Mức độ hợp tác ban đầu và kết quả quản lý hành vi không dùng thuốc trong điều trị nha khoa ở trẻ 3 – 6 tuổi

Abstract

This study evaluated oral disease status, baseline cooperation, and the effectiveness of non-pharmacological compliance behavior management during dental treatment of 3 – 6 years old children at the Vietnam National Children’s Hospital. A prospective descriptive study was conducted in 211 children. Baseline cooperation was assessed using the Frankl scale, while behavior during treatment was evaluated using the Houpt scale. The results showed that most children had poor baseline cooperation (Frankl 1–2: 80.6%), in the context of severe oral disease, reflected by a high mean dmft score (9.1 ± 3.5), and a predominance of painful procedures requiring local anesthesia (65.9%). Nevertheless, the treatment completion rate remained high (84.4%). No statistically significant association was found between baseline cooperation, as measured by the Frankl scale, and treatment completion. In contrast, the Houpt scale was more closely associated with the clinical course, particularly with the need for physical restraint (p < 0.05). These findings suggest that non-pharmacological compliance behavior management remains effective in most cases, even among children with poor baseline cooperation.