Parental acceptance of pediatric behavior management techniques: A comparative study

Elango, I; Baweja, Devinder Kaur; Shivaprakash, P K

doi:10.4103/0970-4388.105010

Cited by 31 publications

(28 citation statements)

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“…These findings were consistent with another study which found physical restraint technique unacceptable by parents, however, the parents accepted GA in emergency dental situations [16]. The acceptance of general anesthesia and sedation has shown an increase in the present study when compared other studies conducted on Indian populations [5,6]. In the present study, parents received explanations on the various behavior management techniques intended to be used by the dentists involved in the research, what may be the reason why parents showed general acceptability toward various behavior management techniques.…”

Section: Discussionsupporting

confidence: 83%

“…Parental attitudes are constantly changing as society evolves so it is important to regularly reassess their beliefs and update our understanding of their attitudes toward behavior management techniques [4]. There have been many studies assessing the parental acceptance and rating of various behaviour management techniques in children; however, few studies were conducted on Indian parents [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Parental Acceptance of Various Behaviour Management Techniques used in Pediatric Dentistry: A Pilot Study in Odisha, India

Acharya

2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To assess the parents' acceptance towards the behavior management techniques commonly used in the pediatric dentistry. Materials and Methods: Fifty parents participated in the study. Parents were asked to view a power-point presentation on 10 behavior management techniques: 1) Voice control, 2) Tell-Show-Do, 3) Positive reinforcement, 4) Mouth prop, 5) Modelling, 6) HOME, 7) Physical restraint, 8) Oral premedication 9) N2O-O2 sedation and 10) General anesthesia. Parents were asked to arrange various behavior management techniques from most accepted technique to least accepted technique. Results: In the present study population, the preferred behavior management technique was Tell-Show-Do followed by positive reinforcement and the least preferred behavior management technique was HOME followed by voice control and physical restraint. Conclusion: The parental acceptance of various behaviour management techniques have changed. Tell-show-do technique is still the most acceptable technique; however, sedation and general anesthesia acceptance has increased as shown in this study.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Parental Acceptance of Various Behaviour Management Techniques used in Pediatric Dentistry: A Pilot Study in Odisha, India

Acharya

2017

Pesqui. bras. odontopediatria clín. integr.

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“…The results obtained in a study indicated that parents with lower educational level, low income and with disabled children showed higher acceptability in relation to BG methods [13].…”

Section: Discussionmentioning

confidence: 94%

Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents

Castro

Espinosa

Pereira

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the acceptance of the parents of special needs patients (SNP) concerning behavior guidance techniques (BGT) used for the dental care. Methods: Participants were asked to answer a sociodemographic questionnaire and, after this, they received individual explanations regarding each of the BGT, and answered if they accepted, accepted with restrictions or did not accept each one of them. Data were analyzed using binomial nonparametric test for the difference between proportions and the chi-square test. Results: Participated 83 parents of SNP. All of them considered the use of communicative management (CM) for the patients' dental care to be totally acceptable. The use of protective stabilization (PS) was considered acceptable by 76 parents (91.57%), sedation (SD) by 65 parents (78.32%), general anesthesia (GA) by 63 parents (75.90%) and nitrous oxide inhalation (NOI) by 62 parents (74.70%). The differences between the levels of acceptance for each method regarding the three educational levels were not statistically significant. Sedation was statistically more readily accepted by parents of patients aged 31 to 40 years when compared with those of children until ten years of age. The acceptance of protective stabilization was statistically higher for patients with physical disabilities when compared with those of patients who had congenital disabilities, intelligence or behavioral deviations. Conclusion: Communicative management and protective stabilization were statistically more acceptable by parents than the other techniques.

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“…10 The BMTs should be learned and developed by all staff in the pediatric dental clinic, starting with the receptionist, who welcomes the parents and their child and ending with the pediatric dentist, who will perform the treatment. 6,7 Parental presence/absence is one of the nonpharmacological BMTs. In this technique, the parental presence is used as a factor to manage the child's negative behavior.…”

Section: 5005/jp-journals-10024-2243mentioning

confidence: 99%

“…Without such a skill, dentists would not be able to deliver appropriate and safe treatment. [3][4][5][6][7] In 1895, McElroy wrote: "Although the operative dentistry may be perfect, the appointment is a failure if the child departs in tears". 8 This was considered the first base mentioned in the pediatric dental literature to measure success or failure of a child's dental visit.…”

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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Parental acceptance of pediatric behavior management techniques: A comparative study

Abstract: Factors such as having a disabled child, low income, and less education influenced parental acceptability. HOM should be used with great caution and clinicians should approach the issue of informed consent on an individual basis.

Cited by 31 publications

References 0 publications

Parental Acceptance of Various Behaviour Management Techniques used in Pediatric Dentistry: A Pilot Study in Odisha, India

Parental Acceptance of Various Behaviour Management Techniques used in Pediatric Dentistry: A Pilot Study in Odisha, India

Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents

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

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