Behaviour Management

Question 1

what are the 2 main methods of behaviour management

Answer 1

pharmacological
non pharmacological

Question 2

what are the pharmacological techniques

Answer 2

LA
pre-medication
inhalation sedation - nitrous oxide
intravenous sedation - midazolam
GA

Question 3

what is the aim of behaviour management techniques

Answer 3

instill a positive dental attitude and create a long term interest on patients part so as to facilitate ongoing prevention and improved dental health

Question 4

how should you communicate with a child aged 1-3

Answer 4

using a choice of two
use objects

Question 5

how should you communicate with a child aged 4-5

Answer 5

praise

Question 6

how should you treat adolescents

Answer 6

independent from parents

Question 7

how should we communicate with children

Answer 7

treat as individual
use their names
lower yourself to their level

Question 8

what is dental anxiety

Answer 8

reaction to unknown danger

Question 9

what is dental fear

Answer 9

reaction to a known danger

Question 10

what is dental phobia

Answer 10

reaction to known danger but much stronger than dental fear

Question 11

what are the features of dental fear and anxiety

Answer 11

breathlessness, palpitations
interference in concentration
hypervigilance
avoidance of treatment and appointments

Question 12

what factors affect child and adolescent anxiety

Answer 12

previous MH and DH
social history
parental anxiety/style/presence
child awareness of dental problem
behaviour of dental staff
child temperament

Question 13

what is the role of the dental team

Answer 13

friendly
empathetic
efficient
trustworthy
prevent pain
fun
supportive
communicate well

Question 14

what is the scale used to measure dental fear and anxiety

Answer 14

MCDASF

Question 15

what preparatory information can be given before appointment

Answer 15

welcome letters
social stories
dental widgits
acclimatisation

Question 16

what are some good non-verbal communication tactics

Answer 16

happy smiling team
gentle pats on shoulder
environment
eye contact
show on a toy first

Question 17

what is tell show do

Answer 17

age appropriate explanation of procedure
demonstration
perform procedure

Question 18

what is enhanced control

Answer 18

using stop go rest signals to allow patient degree of control over dentist

Question 19

what are some positive reinforcers used

Answer 19

smiles, positive voices, verbal praise, stickers, dental passports

Question 20

what distraction techniques are used

Answer 20

video glasses
music
ceiling projectors

Question 21

what are inappropriate behaviour management techniques

Answer 21

chastisement
punishment
hand over mouth
selective parental exclusion
bribery

Question 22

what topical anaesthetic is used

Answer 22

5% lidocaine
18-20% benzocaine

Question 23

what is used for non-pharmacological pain control

Answer 23

hypnosis
distraction
controlled language
guided imagery
systematic desensitisation

Question 24

what is max dose of lidocaine for child

Answer 24

1 x 2.2ml cartridge per 10kg of patient

Question 25

what is max dose of articaine for a child

Answer 25

0.8 x 2.2ml cartridge per 10kg of patient

Question 26

what is the chasing technique for LA

Answer 26

topical buccally
buccal infiltration
papilla infiltration
palatal infiltration once blanched

Question 27

how do you stage treatments

Answer 27

with increasing complexity and challenges unless patients are in pain