Motivation chart as a supporting tool in pediatric dentistry

Abstract

ABSTRACT

Behaviour Management of the Contemporary Child in Paediatric Dentistry: An Overview of the Research

“…Regarding the adverse reactions from children, they have been specifically labelled as uncontrollable, defiant, shy or tense-cooperative, all behaviours that demand special attention from the paediatric dentist. Therefore, it is essential that a psychological approach be used in the dental carer to establish a confidence relationship between patient and practitioner to mitigate stress, anxiety and fear in the former [36,37]. In the prevention and treatment of dental anxiety in children, the techniques found in the literature have shown good results as they are scientifically accepted and efective [38].…”

“…In the prevention and treatment of dental anxiety in children, the techniques found in the literature have shown good results as they are scientifically accepted and efective [38]. Among these techniques, one can cite the following: tell-show-do technique, introduced in 1959 by Adelson [39]; positive reinforcement technique, which consists in rewarding the child when the desired behaviour is achieved, thus motivating him or her for the next visits [37,40]; modelling technique, in which the child learns by observing [37]; voice control and distraction, whose goal is to change the child's focus and attention on an unpleasant moment or procedure [31]. However, we have been seeing children who have a fascination for technology.…”

Behavior and reaction of children to dental care, when submitted to play workshops before and after treatment

“…The ability to recognize emotions in faces is present from the first year of life and continues to develop during childhood [10]. As children grow older, they develop a more elaborate concept of emotion, experiencing more specific feelings, and beginning to acknowledge their negative emotions better [11].…”

“…The Mixed Emotions Deck aims to access children's emotions more accurately. Children as young as four or five would be able to indicate appropriate situations for basic emotions (joy, fear, anger, sadness), but complex emotions could not be so obviously depicted through a facial figure or behavioral expressions, such as shame, pride, and guilt [10,11] Thus, it is reasonable to assume that the use of the Mixed Emotions Deck facilitated the task, for it allowed the children, even when realizing the complexity of the emotions and the difficulty involved in expressing them through words, to identify them through the cards. The card that portrayed joy was chosen more often, which agrees with the observation of a study in which joy concentrated more recognition hits through photos.…”

Técnicas de manejo comportamental utilizados em odontopediatria frente ao medo e ansiedade

“…A relação entre o profissional e o paciente é comumente descrita na literatura como potencialmente ansiogênica, sendo muitas vezes permeadas por comportamentos hostis, que são correlacionados com fatores de ordem psicológica e podem ser observadas tanto nas crianças como em seus tutores legais, por muitas vezes inviabilizando o adequado do tratamento, sendo fator de extrema relevância na motivação do profissional, levando a frustração, e tolerância a determinados perfis psicológicos, e comportamentais de pacientes pediátricos. (Brant, 2015;Tovo, et al, 2016, Vasconcellos et al, 2017, Shitsuka et al, 2019. Esses comportamentos tem sido comumente associados a uma necessidade de evitação, ou fuga, que geram uma desafiadora barreira para a prestação de serviços para esses pacientes.…”