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

Abstract

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.

Relaciones entre los estilos de crianza actuales, el empleo de las técnicas de orientación del comportamiento y su enseñanza en Odontopediatría. Revisión bibliográfica.

“…El uso de técnicas farmacológicas tiene cada vez mayor aprobación y menor la estabilización protectora. Los padres más permisivos y sobreprotectores aceptan, e incluso solicitan TODC farmacológicas tales como sedación o anestesia general por percibirlas como menos arriesgadas y más cómodas para sus hijos, evitándoles una situación que ellos mismos pueden considerar desagradable e incluso potencialmente traumática [32][33][34][35] . Sin embargo, los padres autoritativos tienden a rechazar estas técnicas o a tenerlas en cuenta con mucha reserva 12 .…”

“…1 al 10 (1 la más aceptada, 10 la menos) siempre a partir del 5º lugar 5,19,21,34 (Figura 1). La única excepción en la literatura revisada la encontramos en Arabia Saudí 29,33 , país en el que la sedación farmacológica por vía oral ocupó el 4º puesto en el orden de aceptación de las TODC.…”

“…En relación a la sedación farmacológica por vía intravenosa su porcentaje de uso es menor que el de la vía oral 38 . En torno al 50% de los odontopediatras reciben formación específica teórica para el uso de esta técnica, pero el porcentaje de profesionales entrenados en la práctica es menor 15 y como resultado menos de un cuarto de ellos la usa habitualmente para tratar pacientes pediátricos 34,39 .…”

Parental Acceptance and Attitudes Towards Various Behavior Management techniques for Children During Dental Treatment: A Cross-Sectional Study

“…5 With advances in dentistry, a dramatic shift in the approach to managing patients has been observed. 6 Parents have an important role in the decision-making for the child. The temperament of the parents is translated into their preferences for managing their child's behavior.…”

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

“…Furthermore, in Spain, in 2010, the most acceptable techniques were tell-show-do, followed by active restraint, nitrous oxide (N 2 O) sedation, and GA, while the least accepted were the hand-over-mouth technique and papoose board (Leon et al 2010 ). In another study in India (2016), showed that sedation and GA were rated as acceptable techniques (Acharya 2017 ). This means that parental attitude towards different behaviour management techniques in paediatric dentistry is not fixed and changes over time and is affected by social and cultural changes (Jafarzadeh et al 2015 ).…”