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行为谜题:非药物行为管理

Behavior Puzzle: Nonpharmacological Behavior Management.

作者信息

Asokan Sharath, Rodrigues Steven Jl, Nuvvula Sivakumar, Marwah Nikhil, Panda Anup K, Yuvaraj Padmanabhan M, Rao Ashwin, Namineni Srinivas, Singh Sukhdeep, Mallineni Sreekanth K

机构信息

Department of Pediatric and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India.

Department of Pediatric and Preventive Dentistry, Government Dental College and Hospital, Bambolim, Goa, India.

出版信息

Int J Clin Pediatr Dent. 2025 Mar;18(3):348-358. doi: 10.5005/jp-journals-10005-3099. Epub 2025 Apr 19.

Abstract

UNLABELLED

A child's dental visit may often be associated with dental fear and anxiety (DFA). Children with DFA may exhibit dental behavior management problems (DBMPs), which mostly manifest as disruptive behavior. Children displaying disruptive behavior are often more challenging to treat, require more chairside time, and can result in a stressful appointment for the child, parent, and even the dentist. Factors that are specific triggers for DFA need to be identified, and their behavior assessed. This would help the dentist modify the child's behavior using appropriate behavior management techniques (BMTs) to facilitate the delivery of quality dental care. This article is not meant to be dogmatic or serve as a rulebook or a legal document. It sheds light on some practical methods of assessment of child behavior and communication, the key concepts in behavior guidance. The authors have also attempted to compile the nonpharmacological BMTs used in current clinical practice with evidence from the Indian scenario. They have also shared some of their personal experiences gained in the process of guiding children's behavior in the dental setting over the past two to three decades.

HOW TO CITE THIS ARTICLE

Asokan S, Rodrigues SJL, Nuvvula S, . Behavior Puzzle: Nonpharmacological Behavior Management. Int J Clin Pediatr Dent 2025;18(3):348-358.

摘要

未标注

儿童看牙往往与牙科恐惧和焦虑(DFA)有关。患有DFA的儿童可能会出现牙科行为管理问题(DBMPs),主要表现为破坏性行为。表现出破坏性行为的儿童通常更难治疗,需要更多的椅旁时间,并且会给儿童、家长甚至牙医带来一次压力较大的看诊经历。需要识别出引发DFA的特定因素,并对他们的行为进行评估。这将有助于牙医运用适当的行为管理技术(BMTs)来改变儿童的行为,以促进优质牙科护理的提供。本文并非教条式的,也不是规则手册或法律文件。它阐明了一些评估儿童行为和沟通的实用方法,即行为指导的关键概念。作者还尝试结合印度的情况,汇总当前临床实践中使用的非药物BMTs的证据。他们还分享了在过去二三十年里在牙科环境中指导儿童行为过程中获得的一些个人经验。

如何引用本文

阿索坎 S、罗德里格斯 SJL、努武拉 S 等。行为谜题:非药物行为管理。《国际临床儿科牙科学杂志》2025年;18(3):348 - 358。

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