Lecture 2 Behaviour management techniques-pdf.pdf

Course Resources Paediatric dentistry at a glance/ Monty Duggal ; Angus Cameron, Jack Toumba. Pediatric dentistry : a clinical approach/ editors Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek.. Occlusal 08.01.2023 Pediatric Dentistry Assoc.Prof.Banu Öter Lecture 2: Behavioral managemen...

Course Resources Paediatric dentistry at a glance/ Monty Duggal ; Angus Cameron, Jack Toumba. Pediatric dentistry : a clinical approach/ editors Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek.. Occlusal 08.01.2023 Pediatric Dentistry Assoc.Prof.Banu Öter Lecture 2: Behavioral management techniques Behavioral management techniques 09.10 2023 LEARNING OUTCOMES The aim of this course is to teach 1. child physchology and 2. dentist-patient relationships; 3. and helping anxious and uncooperative children and patients to cope with dental treatment. Behavioral management techniques 09.10 2023 Fundamentals of Behaviour Management Behavior guidance involves the total dental health team. Indeed, many dental auxiliaries are invaluable when it comes to providing care for children. All personnel have a stake in guiding a child through the dental experience. Over the years, behavior guidance has meant different things to different people. Behavioral management techniques 09.10 2023 Behaviour management Because these individuals and their relationships cannot be segregated from external influences, the triangle is encircled by society. Note that the child is at the apex of the triangle and is the focus of attention of both the family and the dental team. Behavioral management techniques 09.10 2023 Fundamentals of Behaviour Management In 1895 McElroy33 wrote, “Although the operative dentistry may be perfect, the appointment is a failure if the child departs in tears.” This was the first mention in dental literature of measuring the success or failure of a child’s appointment by anything other than technical proficiency. Behavioral management techniques 09.10 2023 Fundamentals of Behaviour Management Pediatric dentistry has progressed since then, and one definition of behavior guidance is as follows: Behavior guidance is the means by which the dental health team effectively and efficiently performs treatment for a child and, at the same time, instills a positive dental attitude. Effectively in this definition refers to the provision of high-quality dental care. Efficient treatment is a necessity in private practice today. Quadrant dentistry, or perhaps half-mouth dentistry, utilizing auxiliary personnel, is vital in the delivery of efficient service to children. Finally, the development of a pediatric patient’s positive attitude is an integral part of this definition. In the past, many practitioners have considered “getting the job done” to be behavior Behavioral management techniques 09.10 2023 Behaviour management American Academy of Pediatric Dentistry’s (AAPD’s) clinical recommendations to emphasize that the goals are not to “deal with” a child’s behavior, but rather, to enhance communication and partner with the child and parent to promote a positive attitude and good oral health. Behavioral management techniques 09.10 2023 Behaviour management The following fundamentals of behavior guidance center on the attitude and integrity of the entire dental team. Positive Approach There is general agreement that the attitude or expectations of the dentist can affect the outcome of a dental appointment. Team Attitude A pleasant smile tells a child that an adult cares. Organization Plans in the dental office have many dimensions, beginning, for example, with the reception area. Who summons the new patient—the dentist, the dental assistant, the dental hygienist, or the receptionist? Who will address the problem if a child creates a d Behavioral management techniques 09.10 2023 Behaviour management Truthfulness Because truthfulness is extremely important in building trust, it is a fundamental principle in caring for children. Recognizing and acknowledging a patient’s fear and anxiety can strengthen that trust. Tolerance Recognizing individual tolerance levels is especially important in the treatment of children. Flexibility Because children can also experience fluctuations in tolerance between appointments or even during an appointment, the dental team must be prepared to change its plans at times Behavioral management techniques 09.10 2023 COMMUNICATING WITH CHILDREN Behavioral management techniques 09.10 2023 Behaviour management Child psychology 20.06.2023 Behaviour management Behavioral management techniques 09.10 2023 Behaviour management Behavioral management techniques 09.10 2023 Behaviour management Behavioral management techniques 09.10 2023 Behaviour management Behavioral management techniques 09.10 2023 Child’s Behaviour Classification Behavioral management techniques 09.10 2023 Behaviour management Behavioral management techniques 09.10 2023 Distraction is a method (behavior modification) that helps a child (or adult!) focus attention on a preferred activity in order to think less about another, ... Limitations Today’s children differ from those of past generations. They begin school earlier. Through the media, they are more aware than children were years ago. Limitations on the dentist exist today that were unheard of previously. Parenting also has changed. Much of the behavioral science research was done with traditional families in the 1960s and 1970s. Single-parent homes were less common, and terms such as reconstituted families and same-sex marriages were unknown. What about the child-rearing practices in these families? Decades ago, when “father” came to the office, it usually meant that the child had a behavior problem and “father” was the enforcer. With both parents working or with single-parent families, it is not unusual for a father to accompany a child to the dental office. Behavioral management techniques 09.10 2023 Limitations Have parental expectations changed in the dental office? Yes. Should parents be in the operatory room ? Why parents might be excluded from the operatory ? but it also urges periodic review of the policy. Many parents insist on their right to accompany their child. Behavioral management techniques 09.10 2023 Limitations Modern behavior guidance for the pediatric dental patient places a greater focus on communication techniques and a decreased or discontinued use of physical approaches. Parental concerns, as well as legal and ethical considerations, have resulted in a decreased or discontinued use of the controversial technique HOM. Furthermore, an increased acceptance of pharmacologic management techniques has been noted. Dental students and dentists must remember to keep abreast of the times in this highly dynamic area Behavioral management techniques 09.10 2023