Venkataraghavan Karthik, Shah Jolly, Kaur Manpreet, Trivedi Krishna, Shah Shalin, Virda Mira
Professor and Head, Department of Pedodontics and Preventive Dentistry, College of Dental Sciences and Research Centre , Ahmedabad, Gujarat, India .
Postgraduate Student, Department of Pedodontics and Preventive Dentistry, College of Dental Sciences and Research Centre , Ahmedabad, Gujarat, India .
J Clin Diagn Res. 2016 Jul;10(7):ZC46-9. doi: 10.7860/JCDR/2016/18378.8162. Epub 2016 Jul 1.
The contemporary parents are more active and participate in the decision making during dental treatment.
To assess the parents' acceptance towards behavior management techniques commonly used in the pediatric dentistry in different dental situation.
Fifty-one parents participated in the study. Children's dental fear was assessed by the parents before attending power point presentation using Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS). Parents viewed power point presentation of eight behavior management techniques being used during pediatric dental treatment. The techniques were: 1) Voice control; 2) Tell-Show-Do; 3) Positive reinforcement; 4) Parental presence or absence; 5) HOME; 6) Physical restraint; 7) N2O-O2 sedation; 8) General anesthesia. Parents were asked to arrange various behavior management techniques from most accepted technique to least accepted technique in various dental situations according to their view.
All the parents completed the questionnaire. Most children show increased anxiety related to dental component of CFSS-DS scale particularly during the administration of local anesthetic. In present study most preferred behavior management technique was Tell-Show-Do followed by positive reinforcement and least preferred behavior management technique was general anesthesia followed by physical restraint.
Children's anxiety level increases during the condition related to dentistry which can be overcome by developing positive approach in children and parents towards dentistry and by utilizing various behaviour management strategies. A generalized low parental tolerance level for firm management techniques was seen in the present study population.
当代父母在牙科治疗过程中更加积极并参与决策。
评估父母对儿科牙科在不同牙科情况下常用行为管理技术的接受程度。
51名父母参与了该研究。在参加幻灯片展示之前,父母使用儿童恐惧调查量表(CFSS-DS)的牙科分量表对孩子的牙科恐惧进行了评估。父母观看了儿科牙科治疗中使用的八种行为管理技术的幻灯片展示。这些技术分别是:1)语音控制;2)告知-展示-做;3)正面强化;4)父母在场或不在场;5)家庭口腔管理(HOME);6)身体约束;7)笑气-氧气镇静;8)全身麻醉。要求父母根据他们的看法,将各种行为管理技术按照在不同牙科情况下从最能接受的技术到最不能接受的技术进行排列。
所有父母都完成了问卷。大多数儿童在CFSS-DS量表的牙科部分表现出焦虑增加,尤其是在局部麻醉给药期间。在本研究中,最受欢迎的行为管理技术是告知-展示-做,其次是正面强化,最不受欢迎的行为管理技术是全身麻醉,其次是身体约束。
在与牙科相关的情况下,儿童的焦虑水平会增加,这可以通过培养儿童和父母对牙科的积极态度以及利用各种行为管理策略来克服。在本研究人群中,观察到父母对严格管理技术的普遍低容忍度。