Kumar Verma Rajnish, Sindgi Rutuja, Gavarraju Deepthi Nirmal, Lakshmi Manasa Pappu, Bakkuri Prashanth Kumar, Dubey Alok, Ravula Sandeep Reddy
Department of Pediatric and Preventive Dentistry, Kalinga Institute of Dental Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, Odisha, India.
Department of Dentistry, Symbiosis Medical College for Women, Affiliated to Symbiosis International University, Lavale, Pune, Maharashtra, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2434-S2436. doi: 10.4103/jpbs.jpbs_262_24. Epub 2024 Jul 31.
Pediatric dentistry necessitates efficient behavior management methods to ensure successful treatment outcomes and positive experiences for young patients. This research aims to evaluate the comparative effectiveness of " (TSD)", positive reinforcement, nitrous oxide sedation, and pharmacological sedation in pediatric dental practice.
A retrospective analysis was conducted on pediatric patients aged 3-12 years who underwent dental treatment at a designated dental center over a 1-year period. Patients were categorized based on the behavior management method utilized: TSD, positive reinforcement, nitrous oxide sedation, or pharmacological sedation. Treatment success rates and patient cooperation levels were evaluated for each method.
Positive reinforcement and TSD demonstrated the highest treatment success rates (85% and 80%, respectively) and patient cooperation levels (90% and 85%, respectively). Nitrous oxide sedation exhibited moderate effectiveness with a treatment success rate of 70% and a patient cooperation level of 75%. Pharmacological sedation had the lowest treatment success rate (60%) and patient cooperation level (65%). Statistical analysis revealed significant differences in treatment success rates ( < 0.05) and patient cooperation levels ( < 0.05) among the behavior management methods.
Positive reinforcement and TSD emerge as highly efficient behavior management methods in pediatric dentistry, promoting high treatment success rates and patient cooperation levels. Nitrous oxide sedation offers a valuable adjunct for managing anxiety and enhancing patient comfort. Pharmacological sedation, while efficient in certain cases, should be used judiciously due to associated risks.
儿童牙科需要有效的行为管理方法,以确保为年轻患者带来成功的治疗结果和积极的体验。本研究旨在评估“(TSD)”、正面强化、笑气镇静和药物镇静在儿童牙科实践中的相对有效性。
对在指定牙科中心接受了为期1年牙科治疗的3至12岁儿童患者进行回顾性分析。根据所采用的行为管理方法对患者进行分类:TSD、正面强化、笑气镇静或药物镇静。评估每种方法的治疗成功率和患者合作水平。
正面强化和TSD显示出最高的治疗成功率(分别为85%和80%)和患者合作水平(分别为90%和85%)。笑气镇静表现出中等效果,治疗成功率为70%,患者合作水平为75%。药物镇静的治疗成功率(60%)和患者合作水平(65%)最低。统计分析显示,行为管理方法之间在治疗成功率(<0.05)和患者合作水平(<0.05)方面存在显著差异。
正面强化和TSD成为儿童牙科中高效的行为管理方法,促进了高治疗成功率和患者合作水平。笑气镇静为管理焦虑和提高患者舒适度提供了有价值的辅助手段。药物镇静虽然在某些情况下有效,但由于相关风险,应谨慎使用。