Behaviour Management

Question 1

What is the expected behaviour of a 3 year old?

Answer 1

Less fearful of separation from parents - depends on experience
Reacts well to positive comments about clothes & behaviour

Question 2

What is the expected behaviour of a 4 year old?

Answer 2

More assertive (can be bossy/aggressive)
Fear of the Unknown
Decreased fear of strangers

Question 3

What is the expected behaviour of a 5 year old?

Answer 3

Readily separated from parents
Fears diminished
Proud of possessions - comments will quickly establish rapport

Question 4

What is the expected behaviour of a 6 year old?

Answer 4

Seeks acceptance
If they develop a sense of inferiority/inadequacy at the dentist then their behaviour will regress to that of a younger age

Question 5

What is the expected behaviour of a 7-12 year old?

Answer 5

Fears still present but they are better at managing them

Learn to question inconsistencies and conform to rules of society

Question 6

What is the definition of anxiety?

Answer 6

Occurs without a present triggering stimulus

May be a reaction to an unknown danger or anticipatory due to previous negative experiences

Question 7

What is the definition of fear?

Answer 7

A normal emotional response to objects or situations perceived as genuinely threatening

Question 8

What is the definition of phobia?

Answer 8

A clinical mental disorder where subjects display persistent and extreme fear of objects or situations with avoidance behaviour and interference of daily life.

Question 9

What are the three components of dental anxiety?

Answer 9

Physiological & somatic sensations
Cognitive features
Behavioural reactions

Question 10

What are the physiological & somatic sensations seen in dental anxiety?

Answer 10

Breathlessness
Perspiration
Palpitations
Feelings of unease

Question 11

What are the cognitive features of dental anxiety?

Answer 11

Interference in concentration
Hyper vigilance
Inability to remember certain events while anxious
Imagining the worst

Question 12

What behavioural reactions are seen in dental anxiety?

Answer 12

Avoidance behaviour

Escape from the situation

Question 13

What is the role of the dentist when dealing with dentally anxious patients?

Answer 13

Good dentist/patient communication
Reducing patient anxiety
Avoid increasing fear related behaviours
Recognising signs of pain/anxiety

Question 14

What are the three components of communication?

Answer 14

Verbal (5%)
Paralinguistic (30%)
Non-verbal (65%)

Question 15

What are the 9 behaviour management techniques?

Answer 15

Positive reinforcement
Tell show do
Acclimatisation
Desensitisation
Voice control
Distraction
Role modelling
Relaxation
Hypnosis

Question 16

What behaviour is expected of a 2 year old?

Answer 16

Fear of unexpected movements, loud noises and strangers

Dental environment can induce fear

Question 17

What management is suitable for a patient with mild anxiety/behaviour disruption?

Answer 17

Voice control, positive reinforcement, tell show do, distraction, non-verbal communication

Question 18

What management is suitable for a patient with moderate anxiety/behaviour disruption?

Answer 18

Voice control, positive reinforcement, tell show do, distraction, non-verbal communication

Question 19

What management is suitable for a patient with severe phobic anxiety and avoidance?

Answer 19

Modelling, relaxation & hypnosis

Unlikely to be seen in a GDP where time is limited