Acceptance by Spanish parents of behaviour-management techniques used in Paediatric Dentistry

Objective: To evaluate the acceptance of the parents of special needs patients (SNP) concerning behavior guidance techniques (BGT) used for the dental care. Methods: Participants were asked to answer a sociodemographic questionnaire and, after this, they received individual explanations regarding each of the BGT, and answered if they accepted, accepted with restrictions or did not accept each one of them. Data were analyzed using binomial nonparametric test for the difference between proportions and the chi-square test. Results: Participated 83 parents of SNP. All of them considered the use of communicative management (CM) for the patients' dental care to be totally acceptable. The use of protective stabilization (PS) was considered acceptable by 76 parents (91.57%), sedation (SD) by 65 parents (78.32%), general anesthesia (GA) by 63 parents (75.90%) and nitrous oxide inhalation (NOI) by 62 parents (74.70%). The differences between the levels of acceptance for each method regarding the three educational levels were not statistically significant. Sedation was statistically more readily accepted by parents of patients aged 31 to 40 years when compared with those of children until ten years of age. The acceptance of protective stabilization was statistically higher for patients with physical disabilities when compared with those of patients who had congenital disabilities, intelligence or behavioral deviations. Conclusion: Communicative management and protective stabilization were statistically more acceptable by parents than the other techniques.

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents

Castro

Espinosa

Pereira

et al. 2016

“…Some of them examined parent's views and attitudes [15][16][17] and others compared how children felt faced these strategies [7,8]. In general, children used to judge a behavior management technique according to the way it looked, so HOME (hand over mouth exercise) was the least acceptable BMT, whereas the most acceptable was TSD (tellshow-do) [8].…”

Section: Introductionmentioning

confidence: 99%

Student’s Perceptions about Pediatric Dental Behavior Guidance Techniques throughout a five-year Dental Curriculum

Oliveira¹,

Ângelo²,

Brito³

et al. 2015

Objective: To compare students' views about behavior management techniques (BMT) in pediatric dentistry, besides to identify whether educational components of dental curriculum may influence their perceptions. Material and Methods: Questionnaires with 18 statements, describing the techniques and clinical situations were distributed to students (n=83) from first-(P1), third-(P2) and eighth-(P3) semesters. Student's acceptability scores were measured with a Likert scale from 0 (total disagreement) to 10 (total agreement). Statistical analysis was performed using Mann Whitney U test. Results: P3 students agreed with most of BMTs. Pair comparisons between P1-P2 showed significant increase of means for Told treatment may involve pain and Sedative, besides significant decrease for Use of euphemisms. Comparisons between P2-P3 and P1-P3 indicated significant increase in the acceptability for: Voice control, Told not to be coward, Modeling, Blunting, Use of euphemisms, Parent not present, HOME, Active and Passive Immobilization and pharmacologic techniques. In all semesters, Verbal positive reinforcement, Distraction and Tell-show-do were the most accepted techniques, however, there was no consensus regarding to the least accepted one. Promising a toy became less acceptable throughout the semesters and Parent not present became more acceptable. Conclusion: These findings indicate that educational process may influence on the students' perceptions about BMTs.

“…Changes in medications, with increased safety profiles and efficacy, used for oral premedication (sedation) over the years may also contribute to the rising acceptability. Overall, parents may perceive oral premedication (sedation) and general anesthesia to be less risky, more cost-effective, more comfortable for their children than in the past [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Parental Acceptance of Various Behaviour Management Techniques used in Pediatric Dentistry: A Pilot Study in Odisha, India

Acharya

2017

Objective: To assess the parents' acceptance towards the behavior management techniques commonly used in the pediatric dentistry. Materials and Methods: Fifty parents participated in the study. Parents were asked to view a power-point presentation on 10 behavior management techniques: 1) Voice control, 2) Tell-Show-Do, 3) Positive reinforcement, 4) Mouth prop, 5) Modelling, 6) HOME, 7) Physical restraint, 8) Oral premedication 9) N2O-O2 sedation and 10) General anesthesia. Parents were asked to arrange various behavior management techniques from most accepted technique to least accepted technique. Results: In the present study population, the preferred behavior management technique was Tell-Show-Do followed by positive reinforcement and the least preferred behavior management technique was HOME followed by voice control and physical restraint. Conclusion: The parental acceptance of various behaviour management techniques have changed. Tell-show-do technique is still the most acceptable technique; however, sedation and general anesthesia acceptance has increased as shown in this study.