Peretz B, Gluck G M
Department of Pediatric Dentistry, The Hebrew University - Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
Int J Paediatr Dent. 2002 Nov;12(6):392-7. doi: 10.1046/j.1365-263x.2002.00395.x.
This article reviews aspects of the restraint strategies in paediatric dentistry that have been reviewed in recent years and point out those strategies that remain controversial as well as questionable.
Studies that evaluated demographic and cultural factors that influence dentists' use of restraint, discussion of the rationale behind the use of restraint, the role of parents, informed consent, use of restraints at the undergraduate and at the postgraduate level, and some ethical questions were selected.
Practice location, caries prevalence, and the educational backgrounds of the dentist played a role in the selection of behavioural strategies. Use of these techniques varied depending on the age of the dentist and the dental school from which the dentist had graduated. Parents are one leg of the child/dentist/parent triangle and therefore have a role to play in the determination of treatment strategies. Dentists must select techniques that help to instill a positive dental attitude in the child by performing treatment effectively and efficiently. Dentists must inform parents of all aspects of the applied strategy and must have their approval.
本文回顾了近年来儿科牙科中约束策略的各个方面，并指出那些仍存在争议以及有问题的策略。
选取了评估影响牙医使用约束措施的人口统计学和文化因素、使用约束措施背后的基本原理讨论、家长的作用、知情同意、本科和研究生阶段约束措施的使用以及一些伦理问题的研究。
执业地点、龋齿患病率和牙医的教育背景在行为策略的选择中发挥了作用。这些技术的使用因牙医的年龄和毕业的牙科学院而异。家长是儿童/牙医/家长三角关系的一条边，因此在治疗策略的确定中发挥作用。牙医必须选择能够通过有效且高效地进行治疗来帮助儿童树立积极牙科态度的技术。牙医必须告知家长所应用策略的各个方面，并必须获得他们的批准。
