Behaviour and Anxiety Management

Question 1

pharmacological methods of behavioural management

Answer 1

LA techniques
Pre-medication
inhalation sedation
intravenous sedation

Question 2

age 1-3 behaviour

Answer 2

sense of self
non compliant, independence
dental fear

Question 3

age 3 behaviour

Answer 3

‘why’ questions
active imagination
like praise

Question 4

age 4-5 behaviour

Answer 4

fantasy, imaginary
direct comands
enocourage to take responsibility, labelled praise

Question 5

dental anxiety

Answer 5

reaction to unknown danger

Question 6

dental fear

Answer 6

reaction to known danger, fight-flight when confronted with threatening situation

dental phobia = worse than this

Question 7

signs of anxiety at dentist

Answer 7

breathlessness, perspiration, palpitations, feeling of unease
interference in concentration, hypervigilance, catastrophising
avoidance of tx, aggressiveness

Question 8

non pharmacological behavioural management

Answer 8

preparatory information, non-verbal communication, role modelling, voice control, enhanced control, behavioural shaping, positive reinforcement
distraction
hypnosis, desensitisation

Question 9

what order of tx

Answer 9

1. exam, acclimatisation, fluoride varnish, diet advice, OHI
2. fissure selaant
3. restorative tx with LA, upper then lower
4. XLA with LA, upper then lower or most painful first