behavior maintenance Flashcards
a pediatric dentist should be able to.. (in respect to behavioral guidance approaches)
assess accurately the child’s developmental level and dental attitudes and predict the child’s reaction to the choice of tx
in what ways are dentists teachers
assess the developmental level and comprehension skills
speak to the pt on their level
use lay terminology
educate parents or caregivers
t/f. a child’s future attitude toward dentistry is not determined by a series of successful experiences in a pleasant dental enviornment
false. it is determined by successful experiences
5 goals of behavioral guidance
establish communication
alleviate fear and anxiety
deliver quality dental care
build a trusting relationship bt dentist and child
promote the child’s positive attitude towards oral/dental health care
t/f. there is a direct correlation bt a mother’s anxiety and a child’s negative behavior in the dental office
true
who has the greatest influence on the child’s reaction at a dental appointment
parent
class 1 frankl behavioral rating scale
definitely negative - refusal of tx, completely uncooperative, forceful crying, fearfulness
class 2 frankl behavioral rating scale
negative - cooperative, reluctant to listen/respond to questions, some progress is possible
class 3 frankl behavioral rating scale
positive - cooperative, but somewhat shy/reluctant. cautious behavior at times
class 4 frankl behavioral rating scale
definitely positive - completely cooperative and even enjoys tx
wrights clinical classification of behavior #1
cooperative - minimal apprehension and respond well to behavior shaping
wrights clinical classification of behavior #2
lacking in cooperative ability - deficient in comprehension and communication skills
wrights clinical classification of behavior #3
potentially cooperative - uncontrolled, defiant, timid, tense-cooperation, whining
t/f cooperative potential should be part of the tx planning
true
non pharmacological behavioral techniques
communication skills, parental presence/absence, advanced behavior guidance
the most significant and popular behavior management method in pediatric dentisty
tell show do
an angry child behaves better when
separated from parent
a fearful child behaves better when
with the parent standing behind the chair
pharmacological behavioral technique
nitrous oxide
non verbal communication
reinforcement and guidance of behavior through appropriate contact, posture, and facial expressions
positive reinforcement
reward desired behaviors that will strengthen the recurrence of those behaviors
distraction
diverting the pts attention from what may be perceived as an unpleasant procedure
voice control
controlled alteration of voice volume, tone, or pace to influence and direct the pts behavior
t/f. most parents express a wish to be present in the operatory
true (70.2%)
t.f kids with special health care needs are at an increased risk for oral disease
true
t/f. undeserved populations are at an increased risk for oral disease
true
strategies to treating children wiht special health care needs
Give a tour to the pt
Give 1 instruction at a time in simple terms
Short appts
Schedule early in day
hand over mouth technique
helps hysterical child regain self control and redirect inappropriate behavior, reframe a previous request, and reestablish effective communication
t/f the hand over mouth technique is an accepted behavioral management technique
false, if used, you must get informed consent from parent
t/f. you don’t need informed consent from parent before the use of protective stabilization
false. you do need consent (it looks like a straight jacket)
what is the most frequently used route of administering sedation in pediatric pts
NO inhalation
how long should a ped appointment be
45 min, do not prolong apppointments
what is the recommended max NO concentration
50%
suggested flow of NO in adults and kids
adult - 5-7 L/min
kids - 3 - 5 L/min
most common premedication prior to GA
versed
diazepam (valium)
sedation medication
oral or rectal
0.2 - 0.5 mg/kg to a max single dosage of 10 mg
midazolam (versed)
sedation medication high water solubility oral and is given as syrup oral - 1 mg/kg to max dose of 20 mg syrup - 2 mg/kg
chloral hydrate
sedative hypnotic
well known and widely used for peds
most common sedative agent in peds
