Behavioural Management Flashcards
What are the Components of Dental Fear & Anxiety (DFA)
- Physiological & Somatic Sensations:
-Breathlessness
-Perspiration
-Palpitations
-Feeling of unease
2.Cognitive Features (how changes occur in the thinking process):
-Interference in concentration
-Hypervigilance
-Inability to remember certain events while anxious
-Imagining the worst that could happen
- Behavioural reactions:
-Avoidance i.e. the postponing of a dental appointment, or with children disruptive behaviour in an effort to stop treatment being undertaken
-Escape from the situation which precipitates the anxiety
What are signs of DFA in children
Younger children may time delay by asking questions
School age children may complain of stomach aches/or ask to go to the toilet frequently
Older children may complain of headaches or dizziness, may fidget or stutter, can’t be “bothered”
What falls under Pharmacological Behaviour Management
Sedation – Inhalation Sedation with N2O, Intravenous Sedation with Midazolam or Propofol and General Anaesthetic
What is the aim of behaivoural management techniques
to instil a positive dental attitude and create a long-term interest on the patient’s part so as to facilitate ongoing prevention and improved dental health in the future
-Campbell et al, NPBMT, BSPD 2011
What is essential in paed dentistry
Communication
How do you measure Dental Fear and Anxiety
MCDASf (Modified Child
Dental Anxiety Scale – Faces)
Quick and simple
What are Non-Pharmacological Behaviour Management Techniques
Prepatory information (Welcome letters, Patient Information Leaflets, Videos online, acclimatisation)
Non-Verbal Communication & Role-Modelling (Happy Smiling Team, Eye Contact, Reassurance)
Voice control
Tell show do
Enhanced control (Allows patients a degree of control over dentist, Shown to reduce pain during routine dental treatment and injection/Stop, Go, Rest Signals)
Behaviour Shaping and Positive reinforcement
Distraction
