Dental fear in the paediatric population can be a significant barrier to providing optimal dental care. Pharmacological management techniques utilized to manage anxiety, such as conscious sedation and general anaesthesia, are expensive and require specialized equipment with additional staff training. With recent advances in technology, video glasses are an economic and novel distraction technique that may aid in improving behaviour management and facilitate dental treatment. Clinical relevance: Nervous children may find difficulty in accessing care owing to their inability to co-operate and accept dental treatment. This paper describes an innovative technique that may aid the clinician in overcoming this barrier.
Autism is a developmental disorder that can prove to be a barrier in providing orthodontic care due to a difficulty in developing language and communication. The purpose of legislation imposed in regards to mental capacity is to ensure that an individual has the right to autonomy. However, we must carefully balance an autistic patient and guardian's wishes with indications for orthodontic treatment. This article recognizes the difficulties in managing autistic patients and discusses methods to facilitate effective management. Clinical Relevance: Autistic patients may find difficulty in accessing orthodontic care owing to their inability to socialize and communicate. This article offers novel behaviour management techniques that may aid in tackling this barrier.
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