Effectiveness of using noncontingent escape for general behavior management in a pediatric dental clinic

2013 ◽  
Vol 46 (4) ◽  
pp. 723-737 ◽  
Author(s):  
Keith D. Allen ◽  
Dustin P. Wallace
Author(s):  
Nazanin Forghani

The use of behavior management techniques for the treatment of children who are uncooperative with a dentist is inevitable. Behavior management techniques are the methods that the dental health team could effectively treat the child and inspires a constructive dental attitude. Objective: Determining the acceptability of behavior management techniques by mothers referred to a pediatric dental clinic in Tehran (2017). Materials and Methods: This cross-sectional descriptive study was conducted in a pediatric dental clinic in Tehran. A film, including 4 different behavior management techniques such as general anesthesia(GA), parents’ separation(PS), Tell-Do-Show and voice control(VC) was produced. Before showing each method, a brief explanation of the characteristics and purposes of methods was given by a pediatric dentist in the film. A total of 50 mothers, referred to this private dental clinic, completed a questionnaire after observing any method in this film. The data were analyzed using t-test and Chi-square Results: 56% of the children were boys and 44% were girls, and they were in the age group of 3 to 10 years old, and children are ranked from first to fifth in the family. Mothers with a primary to postgraduate education were between the ages of 23-50 and had up to 5 kids. The acceptance of Tell-Do-Show by mothers was 100%, Voice Control was 92%, separating the child from parents was 50%, and General Anesthesia was 30%. There was a significant correlation between acceptance of voice control method with child's order, child's age and the number of children in a family, and also between the acceptance of general anesthesia by mothers with mother's education level and child's order (p <0.05). Conclusion: According to the findings, Tell-Do-Show method was the most common method which was accepted by mothers, and general anesthesia was the least accepted method by the mothers.


2007 ◽  
Vol 32 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Romina Mazaheri ◽  
AliReza Eshghi ◽  
Nasrollah Bashardoost ◽  
Naser Kavyani

Aim: Intranasal midazolam has been used to induce conscious sedation in children with negative and aggressive behavior. The main goal of this study was to determine the effectiveness of intranasal administration of midazolam (with a dose of 0.5 mg/kg) in behavior management of uncooperative children. Materials and methods: Thirty healthy, difficult children of 3-5 years were evaluated. At the beginning of each session, ordinary techniques of behavior management to treat patients were applied. In cases of unsatisfactory responses, intranasal midazolam was immediately employed. To determine the efficacy of the drug,child behavior was evaluated before and after administration of midazolam using Houpt rating scale of general behavior. Results: A statistically significant difference was demonstrated in the patients' behavior before and after administration of intranasal midazolam. Conclusions: this drug is effective in sedation and reduction of the anxiety of children under treatment.


1968 ◽  
Vol 32 (2) ◽  
pp. 204-214 ◽  
Author(s):  
DC Ruhlman ◽  
Lowe
Keyword(s):  

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