Protective Stabilization in the Dental Setting

Townsend, Janice A.

doi:10.1007/978-3-030-10483-2_11

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…The fact that most of the caregivers of children are mothers and that it is a quick and inexpensive way to solve the existing dental problems of their young children who have insufficient compliance with dental treatment may have affected the technical acceptability. However, the adverse psychological side effects that may arise from this technique should be considered [37].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Parental Acceptance towards Contemporary Behavior Management Techniques Used in Pediatric Dentistry: A Preliminary Study on Turkish Population

Candan,

Kutlu,

Yilmaz Karaman

2023

Children

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Background: Parents, who make the final decision regarding their child’s treatment, play a significant role in their dental care. Parental approval is important for each stage of treatment and may affect the physician’s approach to the treatment. Therefore, it is essential for pediatric dentists to comprehend which behavior management techniques (BMTs) are acceptable to parents and to identify the factors that influence their acceptability. Methods: Parents who were bringing their children for dental treatment answered a survey on the acceptance of twenty contemporary BMTs. The sociodemographic data of the parents and the age, gender, and Frankl behavior rating scale (Frankl) scores of their children were recorded. Parents were asked to indicate their level of acceptance of each BMT. Binary logistic regression analysis was designed to see the predictors of “accepted” and “declined” answers. Results: According to acceptance frequencies, the most accepted technique was communication and communicative guidance. The most declined technique was parental absence. The child’s age, gender, Frankl score, parental educational status, and parent type predict the acceptability of some BMTs. Conclusion: This study revealed that pediatric dentists must consider parent and child factors when selecting BMTs for children. We believe that this study can provide a basis for determining which factors pediatric dentists should consider when selecting individualized BMTs.

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Section: Discussionmentioning

confidence: 99%

Predictors of Parental Acceptance towards Contemporary Behavior Management Techniques Used in Pediatric Dentistry: A Preliminary Study on Turkish Population

Candan,

Kutlu,

Yilmaz Karaman

2023

Children

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“…Thus, continuous monitoring of the children’s physical well-being and tightness of the stabilisation device was mandatory throughout the procedure, which included respiratory and circulatory status, skin integrity, and vital signs [ 28 ]. Advanced training is advised prior to the implementation of protective stabilisation on patients in order to provide safe dental treatment [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

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

2022

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Passive immobilisation is regarded as able to potentially cause physical distress and intense anxiety manifestations. The study aims to investigate the physiological variations of children with special health care needs while using a Papoose board and a combination of basic behaviour guidance during dental treatment. This is a randomised crossover trial involving 90 children with special health care needs receiving standard dental care with two methods of behaviour guidance sequentially. Exposure A is a combination of tell-show-do, distraction, and positive reinforcement, while exposure B is passive immobilisation with a Papoose board. The subject child’s blood pressure, heart rate, and oxygen saturation level were measured at four different times during dental treatment. In total, 74 children’s physiological data were successfully collected with a mean age of 9.85 years (SD = 2.71). Further, 64.9% of the children were diagnosed with autism spectrum disorder, 12.2% with attention deficit hyperactivity disorder, 9.5% with intellectual disability, 8.1% with Down syndrome, 2.2% with global developmental delay, and 1.1% with dyslexia and cerebral palsy, respectively. The measurement of children’s blood pressure, heart rate, and oxygen saturation level with the application of a Papoose board or a combination of the basic behaviour guidance revealed no significant changes (p > 0.05). The use of a Papoose board is safe and has no discernible influence on the child’s physiological responses.

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“…Moreover, inappropriate restraint use can result in brachial plexus damage, JDUHS sores, exhaustion, and energy loss. Children who are immobile for an extended period of time may experience physiological loss of their muscles' 3,4 flexibility, strength, and peripheral blood flow. One potential solution to the problem of noncompliance is using VR glasses as a distraction technique during dental procedures.…”

Section: Introductionmentioning

confidence: 99%

Impact of Virtual Reality Goggles as a Distraction Technique on the Pain Perception and Heart Rate of Pediatric Dental Patients

Hassan

2023

J Dow Univ Health Sci

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Objective: To assess the impact of virtual reality (VR) glasses on pain perception and heart rate during inferior alveolar nerve block in pediatric patients. Methods: This quasi-experimental investigation was conducted at a dental hospital (University College of Dentistry), Lahore, Pakistan from June to February 2022. The study included healthy children aged four to twelve years who needed dental treatment involving an inferior alveolar nerve block. The distraction was done using VR glasses. Participants were arbitrarily divided into two groups, one with VR and the other without VR. The patients' behavior was recorded during the nerve block using the face, legs, activity, cry, and consolability (FLACC) behavioral pain assessment scale. The Pulse rate was monitored before, during, and after the procedure. Results: Of the total 68 participants, the median age was 8 (7 -9) years. There were 36 (52.9%) patients in the non-VR group and 32 (47.1%) patients in the VR group. The median FLAACC score was found to be significantly lower in the VR group as compared to the non-VR group i.e., 1.0 (1.0 -2.0) vs. 5.0 (4.0 -5.0) (p-value <0.001) respectively. Both groups showed significant median differences in face (p-value 0.008), legs (p-value <0.001), activity (p-value <0.001), crying (p-value <0.001), and consolability (p-value <0.001) scores. During treatment, the heart rate of VR participants was found to be significantly lower than the non-VR group i.e., 93.0 (90.0 -96.0) vs. 100.0 (87.7 -104.0) (p-value 0.044) respectively. Conclusion:The study revealed that the use of VR goggles as a distraction method demonstrated a significant reduction in pain perception and heart rate.

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Protective Stabilization in the Dental Setting

Cited by 6 publications

References 19 publications

Predictors of Parental Acceptance towards Contemporary Behavior Management Techniques Used in Pediatric Dentistry: A Preliminary Study on Turkish Population

Predictors of Parental Acceptance towards Contemporary Behavior Management Techniques Used in Pediatric Dentistry: A Preliminary Study on Turkish Population

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

Impact of Virtual Reality Goggles as a Distraction Technique on the Pain Perception and Heart Rate of Pediatric Dental Patients

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