan kebersihan gigi dan mulut di RSGM Unsrat Manado,” Jurnal e-GiGi (eG), vol. 4, no. 2, pp. 166–170, 2016. https://doi.org/10.35790/eg.4.2.2016.13768.
    12. Y.-S. Shim, A.-H. Kim, E.-Y. Jeon, and S.-Y. An, “Dental fear & anxiety and dental pain in children and adolescents; a systemic re-view,” J Dent Anesth Pain Med, vol. 15, no. 2, p. 53, 2015, https://doi.org/10.17245/jdapm.2015.15.2.53.
    13. J. Bradt and A. Teague, “Music interventions for dental anxiety,” Oral Dis, vol. 24, no. 3, pp. 300–306, Apr. 2018, https://doi.org/10.1111/odi.12615.
    14. S. Cianetti et al., “Dental fear/anxiety among children and adolescents. A Systematic Review,” Eur J Paediatr Dent, vol. 18, no. 2, pp. 121–130, 2017.
    15. L. Merdad and A. A. El-Housseiny, “Do children’s previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL)?,” BMC Oral Health, vol. 17, no. 1, p. 47, Dec. 2017, https://doi.org/10.1186/s12903-017-0338-9.
    16. M. L. Goettems, A. Q. Shqair, V. F. Bergmann, M. G. Cadermatori, M. B. Correa, and F. F. Demarco, “Oral health self-perception, den-tal caries, and pain: the role of dental fear underlying this association,” Int J Paediatr Dent, vol. 28, no. 3, pp. 319–325, May 2018, https://doi.org/10.1111/ipd.12359.
    17. M. H. Murad, N. A. Ingle, and M. K. Assery, “Evaluating factors associated with fear and anxiety to dental treatment—A systematic review,” J Family Med Prim Care, vol. 9, no. 9, p. 4530, 2020, https://doi.org/10.4103/jfmpc.jfmpc_607_20.
    18. A. A. Alasmari, G. S. Aldossari, and M. S. Aldossary, “Dental anxiety in children: A review of the contributing factors,” Journal of Clinical and Diagnostic Research, vol. 12, no. 4, pp. SG01–SG03, Apr. 2018, https://doi.org/10.7860/JCDR/2018/35081.11379.
    19. V. Pohjola, S. Lahti, M. M. Vehkalahti, M. Tolvanen, and H. Hausen, “Association between dental fear and dental attendance among adults in Finland,” Acta Odontol Scand, vol. 65, no. 4, pp. 224–230, 2007, https://doi.org/10.1080/00016350701373558.
    20. T. Newton, K. Asimakopoulou, B. Daly, S. Scambler, and S. Scott, “The management of dental anxiety: time for a sense of propor-tion?,” Br Dent J, vol. 213, no. 6, pp. 271–274, Sep. 2012, https://doi.org/10.1038/sj.bdj.2012.830.
    21. A. N. Asl, M. Shokravi, Z. Jamali, and S. Shirazi, “Barriers and Drawbacks of the Assessment of Dental Fear, Dental Anxiety and Den-tal Phobia in Children: A Critical Literature Review,” Journal of Clinical Pediatric Dentistry, vol. 41, no. 6, pp. 399–423, Jan. 2017, https://doi.org/10.17796/1053-4628-41.6.1.
    22. Y. Liu et al., “Effect of audiovisual distraction on the management of dental anxiety in children: A systematic review,” Int J Paediatr Dent, vol. 29, no. 1, pp. 14–21, Jan. 2019, https://doi.org/10.1111/ipd.12430.
    23. K. Strøm, A. Rønneberg, A. B. Skaare, I. Espelid, and T. Willumsen, “Dentists’ use of behavioural management techniques and their attitudes towards treating paediatric patients with dental anxiety,” European Archives of Paediatric Dentistry, vol. 16, no. 4, pp. 349–355, Aug. 2015, https://doi.org/10.1007/s40368-014-0169-1.
    24. R. P. Anthonappa, P. F. Ashley, D. L. Bonetti, G. Lombardo, and P. Riley, “Non-pharmacological interventions for managing dental anxiety in children,” Cochrane Database of Systematic Reviews, no. 6, Jun. 2017, https://doi.org/10.1002/14651858.CD012676.
    25. E. N. Cholis, Rumpiati, and I. Sureni, “Hubungan Komunikasi Terapeutik Perawat dengan Tingkat Kecemasan Pasien Hemodialisa di RSUD Dr Harjono Ponorogo,” Jurnal Keperawatan Terpadu, vol. 2, no. 1, pp. 54–63, 2020. https://doi.org/10.32807/jkt.v2i1.55.
    26. RR. P. D. Karyaningsih, Ilmu Komunikasi. Yogyakarta: Penerbit Samudra Biru, 2018.
    27. M. R. Pertiwi et al., Komunikasi Terapeutik dalam Kesehatan. Yogyakarta: Rizmedia Pustaka Indonesia, 2022.
    28. M. Ardina, Komunikasi Kesehatan. Yogyakarta: DIVA Press, 2021.
    29. D. P. Andriana, W. Haryani, and A. Widayati, “Pengaruh Pemberian Komunikasi Terapeutik dan Tanpa Komunikasi Terapeutik Ter-hadap Rasa Takut pada Pencabutan Gigi Anak Usia 8-11 Tahun,” Jurnal Gigi dan Mulut, vol. 3, no. 1, pp. 46–49, Apr. 2016.
    30. A. P. Siddaway, A. M. Wood, and L. V. Hedges, “How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses,” Annu Rev Psychol, vol. 70, no. 1, pp. 747–770, Jan. 2019, https://doi.org/10.1146/annurev-psych-010418-102803.
    31. A. A. Pradana et al., “Telaah Literatur sebagai Alternatif Tri Dharma Dosen: Bagaimana tahapan penyusunannya?,” Jurnal Ilmu Kesehatan Dharmas Indonesia, vol. 1, no. 1, pp. 6–15, 2021, [Online]. Available: http://ejournal.undhari.ac.id/index.php/jikdi. https://doi.org/10.56667/jikdi.v1i1.204.
    32. D. P. Appukuttan, “Strategies to manage patients with dental anxiety and dental phobia: literature review,” Clin Cosmet Investig Dent, pp. 35–50, Mar. 2016, https://doi.org/10.2147/CCIDE.S63626.
    33. S. D. Maharani, N. Dewi, and I. K. Wardani, “Pengaruh Manajemen Perilaku Kombinasi Tell-Show-Do dan Penggunaan Game Smartphone sebelum Prosedur Perawatan Gigi Terhadap Tingkat Kecemasan Dental Anak (Literature Review),” Dentin Jurnal Kedok-teran Gigi, vol. V, no. 1, pp. 26–31, 2021. https://doi.org/10.20527/dentin.v5i1.3230.
    34. C. P. Condratovici, M. Ilie, M. Mihai, A.-P. Condratovici, J. Chihai, and G. Baciu, “Anxiety Associated with Visit to the Dentist,” Ro-manian Journal of Oral Rehabilitation, vol. 10, no. 2, pp. 86–90, 2018.
    35. E. Sherko, E. Sotiri, and E. Lika, “Therapeutic communication,” Jahr: Europski časopis za bioetiku, vol. 4, no. 7, pp. 457–466, 2013.
    36. N. L. Wati, N. M. N. Sukmayanti, and R. Kartikasari, “The Relationship between Therapeutic Communication and Level of Anxiety among Hospitalized Preschool Children,” KnE Life Sciences, pp. 870–879, Oct. 2019, https://doi.org/10.18502/kls.v4i13.5346.
    37. A. G. Morgan et al., “Children’s experiences of dental anxiety,” Int J Paediatr Dent, vol. 27, no. 2, pp. 87–97, Mar. 2017, https://doi.org/10.1111/ipd.12238.
    38. G. R. M. Siregar, B. H. Sugito, and S. Hadi, “Pengaruh Komunikasi Terapeutik Terhadap Rasa Cemas pada Anak Saat Pencabutan Gigi di Puskesmas Kahean Pematangsiantar,” Indonesian Journal of Health and Medical, vol. 2, no. 3, pp. 223–232, 2022, [Online]. Avail-able: http://ijohm.rcipublisher.org/index.php/ijohm
    39. A. L. Pratita, I. S. Indrawanto, and D. Handaja, “Hubungan Antara Komunikasi Efektif Dokter-Pasien dengan Tingkat Kecemasan pada Pasien Preoperasi,” Saintika Medika, vol. 10, no. 2, pp. 93–100, 2014. https://doi.org/10.22219/sm.v10i2.4156.
    40. S. Timah and Yudita, “Hubungan Komunikasi Terapeutik Perawat dengan Kecemasan Orang Tua Bayi yang Dirawat di Ruang Neonatic Intensive Care Unit RSUP Prof. Dr. R. D. Kandou Manado,” Journal of Community & Emergency, vol. 6, no. 1, pp. 45–55, 2018.
    41. M. T. Nurachman and I. Fitrianingrum, “Pengaruh Komunikasi Efektif Terhadap Kejadian Tidak Diharapkan (KTD),” Jurnal Cerebel-lum, vol. 8, no. 2, pp. 12–15, 2022, doi: 10.26418/jc.v%vi%i.54151.
    42. R. Freeman and G. Humphris, “Dental Anxiety, Communication and the Dental Team: Responses to Fearful Patients,” J Calif Dent As-soc, vol. 47, no. 8, pp. 495–500, Aug. 2019, https://doi.org/10.1080/19424396.2019.12220816.
    43. N. Y. R, R. Herlina, Fathiah, and Y. Maryani, “Pengaruh Komunikasi Terapeutik Terhadap Kepuasan Pasien yang Berkunjung ke Poli Gigi di UPK Puskesmas Siantan Hulu Tahun 2017,” Dental Therapist Journal, vol. 2, no. 1, pp. 32–39, 2020, https://doi.org/10.31965/dtj.
    44. Nera, M. Khairunnisa, R. Askya, and I. Rahmawati, “Komunikasi Terapeutik Terhadap Anak yang Takut Berobat Gigi,” JIKES: Jurnal Ilmu Kesehatan, vol. 1, no. 2, pp. 123–130, 2023.
    45. A. Waylen, “The Importance of Communication in Dentistry,” Dent Update, vol. 44, pp. 774–780, 2017. https://doi.org/10.12968/denu.2017.44.8.774.

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  • How to Cite

    Ridho, F. M., & Fauzan, M. (2023). A narrative review on the effectiveness of therapeutic communication in reducing anxiety in children during dental treatment procedures. International Journal of Health, 10(1), 9-13. https://doi.org/10.14419/kbf8ak63