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

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.

PEDIATRICS ◽  
1992 ◽  
Vol 90 (4) ◽  
pp. 651-652
Author(s):  
◽  
Richard D. Krugman ◽  
Jan Bays ◽  
David L. Chadwick ◽  
Carolyn J. Levitt ◽  
...  

To the Editor.— It has been brought to the attention of The American Academy of Pediatric Committee on Child Abuse and Neglect that some dentists continue to use the hand-over-mouth technique with airway restriction (HOMAR) for behavioral management of pediatric patients. We have received two case reports of children who were adversely affected by this technique. One was left with bruises and petechiae and the other lost consciousness and bladder control. The original literature on the hand over mouth (HOM) technique is alarming as it indicates that "once in a great while a patient's nostrils can be closed until he really needs air, as indicated by his color" and that 19 of 35 pediatric dentists surveyed in 1969 "felt it is permissible to completely close off a child's airway in special circumstances."


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


2019 ◽  
Author(s):  
Samah Kanzel ◽  
Fatma Abdelgawad ◽  
Kamal El Motayam

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.


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.


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.


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.


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