Use of Filmed Modeling to Reduce Uncooperative Behavior of Children During Dental Treatment

Melamed, Barbara G.; Hawes, Roland R.; Heiby, Elaine M.; Glick, John H.

doi:10.1177/00220345750540041701

Cited by 131 publications

(55 citation statements)

References 5 publications

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“…Such a recording is considered as a modeling tool. 28,29 • When the parents are in the operatory, they are not allowed to interfere with the procedure after they have approved and consented to the proposed treatment. Furthermore, the parents should be prepared to leave the dental operatory if the youngster does not cooperate.…”

Section: Parental Presence/absence Technique Protocolmentioning

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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Section: Parental Presence/absence Technique Protocolmentioning

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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“…A number of psychological treatment approaches have been found to be effective in dental phobia, among them systematic desensitisation [4], modelling [5] and imaginal exposure [6]. Whereas relaxation on its own does not reduce phobic anxiety, its use as a coping reaction is considerably successful in combating first bodily signs of anxiety (i.e., anxiety management training), or in the presence of the phobic stimulus [7].…”

Section: Introductionmentioning

confidence: 99%

A Practice-Based Comparison of Brief Cognitive Behavioural Treatment, Two Kinds of Hypnosis and General Anaesthesia in Dental Phobia

Wannemueller

Joehren²,

Haug³

et al. 2011

Psychother Psychosom

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Background: A practice-based study was carried out to assess the comparative effectiveness and acceptability of standardised hypnosis, hypnosis with individualised imagery, cognitive behavioural treatment (CBT) and general anaesthesia (GA) in the treatment of dental phobia. Methods: A 4-group design was used with 4 repeated measurement occasions. Of an initial total of 137 dental phobics, 77 completed the study with sample sizes of between 14 and 29 patients in the 4 groups. Participants completed questionnaires of dental anxiety at the beginning of the trial, before and after the first dental appointment and again before the second dental appointment a week later. Results: Standardised hypnosis evidenced a significantly higher rate of premature termination of treatment than CBT. The completer analysis showed a significant reduction of dental anxiety after CBT and individualised hypnosis compared to the GA condition. The intent-to-treat analysis showed significant improvement only after CBT. Conclusions: The results suggest that CBT is the treatment of choice in dental phobia when taking both effectiveness and acceptability into account.

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“…Há trabalhos destinados a avaliar o efeito de estratégias para modificar o comportamento da criança (Allen, Loiben, Allen & Stanley, 1992;Allen, Stark, Rigney, Nash & Stokes 1988;Ingersoll, Nash & Gramber, 1984;Melamed, Hawes, Heiby & Glick, 1975;Stark et al, 1989), e os resultados são medidos em termos da melhora na sua colaboração. Berge et al (1999) indicam que a postura do profissional (e não somente o comportamento da criança) também interfere na execução dos procedimentos.…”

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Análise funcional da interação profissional-paciente em odontopediatria

Fioravante

Soares

Silveira

et al. 2007

Estud. psicol. (Campinas)

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O artigo visou identificar o padrão de interação entre odontopediatras e crianças atendidas em uma clínica do bebê de uma universidade pública brasileira. Participaram do estudo duas crianças consideradas pelos dentistas cooperativas, duas consideradas opositoras em relação ao procedimento e os profissionais que as atenderam. Um inventário foi aplicado a fim de excluir crianças com problemas comportamentais em grau clínico. As interações entre criança e odontopediatra foram filmadas e os dados foram analisados, medindo-se a freqüência das respostas de cooperação e não-cooperação, no decorrer de quatro procedimentos. Observou-se que os comportamentos cooperativos das crianças se relacionam com as chamadas condutas positivas dos profissionais, enquanto os comportamentos opositores estiveram fortemente associados às ditas condutas negativas dos odontopediatras. Os resultados foram discutidos considerando os comportamentos das crianças e dos profissionais em pontos críticos para execução dos procedimentos e para o bem-estar do paciente.

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Use of Filmed Modeling to Reduce Uncooperative Behavior of Children During Dental Treatment

Cited by 131 publications

References 5 publications

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

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

A Practice-Based Comparison of Brief Cognitive Behavioural Treatment, Two Kinds of Hypnosis and General Anaesthesia in Dental Phobia

Análise funcional da interação profissional-paciente em odontopediatria

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