Basic behavioral management techniques in pediatric dentistry: A systematic review and meta-analysis.

Gizani, Sotiria; Seremidi, Kyriaki; Katsouli, Konstantina; Markouli, Antigoni; Kloukos, Dimitrios

doi:10.1016/j.jdent.2022.104303

Cited by 14 publications

(17 citation statements)

References 70 publications

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“…According to the criteria of evidence-based medicine, there is little systematic evidence of behavioral management techniques. The best evidence currently available comes from uncontrolled trials, individual case studies, and expert opinion, mainly in pediatric patients [67]. The limited evidence for the effectiveness of one technique over another needs to be clarified by further research in the field of dental treatment of PIMD.…”

Section: Discussionmentioning

confidence: 99%

Chairside oral prophylaxis for people with profound intellectual or multiple disabilities—a retrospective feasibility study

Auerbacher,

Gebetsberger,

Hickel

et al. 2023

Clin Oral Invest

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Objectives People with severe intellectual or multiple disabilities (PIMD) have been receiving dental care in a specialized unit offering special care dentistry. For most of these adult patients, the initial consultation is complaint driven. In addition, the limited ability to cooperate due to their disabilities often means that dental treatment for these patients is usually carried out under general anesthesia (GA). Chairside treatment attempts are the exception rather than the rule. This retrospective study evaluated whether consistent practice of behavioral management principles and techniques embedded in a specific dental environment enables successful dental treatment of PIMD. Materials and methods The feasibility of chairside dental prophylaxis in PIMD (n=36) was analyzed: specific behavioral management techniques were applied, and professional tooth cleaning (PTC) was performed in the dental chair. Clinical data obtained from medical records and a questionnaire were analyzed. Results All patients had severe intellectual or multiple disabilities and had previously undergone at least one dental treatment under GA. Of these patients, 55.6% never had their teeth professionally cleaned before. Applying different behavioral techniques, all patients were compliant with receiving PTC in the dental chair. Conclusions An individualized and disability-specific treatment strategy using various noninvasive and nonpharmacological behavioral guidance techniques resulted in a higher compliance rate in PIMD, which allowed chairside PTC and reduced the need for treatment under GA. Clinical relevance Consistent implementation of various behavioral guidance techniques and communication strategies in a supportive environment enabled all patients to receive chairside PTC and be involved in a lifelong recall program.

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Section: Discussionmentioning

confidence: 99%

Chairside oral prophylaxis for people with profound intellectual or multiple disabilities—a retrospective feasibility study

Auerbacher,

Gebetsberger,

Hickel

et al. 2023

Clin Oral Invest

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“…In fact, the study conducted by Vasiliki et al [17] in 2016 stated that the presence of parents and a positive parental attitude in the operating room leads the child to be more cooperative and calm during visits [17]. Similarly, Tickle et al concluded that children whose parents display an anxious attitude are more likely to report anxiety [18]. Finally, the study of Gizani et al [19] confirmed the usefulness of this study: behavioral management comprises a challenge for clinicians, who need to be familiar with a range of techniques to meet patients' needs at individual level and be flexible in their implementation.…”

Section: Discussionmentioning

confidence: 99%

Development of an Evaluation form for the Assessment of the Best Therapeutic Process in Pediatric Dentistry: A Pilot Study

Gravante¹

2023

Open Access J Dent Oral Surg

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In pediatric dentistry, there is a lack of studies focusing on predicting the most suitable therapeutic process after the first dental visit. The aim of the study was to develop an objective evaluation form, based on three indexes (psychological index, family support index, dental therapies complexity index), able to identify, from the first dental visit, the best therapeutic process for each child (outpatient procedure, inhalation conscious procedure, pharmacological sedation, general anesthesia). A total of 30 children underwent a first dental visit. One dentist carried out the visit, chose the best therapeutic process, without the aid of the evaluation form, and scheduled dental therapies, while the other one observed the dental visit and filled in the evaluation form. After dental treatments, the value obtained from the evaluation form was compared with the therapeutic procedure actually carried out to observe if there was a concordance, assessed through Cohen`s Kappa. Finally, Fisher test was performed for the statistical analysis. The overall concordance between the results obtained from the evaluation form and the therapeutic procedure actually carried out turned out to be 73.30%. Within the indexes, a statistically significant association was detected between the family support index and the psychological index (p = 0.02), but not between dental therapies complexity index and both family support index (p = 0.30) and psychological index (p = 0.63), respectively. The evaluation form was able to help clinicians to better direct the child towards the most appropriate therapeutic dental process.

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“…Dental fear and phobia are categorized as a distressing expectation that impairs the normal functioning of dental care (GIZANI et al, 2022). This phenomenon represents not only a significant challenge to dental procedures, but also a worrying public health issue (LIN et al, 2017).…”

Section: Fear and Anxiety In Dental Carementioning

confidence: 99%

Behavioral management techniques in pediatric dentistry: a literature review

Uchôa,

Corrêa,

Corrêa

et al. 2024

Health of Tomorrow: Innovations and Academic Research

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Fear and apprehension related to dental care are considered a significant health challenge, often impeding the search for dental care. This obstacle takes on even greater proportions when it comes to children, as the effectiveness of procedures can be compromised if the dentist is not able to apply behavior management techniques. This study aims to address effective behavior management techniques to reduce fear and anxiety in child patients and their caregivers. To achieve this purpose, a literature review was carried out using the Virtual Health Library/LILACS, Pubmed and Scielo databases. The descriptors used included or combined: pediatric dentistry, fear, anxiety, child behavior. Children often experience fear and anxiety regarding dental treatment. To mitigate these feelings, it is crucial that the dentist knows and applies behavior management techniques, adapting them individually to each child and establishing a relationship of trust with both the child patient and their parents or guardians. This approach aims to minimize fear and anxiety, reducing the chances of behavioral problems, resulting in safe and smooth care.

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Basic behavioral management techniques in pediatric dentistry: A systematic review and meta-analysis.

Cited by 14 publications

References 70 publications

Chairside oral prophylaxis for people with profound intellectual or multiple disabilities—a retrospective feasibility study

Chairside oral prophylaxis for people with profound intellectual or multiple disabilities—a retrospective feasibility study

Development of an Evaluation form for the Assessment of the Best Therapeutic Process in Pediatric Dentistry: A Pilot Study

Behavioral management techniques in pediatric dentistry: a literature review

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