Spanish and Portuguese Parental Acceptance of Behavior Management Techniques in Pediatric Dentistry

2021 ◽  
Vol 45 (4) ◽  
pp. 247-252
Author(s):  
Francisco Guinot ◽  
Mercè Virolés ◽  
Clàudia Lluch ◽  
Ana Luisa Costa ◽  
Ana Veloso

Aim. To compare acceptance of behavior management techniques used in pediatric dentistry by Spanish and Portuguese parents. Study design. cross-sectional study. A survey of 8 behavior management techniques used in pediatric dentistry was administered to parents whose children were being treated at the Universitat Internacional de Cataluña (Barcelona, Spain) or at the Universidade de Coimbra (Portugal). The techniques evaluated were: tell–show–do (TSD), nitrous oxide sedation, passive restraint using a papoose board, voice control, hand-over-mouth, oral premedication, active restraint and general anaesthesia. The questionnaire also included information on parents’ sex, number and sex of children receiving treatment, parents’ previous dental experience (positive or negative), children’s previous dental experience (positive or negative), and the socioeconomic status of the families. Results. TSD and voice control were rated the most acceptable techniques in both Spain and Portugal, whereas the least accepted techniques in both countries were active and passive restraint. There were no significant differences in the acceptance of each of the techniques, in relation to parents’ sex or their previous dental experience, children’s sex or age, children’s previous dental experience, or families’ socioeconomic status. Conclusion. TSD was the most widely accepted behavior-management technique by Spanish and Portuguese parents, even with the passage of time. Both groups of parents had a low opinion of active and passive restraint techniques.

Author(s):  
Nazanin Forghani

The use of behavior management techniques for the treatment of children who are uncooperative with a dentist is inevitable. Behavior management techniques are the methods that the dental health team could effectively treat the child and inspires a constructive dental attitude. Objective: Determining the acceptability of behavior management techniques by mothers referred to a pediatric dental clinic in Tehran (2017). Materials and Methods: This cross-sectional descriptive study was conducted in a pediatric dental clinic in Tehran. A film, including 4 different behavior management techniques such as general anesthesia(GA), parents’ separation(PS), Tell-Do-Show and voice control(VC) was produced. Before showing each method, a brief explanation of the characteristics and purposes of methods was given by a pediatric dentist in the film. A total of 50 mothers, referred to this private dental clinic, completed a questionnaire after observing any method in this film. The data were analyzed using t-test and Chi-square Results: 56% of the children were boys and 44% were girls, and they were in the age group of 3 to 10 years old, and children are ranked from first to fifth in the family. Mothers with a primary to postgraduate education were between the ages of 23-50 and had up to 5 kids. The acceptance of Tell-Do-Show by mothers was 100%, Voice Control was 92%, separating the child from parents was 50%, and General Anesthesia was 30%. There was a significant correlation between acceptance of voice control method with child's order, child's age and the number of children in a family, and also between the acceptance of general anesthesia by mothers with mother's education level and child's order (p <0.05). Conclusion: According to the findings, Tell-Do-Show method was the most common method which was accepted by mothers, and general anesthesia was the least accepted method by the mothers.


2020 ◽  
Vol 70 (6) ◽  
pp. 1853-58
Author(s):  
Madeeha Bangash ◽  
Fatimah Shiraz ◽  
Laila Mustafa ◽  
Nabhan Zakir ◽  
Gulandama Alam Khan ◽  
...  

Objective: To assess the deliberate use of a parental presence/absence (PPA) intervention as a behaviormanagement technique to manage uncooperative children as well as its association with age. Study Design: Cross sectional study. Place and Duration of Study: Study was conducted at department of Paediatric dentistry, Rehman College ofDentistry, Peshawar, from Jan to Apr 2019. Methodology: Practice patient records were examined over a period of 3 months, during which Frankel behavior ratings were made for each patient. About 2 to 14 years olds were included in the study who had no previous dental treatment, accompanying by their parents. Sixty one children were selected out of 200 who showed uncooperative behavior Frankl 1 and Frankel 2. Their parents were asked to step out of the operatory until the patient become cooperative. Result: The study included 61 children out of 200 who showed uncooperative behavior according to Frankel‟sbehavior rating scale. The result showed significance in age group 4-6year, kinder garden (p=0.035). Conclusion: The Parental Presence/Absence technique (PPA) can be successfully used in gaining the cooperation of children displaying negative behavior aged 4-6, thus minimizing the need for other more aversive Behavior management techniques (BMT‟s).


2006 ◽  
Vol 30 (4) ◽  
pp. 310-313 ◽  
Author(s):  
Mahmoud Alammouri

Purpose: investigate the parental attitude toward behavior management techniques used in pediatric dentistry Methods and materials: Parents watched a videotape that showed these techniques and then filled a questionnaire. Results: Tell-Show-Do, Positive Reinforcement, and Distraction were highly approved. Voice Control, Parent Separation, and Nonverbal Communication were moderately approved. The Hand-Over-Mouth, Nitrous Oxide Sedation, Conscious Sedation, and General Anesthesia were least approved. Conclusion: The general parental attitudes were positive regarding the behavioral management techniques.


2021 ◽  
pp. 25-27
Author(s):  
Shrishty Bhardwaj ◽  
Apoorva Anand ◽  
David K ◽  
Abhinav Kathuria

Inhalation sedation is a minimally depressed level of consciousness that retains the patient's ability to maintain an airway independently and continuously and respond to stimulation and command. Found to be safe for use in dentistry with positive outcomes, it is used to manage anxiety in pediatric patients during procedures. Aim of our study was to determine the frequency of usage of inhalation sedation as adjunctive management technique in children by Dentists. A Cross sectional study was conducted with pre-structured questionnaire given to Pedodontists and General dental practitioners in various Dental colleges and clinics in and around Mangalore. Total sample size was 72. Data was collected and analyzed using SPSS version 17.0 with the Test of Proportions. 32 out of 72 participants were trained in usage of Inhalation Sedation, out of which 14 used it regularly. Out of the 80.56% dentists not using it, majority said that expensive equipment, increased cost of treatment and potential complications were the main reasons for not using it. 59.72% of participants wanted to gain information, knowledge and undergo training in the usage of Inhalation Sedation.58.33% agreed to use it in their future dental career. 70.83% believed that knowledge and training to use Inhalation Sedation is integral part of dental curriculum for undergraduates. This study showed willingness of the dentists to provide Inhalation Sedation as a behavior management technique to their patients. The lack of training, costly equipment, increased cost of treatment are the main barriers to providing such services to the patients.


Author(s):  
Priyona John ◽  
Santhosh T Paul

Introduction:  Dental treatment of uncooperative children is a challenge to Paediatric dentists. If psychological behaviour management techniques are inadequate then restraints may be considered. Aim: To assess the preference of use of restraints by post graduate students in Pediatric Dentistry in Bengaluru. Method: A self administered questionnaire was designed, which contained 12 questions that assessed the demographic data and information on the use of physical, mechanical, and positioning devices in clinical practice. Information was also obtained on consent. Results: A total of 80 postgraduate students participated in the survey. Our study revealed that 72.5% postgraduate students treat patients with some form of restraints. Only 26 % received training on the use of restraints. It was also observed that 70% have used HOME technique and 92.3% obtain only verbal consent before the use of restraints. Conclusion: Majority of the postgraduate students used restraints to treat patients even though they have not received any formal training. CDE programs and workshops presented by specialists or faculty may be used to update the postgraduate students on the use of restraints. Keywords: behavior management techniques, restraints, postgraduate students


2015 ◽  
Vol 9 (1) ◽  
pp. 455-461 ◽  
Author(s):  
Hassan Mohamed Kawia ◽  
Hawa Shariff Mbawalla ◽  
Febronia Kokulengya Kahabuka

Background: Management of children’s behavior is an integral component of pediatric dental practice. Objective: To investigate the oral health care providers’ awareness, use and factors for choice of behavior management techniques when attending paediatric dental patients. Methods: A cross-sectional study among dental practitioners in Dar es Salaam, Tanzania. Data collection was done through interview using a structured questionnaire. The recorded information included: awareness and application of behavior management techniques (BMT) when attending a child dental patient, factors influencing choice of a particular technique, socio-demographics, level of professional training, working experience and facility profile. Using SPSS program version 18, frequency distributions and cross tabulations analyses were performed. Results: 74 dental practitioners participated in the study, of whom 49 (66.2%) were males and 44 (59.5%) were graduates. Most participants were aware of the behavior management techniques, ranging from 100% for Tell-Show-Do to 86% for distraction. A small proportion (9.5%) reported to have adequate skills, all of them were graduates. The use of universally accepted BMTs was reported by 65% of experienced practitioners, 61% of graduates, 59% of those reporting to have received formal training and all of those reporting to have fair/inadequate skills to apply BMTs (p= 0.01). Conclusion: Most participants were aware of BMTs, although few acknowledged having adequate skills to apply the techniques. They use BMTs during treatment of paediatric dental patients and their choice of the technique is mainly influenced by children’s factors.


2020 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Sonu Acharya ◽  

Children are not miniature adults. They should be treated as different entity and not just as adults who are shortened. Children have their own apprehensions and fear. The most commonly encountered is the fear of the unknown. Fear is something which is innate and inborn. Fear of dentistry is there in every individual, whether young or old. This is mostly subjective in nature. Children show exaggerated fear for dentistry as this is something new to them. The pediatric dentists are trained in behavior management for reducing fear. There have been many methods, both pharmacological and non-pharmacological for behavior management in children. The pediatric dentists were able to apply one or the other behavior management techniques till now. Sudden appearance of a pandemic caused by nCOV-2 (coronavirus) changed everything. The change in practice pattern is bound to effect all the dental patients, more so the children. Here we will discuss how the behavior management techniques will change for children and how we can get some newer methods to reduce the fear.


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