Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Pediatric Dentistry > Behavior Management > Flashcards

Behavior Management Flashcards

1
Q

variables influencing children’s dental behavior

A
  • maternal anxiety
  • medical history
  • awareness of dental problem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

maternal anxiety: characteristics

A
  • high parental anxiety = negative child behavior
  • can affect children of all ages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

age where maternal anxiety effects are greatest

A

under 4 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

factors under medical history that can affect child’s cooperativeness with the dentist

A
  • children who view medical experiences positively
  • emotional quality of past visits
  • past medical pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how to mitigate negative behavior for awareness of dental problem during a child’s first dental visit

A

educate parents about value of arranging child’s first dental visit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

can be used for modeling

A
  • live patient models
  • audiovisual aids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

modeling (according to Rimm and Masters)

A
  • stimulation of new behavior
  • facilitation of behavior in a more appropriate manner
  • disinhibition of inappropriate behavior due to fear
  • extinction of fears
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

involved in behavior management

A

total dental health team

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

2 means behavior management accomplishes for the child

A
  • allows dental health team to effectively and efficiently perform treatment
  • instills positive dental attitude
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

types of communication & communicative guidance

A
  • tell-show-do
  • distraction
  • non-verbal communication
  • positive reinforcement
  • voice control
  • parental presence or absence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

tell-show-do

A

used with communication skills (verbal and non verbal) and positive reinforcement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tell-show-do: tell

A

behavior shaping which involves verbal explanation of procedure and phrases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

tell-show-do: show

A

demo for the patient of the visual,
auditory and olfactory aspects of the procedure in a carefully defined, non-threatening manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

tell-show-do: do

A

completing the procedure on the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

tell-show-do: objectives

A
  • teach the patient important aspects of dental visits
  • familiarize the patient to the dental setting
  • shape patient response to procedure to desensitization and well-described expectations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

tell-show-do: indications

A

may be used in almost all patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

tell-show-do: contraindications

A

none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

distraction

A

technique of diverting the patient’s attention from what may be perceived as an unpleasant procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

distraction: examples

A
  • watching TV/Youtube videos
  • use of gadgets
  • toys
  • listening to music
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

distraction: objectives

A
  • decrease unpleasantness
  • avert negative behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

non-verbal communication

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

non-verbal communication: indications

A

any patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

non-verbal communication: contraindications

24
Q

positive reinforcement

A

process of establishing desirable patient behavior

25
2 types of positive reinforcement
- social reinforcement - non-social reinforcement
26
social reinforcement: examples
- positive voice modulation - facial expressions - verbal phrase - appropriate physical demonstration of affection
27
non-social reinforcement: examples
- toys and tokens (reward)
28
reward
recognition of good behavior after completion of the operation
29
bribery
promised to induce desired behavior
30
voice control
controlled alteration of voice, volume, tone or pace to influence and direct the patients behavior
31
voice control: benefit
avoids misunderstanding with parents
32
voice control: indications
any patient
33
voice control: contraindications
patients with hearing impairment
34
voice control: objectives
- gain patient attention and compliance - avert negative or avoidance behavior - establish appropriate adult-child roles
35
parental presence or absence
- requires good communication among dentist, parent and patient - child response can be very beneficial or very detrimental
36
parental presence or absence: contraindications
parents who are unwilling or unable to extend effective support when asked
37
parental presence or absence: objectives
- gain patient attention and improve compliance - avert negative or avoidance behavior - establish appropriate adult - child roles - enhance effective communication among dentist child and parent - minimize anxiety and achieve a positive dental experience
38
aversive conditioning aka
hand-over-mouth exercise (HOME)
39
aversive conditioning: purpose
gain attention of highly appositional child to establish cooperation for sage course of treatment
40
aversive conditioning
not routinely used; method of last resort
41
aversive conditioning: requirement
informed consent
42
advanced behavior guidance: indication
- children who cannot cooperate - children with physical and emotional immaturities
43
types of advanced behavior guidance
- protective stabilization - knee-to-knee/lap-to-lap
44
protective stabilization
restriction of patient’s freedom of movement with or without the patient's permission
45
protective stabilization: purpose
to decrease risk of injury and deliver procedure safely
46
protective stabilization: considerations
- alternative behavior guidance modalities - dental needs of patient - effects of quality of dental care - patient’s emotional development - patient’s medical and physical considerations (i.e. scoliosis)
47
protective stabilization: indications
- patient requires immediate diagnosis and for limited treatment - safety of the patient, staff, dentist or parent would be at risk - sedate patient
48
protective stabilization: contraindications
- cooperative non-sedated patient - patient who cannot be immobilized safely (associated medical or physical conditions) - patient who has experienced previous physical or psychological trauma
49
protective stabilization: objectives
- reduce or eliminate untoward movements - protect patient, staff, dentist or patient from injury - facilitate delivery
50
protective stabilization: precautions
- careful review of patient’s medical history - tightness and duration of stabilization - not actively restrict circulation or respiration - stabilization should be terminated as soon as possible in patient whose experience is severe
51
knee to knee/lap to lap
advanced behavior guidance that works for most younger children
52
knee to knee/lap to lap: procedures
(non-invasive) - oral exam - fluoride application
53
3 practical considerations
- scheduling - patient-child separation - dental attire
54
best appointment for pediatric patients
short (30 mins or less) morning appointments
55
practical consideration: dental attire
child-friendly
56
practical consideration: scheduling
child should not be kept waiting in the reception area
57
occurs when patient-child separation is not followed
- parent often repeats orders - parent injects orders, becomes barrier to development - dentist unable to use voice intonation - child divides attention between parent and dentist - dentist divides attention between parent and child

Pediatric Dentistry (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions