Faculty of Dental Surgery, Toulouse III University-Paul Sabatier, 31 4000 Toulouse, France.
Inserm, U1048 and Toulouse III University-Paul Sabatier, I2MC, 31 4000 Toulouse, France.
J Clin Pediatr Dent. 2024 Jan;48(1):19-25. doi: 10.22514/jocpd.2024.003. Epub 2024 Jan 3.
Protective stabilization (PS) has been utilized to safely perform examinations, make diagnoses and/or provide limited treatment of short duration to uncooperative children. The literature supports PS as an alternative technique when behavior management strategies are not sufficient to enable oral care. The use of PS in pediatric dentistry can be traumatic for patients, parents and the medical team and has sometimes been described as being non-compliant with standards of care. Semi-structured qualitative interviews on dental students' perception of PS were conducted in the pediatric department of dentistry at the University Hospital of Toulouse, France. A thematic analysis of the transcript of interviews was provided using the NViVo software. This analysis identified four main themes. The students described their first experience with physical restraint in pediatric dentistry and wondered about the definition of PS. The students' perception of PS showed that this procedure has a psychological impact and is disturbing. There is a lack of information on PS in dental curricula and didactic and clinical education which requires attention. Finally, the students took into consideration the role of PS in future practice. Dental students' perception of PS provides justification for the development and improvement of theoretical and clinical education in behavior guidance techniques for pediatric dental patients, in accordance with national and international guidelines.
保护性稳定(PS)已被用于安全地进行检查、诊断和/或对不合作的儿童进行短时间的有限治疗。文献支持 PS 作为替代技术,当行为管理策略不足以进行口腔护理时使用。PS 在儿科牙科中的使用对患者、家长和医疗团队来说可能是创伤性的,有时被描述为不符合护理标准。在法国图卢兹大学医院的牙科儿科部门对牙科学生对 PS 的看法进行了半结构化定性访谈。使用 NViVo 软件对访谈记录的文本进行了主题分析。该分析确定了四个主要主题。学生们描述了他们在儿科牙科中第一次使用身体约束的经历,并对 PS 的定义提出了疑问。学生们对 PS 的看法表明,该程序具有心理影响且令人不安。牙科课程和教学临床教育中缺乏 PS 方面的信息,这需要引起重视。最后,学生们考虑了 PS 在未来实践中的作用。牙科学生对 PS 的看法为根据国家和国际指南,为儿科牙科患者的行为指导技术的理论和临床教育的发展和改进提供了依据。