Behaviour Management Flashcards
(27 cards)
what are the 2 main methods of behaviour management
pharmacological
non pharmacological
what are the pharmacological techniques
LA
pre-medication
inhalation sedation - nitrous oxide
intravenous sedation - midazolam
GA
what is the aim of behaviour management techniques
instill a positive dental attitude and create a long term interest on patients part so as to facilitate ongoing prevention and improved dental health
how should you communicate with a child aged 1-3
using a choice of two
use objects
how should you communicate with a child aged 4-5
praise
how should you treat adolescents
independent from parents
how should we communicate with children
treat as individual
use their names
lower yourself to their level
what is dental anxiety
reaction to unknown danger
what is dental fear
reaction to a known danger
what is dental phobia
reaction to known danger but much stronger than dental fear
what are the features of dental fear and anxiety
breathlessness, palpitations
interference in concentration
hypervigilance
avoidance of treatment and appointments
what factors affect child and adolescent anxiety
previous MH and DH
social history
parental anxiety/style/presence
child awareness of dental problem
behaviour of dental staff
child temperament
what is the role of the dental team
friendly
empathetic
efficient
trustworthy
prevent pain
fun
supportive
communicate well
what is the scale used to measure dental fear and anxiety
MCDASF
what preparatory information can be given before appointment
welcome letters
social stories
dental widgits
acclimatisation
what are some good non-verbal communication tactics
happy smiling team
gentle pats on shoulder
environment
eye contact
show on a toy first
what is tell show do
age appropriate explanation of procedure
demonstration
perform procedure
what is enhanced control
using stop go rest signals to allow patient degree of control over dentist
what are some positive reinforcers used
smiles, positive voices, verbal praise, stickers, dental passports
what distraction techniques are used
video glasses
music
ceiling projectors
what are inappropriate behaviour management techniques
chastisement
punishment
hand over mouth
selective parental exclusion
bribery
what topical anaesthetic is used
5% lidocaine
18-20% benzocaine
what is used for non-pharmacological pain control
hypnosis
distraction
controlled language
guided imagery
systematic desensitisation
what is max dose of lidocaine for child
1 x 2.2ml cartridge per 10kg of patient
