scholarly journals Application of Behavior Management Techniques for Paediatric Dental Patients by Tanzanian Dental Practitioners

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 14 (1) ◽  
pp. 369-374
Author(s):  
Mashael Alqahtani ◽  
Alla Nahhas ◽  
Lujain Malibari ◽  
Maryam Alghamdi ◽  
Sara Bazuhier ◽  
...  

Background: Oral Cancer (OC) is a serious health problem affecting the oral cavity, which may lead to death. Alcohol, tobacco, and chewing betel are the main risk factors. Early diagnosis and adequate knowledge of OC may improve the survival rate. Objective: This study aimed to assess the knowledge about oral cancer among dental patients in Mecca. Methods: A cross-sectional study was conducted in the dental clinics of Mecca. Interviewer-administered questionnaires were distributed to 416 respondents aged 18 or older, who spoke Arabic or English, had no history of OC, and participated voluntarily. The questionnaire consisted of three sections. The first regarded demographical data, the second measured knowledge about OC, and the third was concerned with education regarding OC provided by health-care providers. The interviewers also educated the participants by handing brochures with information about OC. Results: Knowledge about OC among dental patients in Mecca was found to be significantly low. Only 102 of the 416 participants (24.5%) had any knowledge. Only 3.4% of all participants had been educated about OC by their health-care providers. Conclusion: The results of this study show a considerable lack of general knowledge about OC among dental patients in Mecca. Health programs should be developed to raise the community’s awareness.


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.


2018 ◽  
Vol 42 (3) ◽  
pp. 212-216
Author(s):  
Sigalit Blumer ◽  
Rula Shehadi Khoury ◽  
Benjamin Peretz

Objective: There are no clear guidelines for managing the dental treatment of children with attention deficit hyperactivity disorder (ADHD). The use of sedation in combination with chronic ADHD medication use is also not well defined. This study surveyed the prevalence of ADHD children, management techniques and knowledge of pharmacologic therapies of these children among Israeli dentists. Study Design: A specially designed questionnaire was distributed to all Israeli dentists attending a national conference in 2016. Results: Of the 160 dentists who attended the conference, 96 completed the survey (60% response rate), and they included 46 (51%) pediatric dental specialists and 50 (49%) general dental practitioners. The medications Ritalin and Concerta were most familiar to the respondents (98.9%). Eighty-seven (91.1%) of the practitioners responded that their ADHD patients take their usual doses of any drug for treating ADHD symptoms, regardless of whether or not the dentists intended to use sedatives. The practitioners invented their own behavior management techniques with varying degrees of success. Conclusions: There are no specific guidelines for the most effective pharmacologic protocol (co-administration of ADHD drugs and dental sedatives) or behavior management techniques for the provision of optimal dental care to children with ADHD.


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.


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):  
Gurpreet Kaur ◽  
Navneet Kaur ◽  
Aaina Angral ◽  
Deeksha Ahuja Jhatta

Background: Oral cancer is a silent invasive disease with poor prognosis and more than 60 % of these cases were diagnosed in later stages. Early diagnosis of the malignancy greatly increased survival rates as the mouth is easily accessible for self or clinical examination. Lack of awareness among dental practitioners and health care providers is the most significant factor in delaying diagnosis and treatment of oral cancer. Aim & Objective: 1) To assess the level of knowledge and awareness regarding oral cancer, its clinical presentation and associated risk factors among dental practitioners and dental students.2) To explore dentists’ attitude regarding their role in screening, detection and prevention of oral cancer. Material & Methods:   A cross sectional online survey was conducted on 300 dental practitioners and dental students, who are working and studying in recognized dental institutes and dental clinics receptively in the area around tri-city. A validated questionnaire   survey comprised of 29 questions regarding a basic knowledge and awareness, and attitude and screening of oral cancer was distributed randomly among the participants. The Performa was distributed through electronic media and all the participants filled the questionnaire Performa. Performa was based on the demographic data and to raise the awareness, knowledge, attitude and screening of oral cancer among dental practitioners and dental students. All the data were collected, tabulated and analysed using SPSS software 20. Results:  A total of 300 dental practitioners and dental students were approached, of which 273 participated in the study. The response rate of the study was 91%.  Among the various risk factors for causing oral cancer, the use of alcohol was identified as a major risk factor by 267 (97.8%) dentists. The high-risk age group for oral cancer was identified in between 40-60 years by 246 (90.1%) dentists. Two hundred and forty-four (89.4%) dentists strongly agreed that patients should be referred to specialists if they suspected oral cancer in any lesion. Majority 97.8% of the dentists routinely practiced complete oral cavity examination on all patients who attended their practice. Conclusion:  It can be concluded that though the mean knowledge and awareness, attitude, practice and screening about oral cancer among specialized dentists was good but there is a need to improve the knowledge and practices of risk factors for oral cancer among general dental practitioners by either collaborative approach by various specialties or by arranging continuous educational programs for them. Keywords: Oral cancer, oral cancer awareness, Poor oral hygiene, screening, Risk factors, Dental professionals


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