Behaviour Management Techniques in Paediatric Dentistry

Roberts, John F.; Curzon, M.E.J.; Koch, G; Martens, Luc

doi:10.1007/bf03262738

Cited by 106 publications

(92 citation statements)

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“…In relation to children, it is believed that it is not possible to have too much reinforcement, although the clinician should attempt to be genuine in their offering. 85 Positive reinforcement, and positive feedback in particular, is considered to be a universally accepted behaviour management technique when providing dental care to children 86 and is based on longstanding psychological principles that have been consistently demonstrated to be effective. 87 Many dental practitioners are encouraged to use positive reinforcement to obtain cooperation with dental procedures.…”

Section: Positive Reinforcementmentioning

confidence: 99%

“…Filmed modelling can be considered a particularly economical approach as it does not require extensive chairside time. 86 …”

Section: Modellingmentioning

confidence: 99%

“…86 These include mechanical restraints such as the 'papoose board method' and physical restraints such as the hand-over-mouth exercise, or holding the child down by the dental practitioner or parent. It should be noted that all restraint methods are considered controversial and are not uniformly accepted.…”

Section: Restraintmentioning

confidence: 99%

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Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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Section: Positive Reinforcementmentioning

confidence: 99%

“…Filmed modelling can be considered a particularly economical approach as it does not require extensive chairside time. 86 …”

Section: Modellingmentioning

confidence: 99%

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Management of fear and anxiety in the dental clinic: a review

2013

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“…2 Behavior management is the science and art of adjusting a negative behavior and developing new behaviors that will help the child cope with and withstand the delivered dental procedures. [3][4][5] The BMTs are considered essential in pediatric dentistry. Without such a skill, dentists would not be able to deliver appropriate and safe treatment.…”

Section: Introductionmentioning

confidence: 99%

Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View

Riba

Alshahrani

Al-Ghutaimel

et al. 2018

The Journal of Contemporary Dental Practice

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Introduction: Parental presence/absence in the dental operatory (also called: Parent-in-parent-out technique) is an extremely controversial aspect of the nonpharmacological BMTs. Historically, dentists used to exclude parents from dental operatory to avoid their interference with the dentist's aptitude to build a rapport and relationship with the child, hence increasing the child management problems by disrupting treatment and making the dentist unfocused and uncomfortable. Aim:The purpose of this article is to review and emphasize on the importance of parental presence/absence in the dental operatory, especially in a certain age group, as a behavior management technique (BMT) in pediatric dentistry, and to present a modified view of this technique. Results:This article reviews the current literature concerning behavior management in pediatric dentistry. It includes a medline database search and review of the comprehensive textbooks in pediatric dentistry. Some recommendations were based on the opinions of experienced researchers and clinicians.Conclusion: Parent-in-parent-out technique in dental operatory is advocated to gain emotional support and avoid the effect of traumatic separation, especially in younger children or special health-care needs patients. Clinical significance:The parent-in-parent-out technique in dental operatory is underused, or misused. This article clarifies the proper use of this technique along with a minor modification to it to make it more effective on young apprehensive dental patients.

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“…Accordingly, in the case reported herein, the mother studied up to 8th grade of elementary school, the father until the 7th grade and the family income was two to three minimum wages. According to Roberts et al [27], the initial attempts to manage the behavior of children involve some basic techniques as communicative orientat ion, say-show-a nd-do, voice cont rol, nonverbal communication, positive reinforcement, distraction, the presence or absence of parents and administration of nitrous/oxygen oxide. When these approaches are not capable of providing adequate treatment, advanced techniques can be applied, involving physical restraint, sedation, and general anesthesia [27].…”

Section: Discussionmentioning

confidence: 99%

Outpatient dental treatment under general anesthesia in children with cleft lip palate: case report

Santos

Vonsovicz

Stroppa

et al. 2017

RSBO

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Introduction and Objective: This study aimed to report the case of an eight-year-old patient with cleft lip and palate associated with undiagnosed syndrome presenting high level of carious lesions, difficulty on oral hygiene, no collaborative behavior and cariogenic diet. Case report: The patient underwent outpatient treatment for dental extraction and Atraumatic Restorative Treatment. Later at the following-up appointment, the child presented new active white spots and fractured restorations. Then, dental treatment under general anesthesia for amalgam restorations was indicated. Conclusion: We conclude that dental care under general anesthesia was an alternative treatment for the reported child in this clinical case that had a high prevalence of caries, cariogenic diet, loss of lip elasticity due to corrective surgeries, difficult access for oral hygiene and caregiver's fear to toothbrush near to the cleft.

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Behaviour Management Techniques in Paediatric Dentistry

Cited by 106 publications

References 1 publication

Management of fear and anxiety in the dental clinic: a review

Management of fear and anxiety in the dental clinic: a review

Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View

Outpatient dental treatment under general anesthesia in children with cleft lip palate: case report

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