Child behavioural management Flashcards
5 pharmacological ways for child behavioural management?
- LA
- Premedication
- Inhalation sedation
- Intravenous sedation - 12 +
- GA
Who is a pre-cooperative child?
Very young where communication cannot be established
Who are children who lack cooperative ability?
with intellectual or learning disabilities
Potentially cooperative?
uncooperative child
What is dental anxiety?
- Reaction to an unknown danger
What is dental fear?
Reaction to a known danger
What is dental phobia?
Severe form of reaction and fear to a dental situations
3 physiological signs of dental fear and anxiety?
- Breathlessness
- Palpitations
- Sweating
3 cognitive signs of dental fear and anxiety?
- Lack of concentration
- Hypervigilance
- catastrophising
3 behavioural reactions as a result of dental fear and anxiety?
- Agression
- avoidance of treatment and appointments
- Escape from situations
5 contributing factors in dental fear and anxiety?
- Previous medical history
- Previous dental history
- Parental anxiety
- Behaviours of dental staff
- Parenting style
What tool can be used to measure a child dental anxiety?
MCDASf
Give 4 non pharmacological ways to deal with child dental anxiety?
- Non verbal communication and role modelling
- Tell-Show-Do
- Enhanced control
- Positive reinforcement
Explain role modelling ?
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
Explain tell show do?
- Explain procedure
- demonstrate procedure
- do the procedure
used to familiarise patients with procedure
Explain enhanced control?
- Give the patient a sense of control over the dental staff behaviour
Examples - raise hand when you want to stop
- this or that?
What is positice reinforcement?
Strengthening a positive behaviours by stickers, badges , social stimuli and positive child centred phrases such a
What is systemic desensitisation?
Exposing the child to the dental environment slowly
What 2 examples of topical anaesthetic?
- Lidocaine
- Benzocaine
3 non pharmacological ways for pain control?
- Distraction technique
- Systemic desensitisation
- Hypnosis and breathing techniques
- Guided imagery
- Controlled language
What technique work well to reduce pain for local anaesthetic?
- Chasing technique
- Ultra-short anaesthetics needle
Explain the chasing technique?
- 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
