Behaviour Management for Dental Procedures in the Paediatric Patient

Campbell, Caroline; Soldani, Francesca

doi:10.1007/978-3-030-66372-8_4

Cited by 3 publications

(26 citation statements)

References 8 publications

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“…Regarding target populations, thirteen CPGs focused on children and adults, 31,32,36,37,41,42,47,48,51,52,[56][57][58] thirteen towards children alone 6,[33][34][35]39,40,43,44,46,49,53,54,59 and four towards adults only. 38,45,48,55 Regarding intended users, fourteen were primarily targeted at dental professionals, 31,32,34,[36][37][38][39]42,45,[53][54][55][56]58 another seven were targeted specifically at paediatric dental professionals, 35,40,43,44,46,49,…”

Section: Cpg Characteristicsmentioning

confidence: 99%

“…38,45,48,55 Regarding intended users, fourteen were primarily targeted at dental professionals, 31,32,34,[36][37][38][39]42,45,[53][54][55][56]58 another seven were targeted specifically at paediatric dental professionals, 35,40,43,44,46,49,59 six were aimed at a broader range of healthcare workers, 6,33,41,48,50,52 one for dentists who practice oral and maxillofacial surgery, 47 one towards anaesthetists 51 and one where the target population was not reported. 57 Scope of CPG was mainly refined by age 6,33,35,[39][40][41][42][43][44]46,49,53,54,59 or procedure, such as the use of sedation/general anaesthesia,…”

Section: Cpg Characteristicsmentioning

confidence: 99%

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Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines

Mac Giolla Phadraig,

Kammer,

Asimakopoulou

et al. 2023

Comm Dent Oral Epid

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IntroductionThere is no agreed taxonomy of the techniques used to support patients to receive professional oral healthcare. This lack of specification leads to imprecision in describing, understanding, teaching and implementing behaviour support techniques in dentistry (DBS).MethodsThis review aims to identify the labels and associated descriptors used by practitioners to describe DBS techniques, as a first step in developing a shared terminology for DBS techniques. Following registration of a protocol, a scoping review limited to Clinical Practice Guidelines only was undertaken to identify the labels and descriptors used to refer to DBS techniques.ResultsFrom 5317 screened records, 30 were included, generating a list of 51 distinct DBS techniques. General anaesthesia was the most commonly reported DBS (n = 21). This review also explores what term is given to DBS techniques as a group (Behaviour management was most commonly used (n = 8)) and how these techniques were categorized (mainly distinguishing between pharmacological and non‐pharmacological).ConclusionsThis is the first attempt to generate a list of techniques that can be selected for patients and marks an initial step in future efforts at agreeing and categorizing these techniques into an accepted taxonomy, with all the benefits this brings to research, education, practice and patients.

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Section: Cpg Characteristicsmentioning

confidence: 99%

Section: Cpg Characteristicsmentioning

confidence: 99%

Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines

Mac Giolla Phadraig,

Kammer,

Asimakopoulou

et al. 2023

Comm Dent Oral Epid

View full text Add to dashboard Cite

show abstract

“…This can be achieved verbally through a clinician talking during the procedure or alternatively with distracting sensations like lip pulling. 26 Effective analgesia is also important in obtaining continued cooperation, and efforts should be made to use topical anaesthetic prior to a slow steady delivery of local anaesthetic to maximise comfort and compliance. During treatment, inclusion of a stop signal in the form of a hand gesture can create a feeling of control for the patient and help alleviate anxiety.…”

Section: Behaviour Managementmentioning

confidence: 99%

“…Recognising and verbalising positive actions from the patient will reinforce and shape behaviour for future appointments. 26…”

Section: Behaviour Managementmentioning

confidence: 99%

“…When appropriate, delaying treatment to a follow-up appointment and giving information to the patient and guardian allows them to prepare for the treatment and improves future cooperation. 26,28 Signposting to helpful images and explaining sensations and expectations may help to mitigate the fear of the unknown. Despite best efforts, some patients may not be suitable for extensive dental treatment without the support of pharmacological techniques such as inhalation sedation or general anaesthetic.…”

Section: Behaviour Managementmentioning

confidence: 99%

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Special considerations in paediatric dental trauma

Némat,

Kenny,

Day

2023

Prim Dent J

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Traumatic dental injuries (TDIs) in the paediatric population are common and frequently seen in general dental practice. The management of TDIs can be challenging and, in most cases, the General Dental Practitioner is tasked with the initial assessment and emergency treatment. Patients and their families typically attend with elevated levels of distress, which is complicated by the limited dental experience of some children. Behaviour management is essential and helps prepare patients for dental care at both their emergency and follow-up appointments. Early and accurate diagnosis in combination with appropriate treatment contributes to favourable outcomes for traumatised teeth. Early discussions with or referral to paediatric dental teams for management of complex TDIs is encouraged, however shared follow-up care is beneficial over the long-term. In specific cases, initial dental treatment can be delayed by a few days to a subsequent appointment, allowing the dental team to book sufficient time for the treatment and for the patient and their families to prepare. Education of the patients and adults with parental responsibility is essential to manage expectations, explain likely complications and encourage attendance for long-term follow-up visits. This paper discusses the management of paediatric patients to aid the primary care practitioner in providing effective immediate and long-term care.

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Child Stress and Behaviour During Restorative Treatment under Non-Pharmacological Techniques and Sedation: A Case Series

Moterane,

Anabuki,

Costa

2023

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To evaluate the behaviour and stress of children undergoing restorative treatment with and without sedation. Material and Methods: Participants were 14 healthy children aged between 2.5 and 6 years and with a history of dental behavioural management problems. In the dental treatment visit, the child was treated with non-pharmacological techniques, and in the second, moderate sedation was added. The child received the same procedure performed by a paediatric dentist in both visits: composite resin restoration using local anaesthesia and rubber dam isolation. In both visits, saliva was collected at the children's arrival at the dental clinic, during local anaesthesia and at the end of treatment. The visits were filmed for later analysis of behaviour according to the Ohio State University Behavioural Rating Scale. Results: About 78.5% of children improved their behaviour from the first to the second visit. The salivary cortisol curve of the first visit was maintained in the second visit for 21.4% of children but varied in the remaining participants. Conclusion: Most children presented better behaviour and less stress when sedation was added to non-pharmacological techniques during dental care.

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Behaviour Management for Dental Procedures in the Paediatric Patient

Cited by 3 publications

References 8 publications

Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines

Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines

Special considerations in paediatric dental trauma

Child Stress and Behaviour During Restorative Treatment under Non-Pharmacological Techniques and Sedation: A Case Series

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