CC BY 4.0 · Eur J Dent 2024; 18(03): 743-765
DOI: 10.1055/s-0043-1776336
Review Article

Special Characteristics of Alpha Generation Children Behavior in Dentistry: A Literature Review

Jose Mario Hutajulu
1   Dental Education Program, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
,
Hendriati Agustiani
2   Department of Developmental Psychology, Faculty of Psychology, Universitas Padjadjaran, Bandung, Indonesia
,
3   Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
› Author Affiliations

Abstract

Technological developments and advances have influenced the emergence of a new generation, known as Generation Alpha. This generation comprises those born between 2010 and 2025. Born into a digital-savvy era, this generation has different characteristics from previous generations. This study aims to identify their special characteristics so that an approach can be taken, especially in managing children of the alpha generation in dentistry. A systematic search for articles, published between 2013 and 2023 analyzing the characteristics and behavior of the alpha generation and management behavior found in dentistry was conducted through PubMed, Google Scholar, SCOPUS, and EBSCO. The final analysis was carried out on 47 articles consisting of 10 articles discussing the characteristics of the alpha generation in general and 37 articles discussing the management of their behavior in dentistry. All the published articles found that an alpha child's characteristics are closely related to behavior management in dentistry. The ease with which alpha children adapt to technology is one of the strategies for managing the behavior of alpha children. However, apart from this, the alpha children tend to be unappreciative of the process, which can affect dental behavior management. Specific characteristics of the alpha generation, such as increased exposure to technology, digital media consumption habits, and lack of respect for the process, have important implications for communication and adaptation to patient behavior management in dentistry. Understanding these characteristics is crucial for designing an effective communication strategy and adjusting appropriate behavior management to maintain the quality of dental care for this generation in the dentistry environment.



Publication History

Article published online:
10 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 dos Reis TA. Study on the alpha generation and the reflections of its behavior in the organizational environment. J Res Soc Sci Humanit 2018; 6 (01) 9-19
  • 2 Tootell H, Freeman M, Freeman A. Generation Alpha at the intersection of technology, play and motivation. Paper presented at: The 47th Hawaii International Conference on System Sciences; January 4–6, 2014; Waikoloa, HI
  • 3 Gartshore L. Understanding Generation Alpha. BDJ Team 2018; 5 (01) 18198
  • 4 Ziatdinov R, Cilliers J. Generation Alpha: understanding the next cohort of university students. Eur J Contemp Educ 2021; 10 (03) 783-789
  • 5 Milona M, Janiszewska-Olszowska J, Szmidt M, Kłoda K, Olszowski T. Oral health related behaviors in relation to DMFT indexes of teenagers in an urban area of north-west Poland-dental caries is still a common problem. Int J Environ Res Public Health 2021; 18 (05) 2333
  • 6 Montero J, Costa J, Bica I, Barrios R. Caries and quality of life in Portuguese adolescents: impact of diet and behavioural risk factors. J Clin Exp Dent 2018; 10 (03) e218-e223
  • 7 Bekes K, John MT, Rener-Sitar K. et al. Pediatric patients' reasons for visiting dentists in all WHO regions. Health Qual Life Outcomes 2021; 19 (01) 165
  • 8 Fadlurrohim I, Husein A, Yulia L, Wibowo H, Raharjo ST. Memahami perkembangan anak generasi alfa di Era Industri 4.0. Focus. Jurnal Pekerjaan Sosial 2019; 2 (02) 178-186
  • 9 Nurdiansyah. Desain perpustakaan generasi Z dan Alpha (antara regulasi pendanaan dan teknologi). Jurnal Pustaka Ilmiah 2022; 8 (01) 37-47
  • 10 Swandhina M, Maulana RA. Generasi alpha saatnya anak usia dini melek digital refleksi proses pembelajaran di masa pandemi COVID-19. Jurnal Edukasi Sebelas 2022; 6 (01) 1-9
  • 11 Anwar F. Generasi alpha tantangan dan kesiapan guru bimbingan konseling dalam menghadapinya. Jurnal At-Taujih 2022; 5 (02) 68-80
  • 12 Rusman NS, Ismail HN, Syed Jaafar SMR. Demand of preschool education by alpha generation on edutainment leisure in the city. Int J Sustain Buil Environ 2019; 6 (1–2): 121-128
  • 13 Assingkily MS, Putro KZ, Sirait S. Kearifan menyikapi anak usia dasar di Era Generasi Alpha. Attadib J Elemen Ed 2019; 3 (02) 1-21
  • 14 Ramadlani AK, Wibisono M. Visual literacy and character education for alpha generation. In: International Seminars on Language, Education, and Culture. Malang, Indonesia: Faculty of Letters, Universitas Negeri Malang; 2017: 1-7
  • 15 Apaydin Ç, Kaya F. An analysis of the preschool teachers view on alpha generations. Eur J Educ 2020; 6 (11) 123-141
  • 16 Hine JF, Hajek RT, Roberts HJ, Allen KD. Decreasing disruptive behaviour during routine dental visits: a video modelling intervention for young children. Int Dent J 2019; 69 (04) 265-272
  • 17 Ran L, Zhao N, Fan L, Zhou P, Zhang C, Yu C. Application of virtual reality on non-drug behavioral management of short-term dental procedure in children. Trials 2021; 22 (01) 562
  • 18 Alsibai E, Bshara N, Alzoubi H, Alsabek L. Assessing an active distracting technique during primary mandibular molar pulpotomy (randomized controlled trial). Clin Exp Dent Res 2023; 9 (02) 283-289
  • 19 Felemban OM, Alshamrani RM, Aljeddawi DH, Bagher SM. Effect of virtual reality distraction on pain and anxiety during infiltration anesthesia in pediatric patients: a randomized clinical trial. BMC Oral Health 2021; 21 (01) 321
  • 20 Delgado A, Ok SM, Ho D, Lynd T, Cheon K. Evaluation of children's pain expression and behavior using audio visual distraction. Clin Exp Dent Res 2021; 7 (05) 795-802
  • 21 Shetty V, Suresh LR, Hegde AM. Effect of virtual reality distraction on pain and anxiety during dental treatment in 5 to 8 year old children. J Clin Pediatr Dent 2019; 43 (02) 97-102
  • 22 Deshpande A, Jain A, Shah Y, Jaiswal V, Wadhwa M. Effectiveness of self-designed dental storybook as behavior modification technique in 5 - 7 year-old children: a randomized controlled study. J Indian Soc Pedod Prev Dent 2022; 40 (03) 253-259
  • 23 Derbala G, Khalil A, Soliman R. Effectiveness of smartphone application in reducing anxiety during dental procedures: a randomized controlled trial. Alex Dent J 2022; 47 (02) 196-204
  • 24 Ghibban A, Namnakani A, Omar O. The effect of different non-pharmacological methods in the management of pediatric patients' dental anxiety and behaviour, a randomized control study. EC Dent Sci 2019; 18 (11) 203-211
  • 25 Vishwakarma AP, Bondarde PA, Patil SB, Dodamani AS, Vishwakarma PY, Mujawar SA. Effectiveness of two different behavioral modification techniques among 5-7-year-old children: a randomized controlled trial. J Indian Soc Pedod Prev Dent 2017; 35 (02) 143-149
  • 26 Song JS, Chung HC, Sohn S, Kim YJ. Effects of psychological behaviour management programme on dental fear and anxiety in children: a randomised controlled clinical trial. Eur J Paediatr Dent 2020; 21 (04) 287-291
  • 27 CustÓdio NB, Cademartori MG, Azevedo MS. et al. Efficacy of audiovisual distraction using eyeglasses during dental care: a randomized clinical trial. Braz Oral Res 2021; 35: e26
  • 28 Sahebalam R, Rafieinezhad R, Boskabad M. Comparison of the efficacy of Jilo animation approach versus conventional tell-show-do (TSD) technique on cooperation and anxiety levels of children during dental practice: a randomized controlled clinical trials. J Dent (Shiraz) 2020; 21 (04) 284-291
  • 29 Alsaadoon AM, Sulimany AM, Hamdan HM, Murshid EZ. The use of a dental storybook as a dental anxiety reduction medium among pediatric patients: a randomized controlled clinical trial. Children (Basel) 2022; 9 (03) 328
  • 30 Kevadia MV, Sandhyarani B, Patil AT, Gunda SA. Comparative evaluation of effectiveness of tell-play-do, film modeling and use of smartphone dental application in the management of child behavior. Int J Clin Pediatr Dent 2020; 13 (06) 682-687
  • 31 Mahmoud Y, Dowidar K, ElHabashy L, Deghady A. Effect of virtual reality glasses distraction on the anxiety of preschool children during pulpotomy treatment (randomized controlled clinical trial). Alex Dent J 2022; 47 (02) 212-219
  • 32 Zakhary SA, Eid MH, Wassef NM. Audio visual distraction effect on heart rate in children during dental treatment, a randomized clinical trial. Egypt Dent J 2020; 66 (01) 27-34
  • 33 Sridhar S, Suprabha BS, Shenoy R, Shwetha KT, Rao A. Effect of a relaxation training exercise on behaviour, anxiety, and pain during buccal infiltration anaesthesia in children: randomized clinical trial. Int J Paediatr Dent 2019; 29 (05) 596-602
  • 34 Gómez-Polo C, Vilches AA, Ribas D, Castaño-Séiquer A, Montero J. Behaviour and anxiety management of paediatric dental patients through virtual reality: a randomised clinical trial. J Clin Med 2021; 10 (14) 3019
  • 35 Al-Halabi MN, Bishara N, Ainerabiean Z. Effectiveness of audio visual distraction using virtual reality eyeglasses versus tablet device in child behavioral management during inferior alveolar nerve block. Anaesth Pain Intensive Care 2018; 22 (01) 55-61
  • 36 Rajeswari SR, Chandrasekhar R, Vinay C, Uloopi KS, RojaRamya KS, Ramesh MV. Effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children. Int J Clin Pediatr Dent 2019; 12 (05) 419-422
  • 37 Danesvar S, Mazloumi N. Comparison of audio and audio-visual distraction techniques in managing the pain and dental anxiety during infiltration anesthesia injection in children: randomized clinical trial. J Dentomaxillofac Radiol Path Surg 2022; 11 (04) 24-29
  • 38 Linthoingambi A, Harsimran K, Rishika C, Ramakrishna Y. Effectiveness of intellectual color game, audio-visual and stress ball distraction methods on gagging and anxiety management in children. J Clin Pediatr Dent 2022; 46 (06) 6-10
  • 39 Zaidman L, Lusky G, Shmueli A. et al. Distraction with virtual reality goggles in paediatric dental treatment: a randomised controlled trial. Int Dent J 2023; 73 (01) 108-113
  • 40 Bahrololoomi Z, Sadeghiyeh T, Rezaei M, Maghsoudi N. The effect of breathing exercise using bubble blower on anxiety and pain during inferior alveolar nerve block in children aged 7 to 10 years: a crossover randomized clinical trial. Pain Res Manag 2022; 2022: 7817267
  • 41 da Silva MV, Bussadori SK, Santos EM, Rezende KM. Behaviour management of the contemporary child in paediatric dentistry: an overview of the research. Pesqui Bras Odontopediatria Clin Integr 2021; 21: e209-e221
  • 42 Eijlers R, Utens EMWJ, Staals LM. et al. Systematic review and meta-analysis of virtual reality in pediatrics: effects on pain and anxiety. Anesth Analg 2019; 129 (05) 1344-1353
  • 43 Kharouba J, Peretz B, Blumer S. The effect of television distraction versus Tell-Show-Do as behavioral management techniques in children undergoing dental treatments. Quintessence Int 2020; 51 (06) 486-494
  • 44 Abbasi H, Saqib M, Jouhar R. et al. The efficacy of Little Lovely Dentist, dental song, and Tell-Show-Do techniques in alleviating dental anxiety in paediatric patients: a clinical trial. BioMed Res Int 2021; 2021: 1119710
  • 45 Zhu M, Yu H, Xie B. et al. Experiential learning for children's dental anxiety: a cluster randomized trial. BMC Oral Health 2020; 20 (01) 216
  • 46 Kaswindiarti S, Nisa BH, Khoirudin FI, Sari WAPP. The effect of virtual reality distraction on pain perception of children aged 7–9 years during anesthesia procedure with the jet injector in dental treatment. Rev Latinoam Hipertens 2022; 17 (02) 94-98
  • 47 Tailor B, Bargale S, Dave BH, Deshpande AN, Thomas PN, Jain A. Comparison of virtual reality glasses vs on-screen distraction technique in reduction of pediatric dental anxiety: an in vivo study. J South Asian Assoc Pediatric Dent 2021; 4 (01) 22-26
  • 48 Sharma D, Sheth M, Bhatt R. A new experience for child in pediatric dental clinic during pulp therapy procedures with the google card board device. RJMS 2021; 11 (02) 106-112
  • 49 Mishra R, Singh AK, Singh P. A comparison of audio and audio-visual distraction techniques in managing dental anxiety in pediatric patients: a clinical study. Int J Med Res Prof 2019; 5 (03) 88-91
  • 50 James J, Retnakumari N, Vadakkepurayil K, Thekkeveetil AK, Tom A. Effectiveness of aromatherapy and music distraction in managing pediatric dental anxiety: a comparative study. Int J Clin Pediatr Dent 2021; 14 (02) 249-253
  • 51 Radhakrishna S, Srinivasan I, Setty JV, D R MK, Melwani A, Hegde KM. Comparison of three behavior modification techniques for management of anxious children aged 4-8 years. J Dent Anesth Pain Med 2019; 19 (01) 29-36
  • 52 American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient. In: Reference Manual: Clinical Practice Guidelines. Chicago, IL: American Academy of Pediatric Dentistry; 2015: 185-198
  • 53 Muhammed PK, Noori AJ. The effect of an audiovisual distraction method on 6–10-years old children's behavior during dental treatment: a clinical trial. Sulaimani Dent J 2022; 9 (02) 47-52
  • 54 Setiawan AS, Elsari L, Agustiani H. Intervention program on dental fear in Sekeloa Kindergarten Bandung Indonesia. J Int Dent Med Res 2018; 11 (02) 602-606
  • 55 American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. In: The Reference Manual of Pediatric Dentistry. Chicago, IL: American Academy of Pediatric Dentistry; 2021: 306-324
  • 56 McCrindle M, Wolfinger E. Generation defined. Ethos 2010; 18 (01) 813
  • 57 Schawbel D. Me 2.0: 4 steps to building your future. Diversion Book; 2014: 232
  • 58 Holyord J. Self-Leadership and Personal Resilience in Health and Social Care. Los Angeles, United States: Sage Publication; 2015: 200
  • 59 Nagy Á, Kölcsey A. Generation Alpha: marketing or science. Acta Educ Gen 2017; 7 (01) 107-115
  • 60 Taylor L, Hattingh SJ. Reading in Minecraft: A Generation Alpha Case Study. TEACH J Christ Educ 2019; 13 (01) 29-36
  • 61 Yeni U. Menjadi orang tua generasi alfa. Family Guide 2017; 44: 30-31
  • 62 Purnama S. . Pengasuhan Digital untuk Anak Generasi Alpha. Al Hikmah Proceedings on Islamic Early Childhood Education. 2018, Hal. 493-502
  • 63 Carter CM. The Complete Guide To Generation Alpha. . The Children of Milennials 2016. Available at: www.forbes.com
  • 64 Berkowitz D. 13 Things to know about the Alpha Generation: The newest generation has no purchasing power yet, but will soon take over the world. Ad Age; 2016. Accessed at: https://adage.com/article/digitalnext/13-things-alpha-generation/302366