Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK

Newton, Tim; Patel, Hiren P.; Shah, Shweta; Sturmey, Peter

doi:10.1111/j.1365-263x.2004.00533.x

Cited by 16 publications

(12 citation statements)

References 7 publications

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“…The most widely used BMT among respondents in this study was "Tell-show-do", practi ced by more than 70%, while the least practi ced was Hand-overmouth exercise (HOME) and general anesthesia. This fi nding is similar to that reported on pediatric denti sts in the United Kingdom 9,10 . It was reported that very few pediatric denti sts endorse or use HOME and restraint as techniques for the control of non-cooperati ve children.…”

Section: Discussionsupporting

confidence: 90%

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Oredugba¹,

Sanu²

2009

Pesq Bras Odontoped Clin Integr

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Section: Discussionsupporting

confidence: 90%

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Oredugba¹,

Sanu²

2009

Pesq Bras Odontoped Clin Integr

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“…Crossley & Joshi (2002) found that only 2% of UK paediatric specialists felt comfortable with the use of HOM, and only 2% felt comfortable with the use of the Papoose Board. Similar findings were reported by Newton et al. (2004).…”

Section: Methods Of Behaviour Management In Dentistrysupporting

confidence: 92%

Restrictive Behaviour Management Procedures with People with Intellectual Disabilities who Require Dental Treatment

Newton

2009

Research Intellect Disabil

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Background Dental disease is more common among people with intellectual disabilities than in the general population. Improvements in oral health require individuals to engage in daily oral hygiene and regular visits to a dental practitioner; both may be challenging for the individual with intellectual impairment. Materials and Methods A review of policies relating to behaviour management and physical restraint for individuals with intellectual disabilities and challenging behaviours was undertaken. Published studies of behaviour management in individuals with intellectual disabilities attending for dental treatment were reviewed. Reference to studies of children with average IQ and other populations were made where appropriate. Results There is little published evidence regarding behaviour management for people with intellectual disabilities who require dental treatment. Current policies place great emphasis on pharmacological management and restrictive behaviour management techniques. There is a paucity of studies which have employed a functional analysis framework. There are few incentives for dentists to implement positive approaches to behaviour management as current systems of payment reward the completion of numbers of treatments and thus there is an incentive to complete treatments quickly rather than to spend time with patients. Conclusions There is a need for research addressing the behaviour management of individuals with intellectual disabilities who require dental treatment, particularly the efficacy of non-restrictive techniques and the provision of incentives that reward the use of positive behaviour management among dentists. The use of restrictive techniques should be carefully monitored for compliance with best practice guidelines.

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“…Moreover, physical restraint and hand-over-mouth techniques have been largely admitted and accepted by parents in struggling children until now (Wilson and Houpt, 2016). Unfortunately, they have not been abandoned yet, despite the increasing distrust toward these physical methods of immobilization and coercion (Newton et al, 2004; Eaton et al, 2005); this is no longer tenable, given that previous bad experiences in the dental setting are a major cause for DA and phobia, with their wide range impact in patients' lives (Levin, 2003; Facco et al, 2015b). …”

Section: History and The Role Of Pharmacological Techniques Todaymentioning

confidence: 99%

The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review

Facco

Zanette

2017

Front. Psychol.

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Dental anxiety (DA) can be considered as a universal phenomenon with a high prevalence worldwide; DA and pain are also the main causes for medical emergencies in the dental office, so their prevention is an essential part of patient safety and overall quality of care. Being DA and its consequences closely related to the fight-or-flight reaction, it seems reasonable to argue that the odyssey of DA began way back in the distant past, and has since probably evolved in parallel with the development of fight-or-flight reactions, implicit memory and knowledge, and ultimately consciousness. Basic emotions are related to survival functions in an inseparable psychosomatic unity that enable an immediate response to critical situations rather than generating knowledge, which is why many anxious patients are unaware of the cause of their anxiety. Archeological findings suggest that humans have been surprisingly skillful and knowledgeable since prehistory. Neanderthals used medicinal plants; and relics of dental tools bear witness to a kind of Neolithic proto-dentistry. In the two millennia BC, Egyptian and Greek physicians used both plants (such as papaver somniferum) and incubation (a forerunner of modern hypnosis, e.g., in the sleep temples dedicated to Asclepius) in the attempt to provide some form of therapy and painless surgery, whereas modern scientific medicine strongly understated the role of subjectivity and mind-body approaches until recently. DA has a wide range of causes and its management is far from being a matter of identifying the ideal sedative drug. A patient's proper management must include assessing his/her dental anxiety, ensuring good communications, and providing information (iatrosedation), effective local anesthesia, hypnosis, and/or a wise use of sedative drugs where necessary. Any weak link in this chain can cause avoidable suffering, mistrust, and emergencies, as well as having lifelong psychological consequences. Iatrosedation and hypnosis are no less relevant than drugs and should be considered as primary tools for the management of DA. Unlike pharmacological sedation, they allow to help patients cope with the dental procedure and also overcome their anxiety: achieving the latter may enable them to face future dental care autonomously, whereas pharmacological sedation can only afford a transient respite.

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Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK

Cited by 16 publications

References 7 publications

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Behavior Management Techniques Employed by Nigerian Dentists for their Child Patients

Restrictive Behaviour Management Procedures with People with Intellectual Disabilities who Require Dental Treatment

The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review

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