Hussein Twana Othman, Akşit-Bıçak Damla
Department of Paediatric Dentistry, Faculty of Dentistry, Near East University, Mersin 10, Nicosia 99138, Turkey.
Department of Pediatric Dentistry, Faculty of Dentistry, Final International University, Mersin 10, Nicosia 99010, Turkey.
Children (Basel). 2022 Jul 29;9(8):1146. doi: 10.3390/children9081146.
It is important to avoid giving children traumatic dental experiences that induce post-traumatic dental care anxiety (PTDA) in clinical dental practices. The aim of this study was to evaluate whether non-pharmacological behavior management procedures can effectively reduce the use of pharmacological behavior management in children who have PTDA and are referred for regular dental treatments under general anesthesia (GA) and sedation.
This clinical study consisted of two groups. The treatment group involved 20 healthy children aged 4-14 with PTDA and also those referred by other institutions for dental treatment with/without GA. The control group was sampled retrospectively from the patient records and involved 20 healthy uncooperative children aged 4-14 with PTDA who had been treated under GA.
The number of multiple appointments was significantly higher in the treatment group than in the control group. Only 25% of children in the treatment group underwent GA and the rest (75%) were managed with non-pharmacological management techniques. Nine (60%) children who were treated with minimally invasive techniques did not require GA.
It is important to treat children as much as possible without causing PTDA by using appropriate behavior management techniques. This study emphasizes the usefulness of thoroughly employing non-pharmacological behavior management methods before directing a child with PTDA for dental treatment under pharmacological behavior management, which can prevent the over-utilization of sedation and GA.
在临床牙科实践中，避免给儿童带来导致创伤后牙科护理焦虑（PTDA）的创伤性牙科体验非常重要。本研究的目的是评估非药物行为管理程序是否能有效减少对患有PTDA且被转诊接受全身麻醉（GA）和镇静下常规牙科治疗的儿童使用药物行为管理。
这项临床研究分为两组。治疗组包括20名4至14岁患有PTDA的健康儿童，以及其他机构转诊来接受有或无GA牙科治疗的儿童。对照组是从患者记录中回顾性抽取的，包括20名4至14岁患有PTDA且在GA下接受治疗的健康不合作儿童。
治疗组的多次预约次数显著高于对照组。治疗组中只有25%的儿童接受了GA，其余75%采用非药物管理技术。9名（60%）接受微创技术治疗的儿童不需要GA。
通过使用适当的行为管理技术，尽可能在不引起PTDA的情况下治疗儿童非常重要。本研究强调在指导患有PTDA的儿童接受药物行为管理下的牙科治疗之前，充分采用非药物行为管理方法的有用性，这可以防止镇静和GA的过度使用。
