scholarly journals Behavior Management in Pediatric Dentistry: An Overview and Interpretation

2019 ◽  
Vol 19 (1) ◽  
pp. 1-2
Author(s):  
Burak Buldur
Keyword(s):  
Behavior Management ◽  
Pediatric Dentistry

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

2018 ◽  
Vol 19 (2) ◽  
pp. 237-241 ◽  
Author(s):  
Hicham Riba ◽  
Asma Al-Shahrani ◽  
Hayat Al-Ghutaimel ◽  
Adel Al-Otaibi ◽  
Salim Al-Kahtani
Keyword(s):  
Behavior Management ◽  
Pediatric Dentistry ◽  
Management Technique ◽  
Care Needs ◽  
Parental Presence ◽  
Special Health Care ◽  
Dental Patients ◽  
A Minor ◽  
Controversial Aspect ◽  
Special Health

ABSTRACT 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. How to cite this article Riba H, Al-Shahrani A, Al-Ghutaimel H, Al-Otaibi A, Al-Kahtani S. Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View. J Contemp Dent Pract 2018;19(2):237-241

scholarly journals Oral Health Care Delivery for Children During COVID-19 Pandemic—A Retrospective Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Avia Fux-Noy ◽  
Luna Mattar ◽  
Aviv Shmueli ◽  
Elinor Halperson ◽  
Diana Ram ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Deep Sedation ◽  
Care Delivery ◽  
Medical Center ◽  
Pediatric Dentistry ◽  
Control Measures ◽  
Healthy Children ◽  
Efficient Treatment ◽  
Dental Staff

Aim: COVID-19 outbreak and the lockdown period following was a very challenging time for pediatric dentistry. We aimed to find whether the characteristics of dental care provided to children at the Department of Pediatric Dentistry at Hadassah medical center, Jerusalem, Israel, differed between the periods, before COVID-19 outbreak, during the lockdown period and during the period that followed it.Materials and Methods: We retrospectively reviewed computerized records of patients who visited the pediatric dental clinic at three different periods: pre-lockdown period, lockdown period, and post-lockdown period.Results: Nine-hundred and forty-nine children were included in the study; most of them were healthy children between 3 and 6 years old. During lockdown, all scheduled appointments except for treatments under general anesthesia and deep sedation were canceled due to the government's restrictions; the frequency of treatments with non-pharmacological behavior management, general anesthesia or deep sedation was higher than in the previous or subsequent periods and the use of inhaled/conscious sedation was significantly lower. During lockdown most of the children were diagnosed with dentoalveolar abscess (32.3%), compared to 14 and 21% at the previous or subsequent periods, respectively (P < 0.001). Treatments combination during lockdown included more extractions, pulpectomies and pulp extirpation and less permanent restorations (P < 0.001). None of the staff members was infected with COVID-19 at the clinic during these periods. We concluded that dentists should be updated about Covid-19 modes of transmission and the recommended infection control measures in dental settings. Effective management protocols can help the dental staff to continue to provide efficient treatment and prevent Covid-19 contamination.

scholarly journals PREFERENCE OF USE OF RESTRAINTS BY POSTGRADUATE STUDENTS IN PEDIATRIC DENTISTRY IN BENGALURU.

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Priyona John ◽  
Santhosh T Paul
Keyword(s):  
Behavior Management ◽  
Dental Treatment ◽  
Demographic Data ◽  
Pediatric Dentistry ◽  
Formal Training ◽  
Behaviour Management ◽  
Postgraduate Students ◽  
Management Techniques ◽  
Behavior Management Techniques ◽  
Self Administered Questionnaire

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

scholarly journals Dental behavior management of a patient with osteogenesis imperfecta type V: case report

2020 ◽  
Vol 28 (87) ◽  
Author(s):  
Danilo Cassiano Ferraz ◽  
Ana Luiza Rodrigues Ribeiro ◽  
Ronan Machado de Alcântra ◽  
Alessandra Maia de Castro ◽  
Fabiana Sodré de Oliveira ◽  
...  
Keyword(s):  
Osteogenesis Imperfecta ◽  
Behavior Management ◽  
Parental Education ◽  
Bone Fractures ◽  
Pediatric Dentistry ◽  
Bone Fragility ◽  
Osteogenesis Imperfecta Type ◽  
Dental Biofilm ◽  
Stabilization Technique ◽  
Type V

Aim: the aim of this study is to report a case of a four-year-old male patient diagnosed with Osteogenesis Imperfecta (OI) type V and the dental care performed.  Material and method: the patient has been monitored by a multidisciplinary team composed by Pediatric Dentistry, Nurse and Nutritionist at a Special Patients Center in Dentistry Hospital on the Federal University of Uberlândia since one month of life. It was reported that a child had already suffered several bone fractures and currently he has been using calcium carbonate, D vitamin and pamidronate. Results: the proposed intervention was dental preventive strategies by parental education, caries risk assessment and controlling the dental biofilm with professional prophylaxis. But, due to the uncooperative behavior, it was used the active protective stabilization technique and mouth opener. Conclusion: it was concluded that due to the bone fragility and the risk of fractures, it is important a careful placement of the patient on the dental chair. Also, the correct use of basic auxiliary devices and advanced techniques of behavior management were relevant.

The Attitude of parents toward behavior management techniques in pediatric dentistry

2006 ◽  
Vol 30 (4) ◽  
pp. 310-313 ◽  
Author(s):  
Mahmoud Alammouri
Keyword(s):  
Behavior Management ◽  
Positive Reinforcement ◽  
Conscious Sedation ◽  
Parental Attitudes ◽  
Pediatric Dentistry ◽  
Behavioral Management ◽  
Voice Control ◽  
Control Parent ◽  
Management Techniques ◽  
Behavior Management Techniques

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.

scholarly journals Changes in Behavior Management and Treatment Modalities in Pediatric Dentistry during COVID-19 Pandemic

2020 ◽  
Vol 13 (S1) ◽  
pp. S125-S131
Author(s):  
Ola B Al-Batayneh ◽  
Majd M Alsaleh ◽  
Jumana M Sabbarini ◽  
Yousef S Khader
Keyword(s):  
Behavior Management ◽  
Pediatric Dentistry ◽  
Treatment Modalities

scholarly journals Behavior management in Pediatric Dentistry during and after Corona pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Sonu Acharya ◽  
Keyword(s):  
Behavior Management ◽  
Pediatric Dentistry ◽  
The Other ◽  
Practice Pattern ◽  
Dental Patients ◽  
Change In Practice ◽  
Pediatric Dentists ◽  
Sudden Appearance ◽  
Management Techniques ◽  
Behavior Management Techniques

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.

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

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