Knowledge of behavioural management principles amongst specialist paediatric dental practitioners in the United Kingdom

Coxon, James David; Hosey, M. Marlene; Newton, Tim

doi:10.1017/s1352465816000655

Cited by 10 publications

(16 citation statements)

References 9 publications

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“…In most studies, the most commonly employed technique to obtain the child’s cooperation is “tell-show-do” [ 30 , 58 , 59 , 60 , 61 ], as used in the present research, followed by the positive reinforcement technique [ 59 , 60 , 62 ], also used by the trained professional who attended the children. Other authors point to distraction techniques (73%) as the second most used technique [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial

Polo

Vilches²,

David

et al. 2021

JCM

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Clinicians should appreciate the effectiveness of virtual reality (VR) headsets for managing both the anxiety and the behaviour of non-cooperative paediatric patients who require treatment over several dental appointments. The aim of this study was to assess the effectiveness of using a VR headset as a distraction for managing the anxiety and behaviour of paediatric patients during their dental treatment. Eighty patients, aged between five and ten years old and who required dental treatment over three or more appointments, were randomly allocated into two groups. One group used a VR headset during all their appointments, and the other one did not use any distraction technique. The patients were asked to take a Facial Image Scale Test during their first and last appointments to assess their level of anxiety. Additionally, the dentist completed the Frankl Test to quantify the child’s behaviour at the beginning and the end of their treatment. The results obtained, both from the group using the VR headset and from the control group, were compared using the chi-square test. The use of a VR headset during dental treatment significantly reduced anxiety (95% of the children were happy) and improved behaviour (100% positive behaviour) as compared with the control group (40% and 57.5%, respectively). A VR headset can effectively distract a paediatric patient, helping to reduce anxiety and manage behaviour during dental treatment

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Section: Discussionmentioning

confidence: 99%

Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial

Polo

Vilches²,

David

et al. 2021

JCM

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“…There-fore, knowledge of several techniques, to be individually selected as appropriate for a particular patient, are advised for pediatric dentists. 3,19 However, Coxon et al 20 reported that pediatric dentists do feel that they have limited control and knowledge of nonpharmacological behavior guidance and dental fear. As these studies inform of limited successcontrol and knowledge of behavior guidance and pain control, the present study aims to explore the effectiveness of an educational intervention, the PaFein teaching model, for training dentists to provide pain-free local anesthesia for children.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the “pain‐free dental injection” (PaFein) teaching model in reducing children's pain: A randomized, controlled study

Kuşcu

Ozcelik

Küçüktepe

et al. 2022

Journal of Dental Education

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Purpose This study explores the effectiveness of a comprehensive structured teaching model – the “PaFein” – for instructing postgraduate pediatric dental residents in the provision of pain‐free local anesthesia to children. Methods Ten postgraduate pediatric dental residents and 172 children between the ages 5 and 13 participated in the study following ethical approval. The previously measured baselines guided the randomization of study and control groups. The study group (five residents) attended the PaFein course (9 hours). Based on power calculations, residents performed dental injections (8 mandibular block, 8 palatal/lingual and 14 buccal infiltrations) in randomly assigned child patients. Demographic data of residents/children, parental and self‐report anxiety scores and Visual Analogue Scale (VAS) pain scores were noted to examine children's anxiety and pain during dental injections. Results Children's mean anxiety score did not differ significantly between groups; however, VAS pain reports during dental injections (a, b, c, d) were found lower in the PaFein study group than the control group (p < 0.05). VAS pain reports for (a) buccal injections were 1.08 and 1.9 (p = 0.02); (b) inferior alveolar nerve blocks were 1.58 and 3.37 (p = 0.0002); (c) palatal/lingual injections were 1.34 and 3.02 (p < 0.0001); (d) total means were 1.28 and 2.59, respectively (p = 0.0001). VAS pain reports of anxious and non‐anxious children in the PaFein study group (1.63 and 1.17) were also lower than the control group (3.33 and 2.39) (p < 0.0001 and p = 0.005). Conclusion The “PaFein” teaching model was found to be effective in training dental residents to reduce dental injection pain in children, including the anxious ones.

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“…The RNLD can advocate for adapted communication, 28 behaviour management approaches, 18,29 how an individual reports pain, 21 reasonable adjustments, ability for the patient to consent, and realistic care plan expectations 30 including perceived need for sedation. 13,18 Rada et al 18 suggest success in dental case management of the person with a learning disability can be achieved if the nurse liaises between support staff in the residential setting and the dental team.…”

Section: Discussionmentioning

confidence: 99%

“…17,32 Recommendations Many of the research papers called for further investigation into why oral care is either overlooked, or why individuals are resistant to the process of daily oral care within community learning disabilities settings. 9 This author found a paucity of existing research which considered the cross-sectional impact of a learning disability alongside an autistic spectrum condition, 24,33 sensory processing disorder, 30,18 behaviour that challenges care services 29,18 or a mental health condition 7,14 which may necessitate being in inpatient or offending behaviour settings, 8,34 and the possibility of resulting homelessness. 35 Consideration of these additional challenges in addition to a learning disability should be considered in future collaborative studies, which should include dental, nursing and care staff who work in this diverse range of settings.…”

Section: Methodsmentioning

confidence: 99%

Does oral care knowledge amongst UK nurses effectively support people with intellectual disabilities across their lifespan?

Thurston

2021

BDJ Team

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Purpose Poor oral health can negatively impact on the overall health of an individual. Evidence highlights nurses' misgivings about providing oral care. Method Several articles were sourced across three clinical databases and four 'core' papers were critiqued using CASP. Findings A literature review identified two areas which require service improvement: 1) Co-presented oral care training should be delivered to staff teams, incorporating material which is developed in collaboration with allied health and social care professionals; 2) Dental teams should be included in the production of care plans for people with a learning disability. Conclusions Indications of ritualistic practice remain in UK nurses' approach to oral care. Daily issues faced by staff teams and the voices of people with a learning disability are underrepresented. Training and integrated care planning could significantly improve oral health outcomes for people with a learning disability.Editor's note: 'Nurse' and 'nurses' refers to general (medical) nurses in this article rather than dental nurses. AimA learning disability is a reduced ability to learn and understand new concepts or Mark Thurston, a former dental care professional who is currently a third year learning disabilities nursing student, summarises the findings of his dissertation -a literature review and proposed service improvement -undertaken as part of his degree in Nursing (Learning Disabilities) at the University of the West of England, Bristol.

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Knowledge of behavioural management principles amongst specialist paediatric dental practitioners in the United Kingdom

Abstract: Knowledge of behavioural principles amongst paediatric dentists in the United Kingdom is poor, despite their widespread reported use of such techniques.

Cited by 10 publications

References 9 publications

Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial

Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial

Effectiveness of the “pain‐free dental injection” (PaFein) teaching model in reducing children's pain: A randomized, controlled study

Does oral care knowledge amongst UK nurses effectively support people with intellectual disabilities across their lifespan?

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