Child behavioural management

Question 1

5 pharmacological ways for child behavioural management?

Answer 1

• LA
• Premedication
• Inhalation sedation
• Intravenous sedation - 12 +
• GA

Question 2

Who is a pre-cooperative child?

Answer 2

Very young where communication cannot be established

Question 3

Who are children who lack cooperative ability?

Answer 3

with intellectual or learning disabilities

Question 4

Potentially cooperative?

Answer 4

uncooperative child

Question 5

What is dental anxiety?

Answer 5

• Reaction to an unknown danger

Question 6

What is dental fear?

Answer 6

Reaction to a known danger

Question 7

What is dental phobia?

Answer 7

Severe form of reaction and fear to a dental situations

Question 8

3 physiological signs of dental fear and anxiety?

Answer 8

• Breathlessness
• Palpitations
• Sweating

Question 9

3 cognitive signs of dental fear and anxiety?

Answer 9

• Lack of concentration
• Hypervigilance
• catastrophising

Question 10

3 behavioural reactions as a result of dental fear and anxiety?

Answer 10

• Agression
• avoidance of treatment and appointments
• Escape from situations

Question 11

5 contributing factors in dental fear and anxiety?

Answer 11

• Previous medical history
• Previous dental history
• Parental anxiety
• Behaviours of dental staff
• Parenting style

Question 12

What tool can be used to measure a child dental anxiety?

Answer 12

MCDASf

Question 13

Give 4 non pharmacological ways to deal with child dental anxiety?

Answer 13

• Non verbal communication and role modelling
• Tell-Show-Do
• Enhanced control
• Positive reinforcement

Question 14

Explain role modelling ?

Answer 14

Showing the procedure on someone else before doing it on the child , for example on pets , dental nurse or someone the same patient as the child or someone in the child family

Question 15

Explain tell show do?

Answer 15

• Explain procedure
• demonstrate procedure
• do the procedure
  used to familiarise patients with procedure

Question 16

Explain enhanced control?

Answer 16

• Give the patient a sense of control over the dental staff behaviour
  Examples
• raise hand when you want to stop
• this or that?

Question 17

What is positice reinforcement?

Answer 17

Strengthening a positive behaviours by stickers, badges , social stimuli and positive child centred phrases such a

Question 18

What is systemic desensitisation?

Answer 18

Exposing the child to the dental environment slowly

Question 19

What 2 examples of topical anaesthetic?

Answer 19

• Lidocaine
• Benzocaine

Question 20

3 non pharmacological ways for pain control?

Answer 20

• Distraction technique
• Systemic desensitisation
• Hypnosis and breathing techniques
• Guided imagery
• Controlled language

Question 21

What technique work well to reduce pain for local anaesthetic?

Answer 21

• Chasing technique
• Ultra-short anaesthetics needle

Question 22

Explain the chasing technique?

Answer 22

• Topical anaesthetic buccally
• Give buccal infiltration and wait
• inject into papilla and check for blanching
• inject into lingual or palatal mucosa and chase blanched mucosa