Behaviour and management in Paediatric dentistry

Question 1

What is the definition of anxiety?

Answer 1

Excess or unreasonable emotional state to unknown danger/fear

Question 2

What is fear?

Answer 2

Unpleasant emotional reaction to a threatening stimulus/known danger

Question 3

What is phobia?

Answer 3

Stronger than fear - flight/fight response. Unrealistic sense of danger

Question 4

Fears at 6m-3y?

Answer 4

Separation anxiety

Question 5

Fears of pre-school age children?

Answer 5

Begin to develop specific fears

Question 6

Frankl classification

Answer 6

1. Definitely negative
2. Negative - reluctant but not crying
3. Positive - cautious but willing to comply at times, follows instructions
4. Definitely positive - good rapport with dentist. Interested in procedure, laughter and enjoyment

Question 7

Modelling technique

Answer 7

Open clinics
Siblings
Need to match behaviour
Positive outcomes

Learn from positive behaviour - learn from others

Question 8

How to enhance control of the child

Answer 8

Stop signals
Choosing F varnish flavour
Choose which tooth the FS first

Question 9

What distractions could you provide?

Answer 9

Move attention away from setting
Physical
Verbal
Music

Question 10

Negative reinforcement actions

Answer 10

Strengthen behaviour by removing an unpleasant stimulus

Hand over mouth

Selective exclusion from parent

Question 11

Behaviour, shaping and positive reinforcement

Answer 11

Strengthen pattern of behaviour

Define series of steps towards the ideal behaviour

Question 12

Systematic desensitisation

Answer 12

Aims to remove fear response
Relaxation exercise
Graded exposure

Question 13

Sedation options

Answer 13

Oral
Inhalation
IV
GA