Parental acceptance of advanced behaviour management techniques in paediatric dentistry in families with different cultural background

Abstract

Purpose To investigate the differences of parental acceptance of advanced behaviour management techniques (BMT) in different cultural backgrounds (Germany vs. Jordan). Methods A convenience sample of 100 parents each of paediatric patients at the University of Greifswald/Germany and Jordan University/Jordan completed a questionnaire to rate their acceptance of four advanced BMT (passive restraint, active restraint, nitrous oxide sedation, and general anaesthesia) using a five-point Likert scale. Results In both groups, nitrous oxide sedation was the most accepted advanced BMT (mean 3.78 ± 1.34/3.22 ± 1.50, respectively). The least acceptable technique in Germany was passive restraint (2.05 ± 1.18) and in Jordan general anaesthesia (2.11 ± 1.30). The parents in Germany are significantly more accepting of nitrous oxide sedation than are parents in Jordan (p = 0.010), while parents in Jordan are more willing to accept passive restraint (p = 0.001). The acceptance of all advanced BMT increased significantly in both groups when the treatment was urgent. Conclusions Parental cultural background and the urgency of the treatment affect the acceptance of different BMT. Moreover, the parental attitude to the pharmacological technique has changed, as nitrous oxide sedation generally appears to be the most preferred advanced technique in both groups.

A Randomised Crossover Trial of Behaviour Guidance Techniques on Children with Special Health Care Needs during Dental Treatment: The Physiological Variations

“…Despite being dismissed as inappropriate and banned by law in certain continents, such as Northern Europe and Australia [ 30 ], the study findings challenge the ethical principles of nonmaleficence, autonomy, and justice when it is used based on the principle of the beneficence of restraint in paediatric dentistry [ 17 ]. Various beliefs and attitudes on the usage of passive immobilisation devices involve numerous contributing factors which may lead to either positive or negative circumstances [ 15 , 16 , 31 ]. The outcome observed and recognised that the use of passive immobilisation is not for convenience but is considered a safe alternative method in providing dental treatment for children with special health care needs.…”

Parental acceptance toward behavior guidance techniques for pediatric dental visits: a meta-analysis

“…The full text of 84 studies was accessed, and 53 met the inclusion criteria for the review. One of these studies had two publications 39,67 .…”

Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT

“…Such interventions are effective and carry high societal acceptance but may risk becoming time‐consuming to the detriment of other patients that also require oral care. Theoretically, an uncooperative child can be immobilized by imposing a passive or active restraint, but parental acceptance of such practices has decreased gradually (Eaton et al, 2005 ; Boka et al, 2014 ; Patel et al 2016 ; Al Zoubi et al, 2021 ; Ilha et al, 2021 ), and also reflected in patient rights and safety regulations in many countries (Wells et al, 2018 ).…”