A curriculum for behaviour and oral healthcare management for dentally anxious children—Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

Abstract

Background: Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim: To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. Design: A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Results: Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological | 557 COSTA eT Al.

The Preschool Child in Acute Dental Care - Sedation and Physical Restraint in Collaboration with Guardians

“…Imposing acute dental care on children should be a last choice when other options to relieve pain and suffering within a reasonable time are lacking [1][2][3][4][5][6].…”

“…In this context, the physical restraint is defined as an occasional/intermittent holding of the child, not the use of any device. In most countries, it is not considered lege artis to force children and young people to undergo dental care [1][2][3][4][5][6]. Instead, staff attitudes and treatment principles are based on respect for the child regardless of age, gender, abilities, social status, or ethnicity [1][2][3][4][5][6].…”

“…In most countries, it is not considered lege artis to force children and young people to undergo dental care [1][2][3][4][5][6]. Instead, staff attitudes and treatment principles are based on respect for the child regardless of age, gender, abilities, social status, or ethnicity [1][2][3][4][5][6]. Children are therefore routinely prepared for dental procedures by including them to understand the purpose of the treatment, based on maturity [1][2][3][4][5][6].…”

“…Instead, staff attitudes and treatment principles are based on respect for the child regardless of age, gender, abilities, social status, or ethnicity [1][2][3][4][5][6]. Children are therefore routinely prepared for dental procedures by including them to understand the purpose of the treatment, based on maturity [1][2][3][4][5][6]. To achieve this, the dental staff aims to create a sense of security for the child using methods such as Tell-Show-Do, prior to invasive and noninvasive procedures.…”

Minimum intervention oral healthcare delivery - is there consensus?

“…19,20,21,22,23 These, along with many other published efforts, are trying to help the relevant stakeholders to manage patients, improve oral health linked to general health and increase awareness in populations of their role in valuing and taking responsibility for their personal healthcare future. 24,25 Education and training courses exist to help dentists, dental therapists and team members learn about and implement MIOC (for example, the online, distance-learning master's programme in Advanced Minimum Intervention Dentistry).…”