Behavior Guidance Flashcards
By what age should you have a dental home?
12 months old
Earliest age by which a kid should see the dentist
6 months
Most common chronic childhood disease.
Caries
Dental caries is how many times more common than asthma?
Than hayfever?
5x more common than asthma
7x times more common than hayfever
Components of the tx triangle.
Child patient, Family (parent), Dentist
3 Advanced Behavior Guidance techniques.
1) Protective Stabilization
2) Oral Sedation
3) GA
HOME stands for what?
Hand Over Mouth Exercise
At the top of the treatment triangle.
Child patient
Basic Behavior Guidance Techniques
1) Communication
2) Audio Visual
3) Nitrous
App used to prepare kids for the dentist.
Healthy Smile App
A type of basic behavior guidance technique where patients are shown a video or are allowed to directly observe a young cooperative patient undergoing dental treatment.
Direct Observation
Basic Behavior Guidance Techniques
1) Direct observation
2) Tell-Show-Do
3) Ask-Tell-Ask
4) Voice Control
5) Non-verbal communication
6) Positive reinforcement and Descriptive praise
7) Distraction
Controlled alteration of voice, volume, tone, or pace to influence and direct the patient’s behavior.
Voice Control
Contraindication for voice control.
Hearing impaired patients.
Reinforcement and guidance of behavior through appropriate contact, posture, facial expression, and body language.
Non-verbal communication
Emphasizes specific cooperative behaviors.
Descriptive praise
“thank you for sitting still.”
Nonsocial reinforcers
Tokens and toys
Diverting the patient’s attention from what may be perceived as an unpleasant procedure.
Distraction
Behavioral approach in which memories associated with a negative or difficult event are restructured into positive memories using information suggested after the event has taken place.
Memory Restructuring
4 Components of Memory Restructuring
1) Visual reminders
2) Positive reinforcement thru verbalization
3) Concrete examples to encode sensory details
4) Sense of accomplishment
Protective stabilization is contraindicated in these patients.
- Asthmatics
- Osteogenesis Imperfecta
- Sedatives (that reduce respiration)
You lose your protective reflexes in this.
General Anesthesia
Frankl:
- Acceptance of tx
- Cautious behavior at times
- Willingness to comply with the dentist, at times with reservation
- Patient follows the dentist’s directions cooperatively.
Frankl 3
Reluctance to accept tx, uncooperative, some evidence of negative attitude but not pronounced (sullen, withdrawn).
Frankl 2
- Good rapport with the dentist
- Interest int eh dental procedures
- Laughter and enjoyment
Frankl 4
- Refusal of tx
- Forceful crying
- Fearfulness
- Any other overt evidence of extreme negativism
Frankl 1
The only behavior guidance technique that does not require informed consent.
Communicative management
This should be considered when the tx is in progress and the patient’s behavior becomes hysterical or uncontrollable.
Treatment Deferral
Root structure needed to do a pulpotomy.
At least 2/3
Contraindication for pulpotomy of primary teeth
- Swelling of pulpal origin
- Fistula
- Pathologic mobility
- Internal or External root resorption
- Periapical or interradicular RL
- Pulp calcifications
- Excessive bleeding from the amputated radicular stumps.
Can a pulpotomy be done if the bleeding won’t stop?
No
Disorder characterized by difficulties in social interaction, communication challenges, and tendency to engage in repetitive behaviors.
- Poor eye contact
- Lack of facial expressions
- Inability to read facial expressions
Autism Spectrum Disorder
What percents of children with ASD are non-verbal?
40%
T/F:
Kids with ASD may be HYPERsensitive to sounds, smells, sights, taste, texture, or human touch.
Whereas others are HYPOsensitive.
True
Term for “don’t want their environment changed.”
Stickiness
Kids with autism have a lower rate of this.
Dental caries
HOME is also known as what?
Aversive conditioning.
