The Role of the Psychological Factor in Paediatric Dental Management

Aim. The present study was aimed to emphasise the role of psychological factor in establishing of an effective and efficient relation and communication between child patient and paediatric dental practitioner as well as to perform a correct individualization of the behavioural and therapeutical management techniques. Material and methods. The present study is an integrative part of an interdisciplinary mixed pilot study carried out on a number of 88 subjects (54 girls and 34 boys) aged between 6-8 years old, from two Iaşi school communities, with the following structure: 64 subjects normal from psycho-mental viewpoint and 24 subjects with audio sensory disabilities. In reasoning of the proposed aim, we have performed a complex assortment of investigations: projective draw test (thematic projective test), Raven's progressive matrix test and questionnaire. Results. The thematic projective draw test illustrated for the normal subjects group: rounded draw outlines, light harmonious colours, an integrative systemic aspect. For the subjects with disabilities it showed: the lack of integrative aspect, affective liability, intrinsic variable personality demodulation, an austere reflection of the ambient environment, etc. It was found a significantly correlation between the IQ level and the conduct manifested by child (r=-0.857, p<0.01, 95%CI). Evaluation of the risk proportion (Chi-square test) revealed that in an unfavourable family environment, the risk for developing an abnormal conduct was 11.8 times higher (χ= 49.5, p<0.01, 95%CI). Conclusions. The paediatric dental practitioner must approach the child patient (normal or with audio sensory disabilities) in the intricacy of its problems and determinatives, using a large range of clinical and para-clinical investigations contributing to the perfectively paediatric dental behavioural and therapeutical, preventive, interceptive and curative management