scholarly journals Mothers' perceptions about pediatric dental sedation as an alternative to dental general anesthesia

2015 ◽  
Vol 63 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Alessandra Rodrigues de Almeida LIMA ◽  
Marcelo MEDEIROS ◽  
Luciane Rezende COSTA
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Parental Perceptions ◽  
Negative Behavior ◽  
Moderate Sedation ◽  
The Poor ◽  
Oral Sedation ◽  
Pharmacological Method ◽  
Insight Into

OBJECTIVE: Moderate sedation has limits in managing children's behavior. Existing literature lacks insight into parental perceptions about the topic. This study aimed to understand mothers' perceptions concerning sedation after their children undergone dental treatment under sedation. METHODS: Twelve mothers and one godmother of 1.3-8.4 year-old children with definitely negative behavior in the dental chair, who had dental treatment under oral sedation, were in depth interviewed according to a semi-structured guide. Responses were analysed using a thematic content method and deductive approach. Two general themes were addressed: "good facet" and "poor facet" of pediatric dental sedation. RESULTS: Analysis of interview transcripts indicated that participants perceived pediatric dental sedation according to two main analytical categories: the "good facet" and the "poor facet". The good facet included advantages of the procedure (e.g. safety, effective behavior management), rapport and completion of the treatment that was initially planned. The poor facet related to limitations of moderate sedation (when child kept struggling) and their own anxiety during the procedure. CONCLUSION: Despite their own stress, mothers were satisfied with this pharmacological method of behavior management.

scholarly journals Behavior Management Techniques Adopted by Pediatric Dentists in Egypt

2019 ◽  
Author(s):  
Samah Kanzel ◽  
Fatma Abdelgawad ◽  
Kamal El Motayam
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Young Patients ◽  
Parental Presence ◽  
Pediatric Dentist ◽  
Pediatric Dentists ◽  
Natural Response ◽  
Management Techniques ◽  
Behavior Management Techniques

Abstract Background: Dental treatment exposes the patients to an environment that may trigger natural response of fear, leading to difficulties in accepting treatment or even dental avoidance. The study aimed to identify the most common behavior management techniques (BMT) adopted by pediatric dentist in Egypt for managing uncooperative children. Methods: Questionnaires were hand delivered to pediatric dentists, which designed to record participants demographic and practice information, their current use of BMT, to determine the most common behavior management techniques used for each patient age; and their relationship to practitioner gender, total year in practice and position in the faculty. Results: Surveys were returned by 72 pediatric dentists (27.8% were males and 72.2% were females). Parental presence was practiced by all participants mainly for patients less than 2 years (93.1%). Tell-show-do was considered the most used technique (95.8%) for patients 3-5 years. Their employment of advanced techniques by respondents was less than basic techniques, being least for sedation and highest for general anesthesia mainly for the very young patients (73.2%). Conclusions: Presence of parents at the operatory became imperative for patients less than two years to gain their cooperation, unless general anesthesia will be used for them.

Children Oral Health Following Treatment under General Anesthesia: A Retrospective Study

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Oral Health ◽  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Caries Experience ◽  
P Value ◽  
Behavior Changes ◽  
Carious Lesions ◽  
Number Of Patients ◽  
Significant Difference

Introduction: Dental treatment for children can be provided and completed in dental chair using one or more behavior management methods applied in dentistry. When these methods did not work, special behavior management technique such as treatment under general anesthesia (GA) may be provided for optimal dental treatment. The purpose of this study was to evaluate long term oral health status such as oral hygiene (OH), recall rate, behavior changes and development of new or recurrent carious lesions in children who received dental treatment under GA. Methods: Data were collected retrospectively from dental records of 433 children who received dental treatment under GA between 2006 and 2010. Collected data looked at 1) Age, 2) Gender, 3) OH before treatment and at the recall visits, 4) Behavior changes, 5) New or recurrent caries experience, and 6) Treatment of these lesions. Results: Age of patients ranged between 2 and 13 yrs. Boys to girls were 223 (51%) to 210 (48%) respectively. OH post operatively was significantly improved in comparison to that before treatment (p-Value < 0.0001). However, OH was almost the same among patients who attended recall visits (p-Value = 0.79). Number of patients who attended recall visits reduced significantly by time (p-Value < 0.0001). There was significant improvement in patient cooperation post operatively in comparison to that pre-operatively (p-Value < 0.0001). There was no significant difference in the incidence of new or recurrent carious lesions through recall visits (p-Value = 0.73). Conclusion: Dental treatment under GA did not seem to be effective in the improvement of OH or in reducing caries experience. However, children behavior showed some improvement in the follow up visits due to no active treatment required or simple dental procedures may be implemented.

Comprehensive Dental Care of Pediatric Patients Treated Under General Anesthesia in a Hospital Setting in Saudia Arabia

2006 ◽  
Vol 7 (1) ◽  
pp. 79-88 ◽  
Author(s):  
Manal Ibrahim Al-Malik ◽  
Maha Abdulla Al-Sarheed
Keyword(s):  
General Anesthesia ◽  
Dental Care ◽  
Behavior Management ◽  
Pediatric Patients ◽  
Dental Treatment ◽  
Hospital Setting ◽  
Oral Rehabilitation ◽  
Main Indication ◽  
Restorative Treatment ◽  
The Mean

Abstract The aims of this study were to determine the characteristics of patients and type of dental treatment carried out using dental general anesthesia (DGA) during two years in a following three year period. A total of 182 patients received treatment between 1999 and 2001. The mean age was 4.9 years. The main indication for DGA was behavior management problems. Complete oral rehabilitation including complex restorative treatment and extractions was provided under DGA at a single visit. Failure to return for recalls was common; 83% of patients returned for the post-operative recall but only 26% after a three year period. Most of the patients requiring further treatment accepted it in the dental chair. Only one patient received a second DGA during the three years following treatment. Citation Al-Malik MI, Al-Sarheed MA. Comprehensive Dental Care of Pediatric Patients Treated Under General Anesthesia in a Hospital Setting in Saudi Arabia. J Contemp Dent Pract 2006 February;(7)1:079-088.

Subcutaneous Midazolam with and without Ketamine for Sedation In Children Undergoing Dental Treatment: A Pilot Study

2015 ◽  
Vol 39 (4) ◽  
pp. 382-386 ◽  
Author(s):  
D Flores-Castillo ◽  
R Martínez-Rider ◽  
S Ruiz-Rodríguez ◽  
A Garrocho-Rangel ◽  
J Lara-Guevara ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Dental Treatment ◽  
Body Movement ◽  
Blood Oxygen ◽  
Random Assignment ◽  
Blood Oxygen Saturation ◽  
Double Blind ◽  
Moderate Sedation ◽  
Randomized Controlled ◽  
Pharmacological Method

Aim: The objective of this study was to evaluate the efficacy of subcutaneous (SC) sedation using midazolam with and without ketamine in non-cooperative pediatric patients undergoing dental treatment. Study Design: A prospective, randomized, controlled, double-blind, crossover pilot clinical trial was carried out in 13 children, aged between 17–46 months, ASA l, Frankl 1. Two sedation schemes were administered SC: Midazolam alone (M), and a combination of Midazolam-Ketamine (MK). Both regimens were administered to the same patient in two consecutive treatment sessions, in accordance with a random assignment. Overall behavior, movement, and crying were assessed according to the modified Houpt scale. Heart rate, blood pressure, blood oxygen saturation, and possible side effects were also monitored. Results: The percentage of non-crying children was always higher in the treatment with MK compared with the treatment with M, but without a significant statistical difference. Regarding variable body movement, the percentage of children without movement was higher in the MK group, although only up to minute 10; no significant differences were found at 20, 30, and 40 minutes, and from minute 40, body movement was lower in the M group. Conclusions: Midazolam alone and the midazolam-ketamine combination administered subcutaneously resulted in a safe and efficient pharmacological method for providing moderate sedation to non-cooperative pediatric patients undergoing dental treatment.

scholarly journals Sedation versus protective stabilization for dental treatment of children with caries and challenging behavior at the dentist (CHOOSE): a study protocol for a non-randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gabriela Seabra da Silva ◽  
◽  
Anna Alice Anabuki ◽  
Karolline Alves Viana ◽  
Patricia Corrêa-Faria ◽  
...  
Keyword(s):  
Early Childhood ◽  
Dental Care ◽  
Challenging Behavior ◽  
Behavior Management ◽  
Rating Scale ◽  
Dental Treatment ◽  
Physiological Stress ◽  
Pediatric Dentistry ◽  
Moderate Sedation ◽  
Unified Health System

Abstract Background There is a lack of evidence on the effectiveness of moderate sedation in pediatric dentistry, compared to protective stabilization, which remains routinely used in Brazil despite moral questions. This prospective non-randomized clinical trial's objective is to evaluate the effectiveness of moderate sedation, compared to the protective stabilization, in the dental care of children with dental behavior management problems. Methods Participants will be 152 children under seven years of age with early childhood caries (ECC) who need specialized dental treatment due to a history of challenging behavior during dental care. The interventions to be compared are moderate sedation with oral administration of ketamine and midazolam and protective stabilization. The primary endpoint will be the child's behavior during treatment assessed using the Ohio State University Behavioral Rating Scale (OSUBRS). The secondary outcomes are (A) child's – behavior according to the visual analogue scale, anxiety, pain, and physiological stress; (B) parent's – satisfaction and anxiety; (C) family and child – impact on oral health-related quality of life (OHRQoL); (D) dentist's – satisfaction and stress; (E) procedure – adverse events of the intervention and dental treatment longevity. A cost-effectiveness analysis will be performed from the perspective of the Brazilian Unified Health System (SUS). Discussion Considering the primary outcome, this study hypothesis is that sedated children have better behavior during dental treatment than children whose behavior was managed by protective stabilization without sedation. Additionally, at the end of 12 months, we expect to identify participants' reported outcomes and objective measures related to dental behavior in early childhood. Trial registration Clinicaltrials.gov registration NCT04119180 on October 8th, 2019. https://clinicaltrials.gov/ct2/show/NCT04119180

scholarly journals The Psychoprophylactic Method of Painless Childbirth in Socialist Czechoslovakia: from State Propaganda to Activism of Enthusiasts

2016 ◽  
Vol 60 (4) ◽  
pp. 534-556 ◽  
Author(s):  
Ema Hrešanová
Keyword(s):  
Pain Relief ◽  
Scientific Method ◽  
Communist Regime ◽  
The West ◽  
Medical Journals ◽  
History Of ◽  
English Speaking ◽  
The 1960S ◽  
Pharmacological Method ◽  
Insight Into

This paper explores the history of the ‘psychoprophylactic method of painless childbirth’ in socialist Czechoslovakia, in particular, in the Czech and Moravian regions of the country, showing that it substantially differs from the course that the method took in other countries. This non-pharmacological method of pain relief originated in the USSR and became well known as the Lamaze method in western English-speaking countries. Use of the method in Czechoslovakia, however, followed a very different path from both the West, where its use was refined mainly outside the biomedical frame, and the USSR, where it ceased to be pursued as a scientific method in the 1950s after Stalin’s death. The method was imported to Czechoslovakia in the early 1950s and it was politically promoted as Soviet science’s gift to women. In the 1960s the method became widespread in practice but research on it diminished and, in the 1970s, its use declined too. However, in the 1980s, in the last decade of the Communist regime, the method resurfaced in the pages of Czechoslovak medical journals and underwent an exciting renaissance, having been reintroduced by a few enthusiastic individuals, most of them women. This article explores the background to the renewed interest in the method while providing insight into the wider social and political context that shaped socialist maternity and birth care in different periods.

scholarly journals Effectiveness of Hypnosis in Combination with Conventional Techniques of Behavior Management in Anxiety/Pain Reduction during Dental Anesthetic Infiltration

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
A. Ramírez-Carrasco ◽  
C. Butrón-Téllez Girón ◽  
O. Sanchez-Armass ◽  
M. Pierdant-Pérez
Keyword(s):  
Heart Rate ◽  
Skin Conductance ◽  
Pain Control ◽  
Behavior Management ◽  
Statistical Difference ◽  
Dental Treatment ◽  
Management Techniques ◽  
Conventional Behavior ◽  
Behavior Management Techniques ◽  
Experimental Group

Background and Objective. Anxiety/pain are experiences that make dental treatment difficult for children, especially during the time of anesthesia. Hypnosis is used in pediatric clinical situations to modify thinking, behavior, and perception as well as, recently, in dentistry; therefore the aim of this study was to evaluate the effectiveness of hypnosis combined with conventional behavior management techniques during infiltration anesthetic.Methods. Anxiety/pain were assessed with the FLACC scale during the anesthetic moment, as well as heart rate variability and skin conductance before and during the anesthetic moment, between the control and experimental group.Results. A marginal statistical difference (p=0.05) was found in the heart rate between baseline and anesthetic moment, being lower in the hypnosis group. No statistically significant differences were found with the FLACC scale or in the skin conductance (p>0.05).Conclusion. Hypnosis combined with conventional behavior management techniques decreases heart rate during anesthetic infiltration showing that there may be an improvement in anxiety/pain control through hypnotic therapy.

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