scholarly journals Behaviour management during dental treatment!!!

2020 ◽  
Vol 4 (1) ◽  
pp. 015-016
Author(s):  
Kulshrestha Rohit
2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Claudia Butrón-Téllez Girón

El Síndrome de Asperger es una enfermedad del neurodesarrollo caracterizado por deficiencias en la interacción social y la comunicación,sin retraso en el desarrollo cognitivo y del lenguaje, considerado dentro de los Trastornos Generalizados del Desarrollo y de las Condiciones del Espectro Autista. Debido a las características de este síndrome estos pacientes requieren atención y técnicas conductuales específicas, parapoder realizar el tratamiento dental. El objetivo de este reporte es dar a conocer los cuidados y el manejo de conducta para el tratamiento dental en pacientes con Síndrome de Asperger. Palabras clave: Síndrome de Asperger, desensibilización sistemática, cuidado dental, salud bucal, prevención primaria, comportamiento.  AbstractAsperger syndrome is a disease of the neurodevelopmental characterized by deficiencies in social interaction and communication, without delay in cognitive development and language, and is considered within pervasive developmental disorders and the autism spectrumconditions. Due to the characteristics these patients require care and specific behavioral techniques, to perform dental treatment. The objective of this report is to present the care and behaviour management for dental treatment in patients with Asperger syndrome. Key words: Asperger syndrome, systematic desensitization, dental care, oral health, primary prevention, behaviour.


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


2007 ◽  
Vol 19 (3) ◽  
Author(s):  
Ediyana Nuryadi ◽  
Harry Arifin Kaiin ◽  
Kirana Lina Gunawan

The technique of behaviour management in medical treatment, especially in dental treatment, is needed to eliminate uncooperative children behaviour. The main factor influencing children behaviour is fear of painful that usually related to dental treatment. Children patients who will have their post­labioplasty and palatoplasty stitches removed have more sensitive condition, they cry when the dentist gives treatment. Using general anesthesia is a method to manage uncooperative children behaviour. Inhalational anesthesia is often used in general anesthesia and sevoflurane is a drug of choice. Sevoflurane has low solubility in blood, pleasant odor, nonirritating airway, and has a rapid induction of and recovery from anesthesia. Some researches indicate that sevoflurane gives more calm condition and can be used as a sufficiently ideal induction and maintenance of anesthesia in children. Sevoflurane can therefore made as alternative procedure in the removal of post-labioplasty and palatoplasty stitches.


Author(s):  
M.T. Hosey ◽  
G.J. Roberts

Pain and anxiety are natural physiological and psychological responses. Pain is a direct response to an adverse stimulus that has occurred; anxiety is the unpleasant feeling, the worry that something unpleasant might occur. Pain and anxiety are often intertwined, especially in the dental setting. The best way to manage child dental anxiety is to avoid its occurrence in the first place through prevention of dental disease, good behaviour management, pain-free operative care, and treatment planning that is tailored to the needs and developmental stage of each individual child. These issues are detailed in the previous chapters. This chapter specifically focuses on pharmacological pain and anxiety control and explores the roles of conscious sedation and general anaesthesia (GA) as adjuncts to behaviour management. A child’s perception of pain is subjective and varies widely, particularly with age. Infants up to about 2 years of age are believed to be unable to distinguish between pressure and pain. Older children begin to have some understanding of ‘hurt’ and begin to distinguish it from pressure or ‘a heavy push’. It is not always possible to identify which children are amenable to explanation and will respond by being cooperative when challenged with local anaesthesia (LA) and dental treatment in the form of drilling or extractions. Children over 10 years of age are much more likely to be able to think abstractly and participate more actively in the decision to use LA, sedation, or GA. As children enter their teenage years they are rapidly becoming more and more like adults and are able to determine more directly, sometimes emphatically, whether or not a particular method of pain control will be used. The response is further determined by the child’s coping ability influenced by family values, level of general anxiety and intelligence. There is a strong relationship between the perception of pain experienced and the degree of anxiety perceived by the patient. Painful procedures cause fear and anxiety; fear and anxiety intensify pain. This circle of cause and effect is central to the management of all patients. Good behaviour management reduces anxiety, which in turn reduces the perceived intensity of pain, which further reduces the experience of anxiety.


Author(s):  
P. Ashley ◽  
P. Anand ◽  
K. Andersson

Abstract Background Due to fear and/or behaviour management problems, some children are unable to cooperate for dental treatment using local anaesthesia and psychological support alone. Sedation is required for these patients in order for dentists to be able to deliver high quality, pain-free dental care. The aim of this guideline is to evaluate the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry and to provide guidance as to which sedative agents should be used. Methods These guidelines were developed using a multi-step approach adapted from that outlined by the National Institute for Clinical Excellence (NICE (2020) Developing NICE Guidelines: the manual. https://www.nice.org.uk/process/pmg20/chapter/introduction#main-stages-of-guideline-development. Accessed 7 Oct 2020). Evidence for this guideline was provided from a pre-existing Cochrane review (Ashley et al. Cochrane Database Syst Rev 12:CD003877, 2018) supplemented by an updated search and data extraction up to May 2020. Results Studies were from 18 different countries and had recruited 4131 participants overall with an average of 70 participants per study. Ages ranged from 0 to 16 years with an average age of 5.6 years across all included studies. A wide variety of drugs or combinations of drugs (n = 38) were used and delivered orally, intranasally, intravenously, rectally, intramuscularly, submucosally, transmucosally or by inhalation sedation. Twenty-four different outcome measures for behaviour were used. The wide range of drug combinations and outcome measures used greatly complicated description and analysis of the data. Conclusion Oral midazolam is recommended for conscious dental sedation. Midazolam delivered via other methods or nitrous oxide/oxygen sedation could be considered, but the evidence for both was very low.


2020 ◽  
Author(s):  
Andrea Radácsi ◽  
Krisztián Katona ◽  
Nelli Farkas ◽  
Tamás Kövesi ◽  
Ildikó Szántó ◽  
...  

Abstract Background: Dental treatment under general anaesthesia for children is a useful option in behaviour management. However, this treatment modality may also be accompanied by considerable postoperative pain. We aimed to specify factors related to postoperative pain and those that alleviate complaints. Methods: Children treated in general anaesthesia and their parents voluntarily participated in the study. Pain was reported daily by children using Wong Baker FACES Pain Rating Scale and by caregivers, using a yes/no questionnaire during hospitalization and throughout the postoperative week. The relation of patient and operation linked factors were evaluated in accordance with the duration and severity of pain. Results: Based on children’s responses and parental feedback, no significant difference was found in pain level between extraction and non-extraction cases. Intraoperative local anaesthesia did not influence pain during hospitalization. Compared to other analgesics postoperative intravenous opioid administration was more effective in pain management. Older patients reported more durable and severe pain during the postoperative week. Treatment time, airway management and the class of extracted primary tooth (molar, anterior) significantly influenced pain during postoperative week. Additionally, parental questionnaires revealed correlation between gender and postoperative pain.Conclusion: Few of the influencing factors are alterable, but with precise and meticulous treatment planning postoperative pain, thereby the distress on families may be reduced.


Author(s):  
M Sunil Kumar ◽  
V Aravinth ◽  
Madhan Chenchugopal ◽  
Arun Elangovan ◽  
Arjun Thomas ◽  
...  

Introduction: Every child who enters the dental clinic is different. Some of them are anxious, some are scared, some are angry, and some are confused. Rarely, children exhibit a positive behaviour, most of them being uncooperative. The child’s behaviour in turn influences the efficiency and outcome of the dental treatment. Aim: To assess parents or caregivers’ acceptance of various Behaviour Management Techniques (BMT) through direct observation and feedback received. materials and methods: A cross-sectional study was planned to assess the most preferred BMT. The study was conducted from November 1st, 2018 to October 31st, 2019 for a period of one year. Parents of children between the ages of four to nine years were included in the study using non random convenience sampling with 675 participants. Every parent was given an explanation about the study and briefed about nine major BMTs in regional language. Audiovisual aid for each technique in their own mother tongue was displayed via a projector and sound systems and parents were asked to watch it. Later they were given a Visual Analog Scale (VAS) of 10 mm length with markings, printed on a sheet of paper to assess the preference for each technique. Collected data was entered in an excel sheet and analysis was done using median test. Results: The results showed that 32.4% i.e., the highest percentage of people opted for Tell Show Do (TSD), indicating that TSD is the best BMT. Professional status of parent showed a significant impact on BMT selection. Conclusion: This study reveals that amongst all the behaviour management methods, ‘Tell-Show-Do’ was the most accepted BMT by the parents and the professional background of the parent has a statistically significant role in the selection of BMT.


2017 ◽  
Vol 2 (3) ◽  
pp. 164
Author(s):  
A.S. Hajrah Yusuf ◽  
Nurhaedah Galib

AbstractObjective: Children’s behaviour management problems is considered to be the most frequent problems in paediatric dentistry. One of factors that affect response behaviour of children towards dental treatment is parenting style. The purpose of this study was to evaluate the influence of parenting style towards cooperative levels in children aged 3-5 years during dental treatment.Material and Methods: The study was an observational analitical research with cross sectional research design. To obtain data in the field conducted by distributing Parenting Style and Dimention Questionare (PSDQ) and Frankl Behaviour Rating Scale to 130 respondents who currently make use of dental treatment in Hasanuddin University Dental Collage and Hospital.Results: Results showed that there are simultaneous effects of independent variables on the dependent variable with a sig < α (0,05), while the partial variables that most influence on patient cooperative variable is authoritarian with B Exponen of 8,370.Conclusion: There is a significant influence of parenting style towards cooperative levels in children aged 3-5 years during dental treatment. Parents with authoritative parenting style would made children cooperative eight times highest compared with other parenting style.


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