Day 3: Behavior Management of the Pediatric Patient Flashcards
AAPD Clinical Guideline on Behavior Guidance
to assess accurately the hild’s developmental level and dental attitudes and predict the child’s reaction to the choice of treatment.
Dentist should become a teacher
Assess the developmental level and comprehension skills
speak to the patient on their level
use lay terminology
educate parents or caregivers
A child’s future attitude toward dentistry by be determined by?
a series of successful experiences in a pleasant dental environment.
Goals of behavior guidance
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.
Pediatric Treatment Triangle
Child
Mother
Dentist
Direct relation between Mother’s anxiety and
child’s negative behavior
Who has the greatest influence on the child’s reaction at the dental appointment?
the parent (not the dentist)
What should be a part of treatment planning?
Cooperative potential
Non-pharmacological techniques
tell-show-do (TSD)
Angry child behaves better when separated from the parent
Parental Presence/Absence
reinforcement and guidance of behavior through appropriate contact, posture, and facial expression
non-verbal communication
Most significant and popular behavior management method used in pediatric dentistry?
Tell-show-do (TSD)
Reward desired behaviors and thus strengthen the recurrence of those behaviors.
Positive reinforcement
T or F: Nitrous does NOT do well on already anxious patients,
TRUE
Diverting the patient’s attention from what may be perceived as an unpleasant procedure
Distraction
controlled alteration of voice volume, tone, or pace to influence and direct the patient’s bahavior.
Voice Control
What percentage of parents express to want to be present in operatory?
70.2%
Strategies for children with special health care needs
give a tour to the patient
give only one instruction at a time in simple terms
short appointments
schedule appointments early in the day.
Documentation in patient’s chart and informed consent from a parent must be obtained prior to what?
use of protective stabilization
Maximum recommended dose of local anesthetic
4.4 mg/kg
Absolute maximum dosage of local anesthetic
300 mg
___ is the most frequently utilized route of administration for sedation in pediatric patients
inhalation
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?
45 minutes
T or F Do NOT prolong pediatric appointments.
TRUE
Begin titiration of nitrous oxide and oxygen, what percentage is max recommended conc.?
50%
Suggested nitrous flow for adult
5-7 liters/minute
Suggested nitrous flow for child (3 or 4 years old)
3-5 liters/minute
The most common premedication prior to general anesthesia is ___ for short procedures.
versed
Benzodiazepines
Diaepam (Valium)
Midasolam (Versed)
Sedative Hyponotics e.g.
Chloral Hydrate
Most common sedative treatment used in pediatric dentistry
Chloral Hydrate
