Day 3: Behavior Management of the Pediatric Patient

Question 1

AAPD Clinical Guideline on Behavior Guidance

Answer 1

to assess accurately the hild’s developmental level and dental attitudes and predict the child’s reaction to the choice of treatment.

Question 2

Dentist should become a teacher

Answer 2

Assess the developmental level and comprehension skills
speak to the patient on their level
use lay terminology
educate parents or caregivers

Question 3

A child’s future attitude toward dentistry by be determined by?

Answer 3

a series of successful experiences in a pleasant dental environment.

Question 4

Goals of behavior guidance

Answer 4

establish communication
alleviate fear and anxiety
deliver quality dental care
build a trusting relationship between dentist and child
promote the child’s positive attitude towards oral/dental health and oral health care.

Question 5

Pediatric Treatment Triangle

Answer 5

Child
Mother
Dentist

Question 6

Direct relation between Mother’s anxiety and

Answer 6

child’s negative behavior

Question 7

Who has the greatest influence on the child’s reaction at the dental appointment?

Answer 7

the parent (not the dentist)

Question 8

What should be a part of treatment planning?

Answer 8

Cooperative potential

Question 9

Non-pharmacological techniques

Answer 9

tell-show-do (TSD)

Question 10

Angry child behaves better when separated from the parent

Answer 10

Parental Presence/Absence

Question 11

reinforcement and guidance of behavior through appropriate contact, posture, and facial expression

Answer 11

non-verbal communication

Question 12

Most significant and popular behavior management method used in pediatric dentistry?

Answer 12

Tell-show-do (TSD)

Question 13

Reward desired behaviors and thus strengthen the recurrence of those behaviors.

Answer 13

Positive reinforcement

Question 14

T or F: Nitrous does NOT do well on already anxious patients,

Answer 14

TRUE

Question 15

Diverting the patient’s attention from what may be perceived as an unpleasant procedure

Answer 15

Distraction

Question 16

controlled alteration of voice volume, tone, or pace to influence and direct the patient’s bahavior.

Answer 16

Voice Control

Question 17

What percentage of parents express to want to be present in operatory?

Answer 17

70.2%

Question 18

Strategies for children with special health care needs

Answer 18

give a tour to the patient
give only one instruction at a time in simple terms
short appointments
schedule appointments early in the day.

Question 19

Documentation in patient’s chart and informed consent from a parent must be obtained prior to what?

Answer 19

use of protective stabilization

Question 20

Maximum recommended dose of local anesthetic

Answer 20

4.4 mg/kg

Question 21

Absolute maximum dosage of local anesthetic

Answer 21

300 mg

Question 22

___ is the most frequently utilized route of administration for sedation in pediatric patients

Answer 22

inhalation

Question 23

Depending on his/her age, personality, and or systemic health, a child’s attention span is minimal and can rarely be maintained beyond how many minutes?

Answer 23

45 minutes

Question 24

T or F Do NOT prolong pediatric appointments.

Answer 24

TRUE

Question 25

Begin titiration of nitrous oxide and oxygen, what percentage is max recommended conc.?

Answer 25

50%

Question 26

Suggested nitrous flow for adult

Answer 26

5-7 liters/minute

Question 27

Suggested nitrous flow for child (3 or 4 years old)

Answer 27

3-5 liters/minute

Question 28

The most common premedication prior to general anesthesia is ___ for short procedures.

Answer 28

versed

Question 29

Benzodiazepines

Answer 29

Diaepam (Valium)

Midasolam (Versed)

Question 30

Sedative Hyponotics e.g.

Answer 30

Chloral Hydrate

Question 31

Most common sedative treatment used in pediatric dentistry

Answer 31

Chloral Hydrate