Evaluation of the effectiveness of behavioral scales in pediatric dentistry: a literature review

Abstract

Introduction: Behavior rating scales are fundamental tools in pediatric dentistry. They evaluate children's anxiety and behavior during dental treatment. Identifying and effectively managing these factors are crucial for treatment success and patient satisfaction. Objective: To evaluate the effectiveness of various behavioral rating scales in pediatric dentistry. Methodology: A group of 50 studies on the use of different behavioral rating scales in children during dental procedures were reviewed and analyzed. Among the scales evaluated are the Frankl Behavior Rating Scale, Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and Venham Anxiety and Behavioral Rating Scale. Studies were selected based on their use of these tools to measure anxiety and behavior and their reported reliability and validity. Results: The Frankl and CFSS-DS behavioral scales demonstrated high reliability and effectiveness in assessing anxiety and dental behavior in children. These scales support the application of additional techniques, such as intranasal sedation and music therapy, which significantly improve cooperation and reduce anxiety. Studies indicated that age, previous experiences, and parenting style influence anxiety levels and behavior during dental treatments. Conclusion: Behavior scales are effective tools for evaluating and managing anxiety and behavior in pediatric dentistry. Their use allows for personalization of interventions and improves the results of dental treatment in children. General area of study: Dentistry. Specific area of study: Pediatric dentistry. Type of study: Literature review.