Feigal R
Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor 48109, USA.
Gen Dent. 1995 Jul-Aug;43(4):327-32; quiz 333-4.
All professionals who treat children must develop philosophies of care. Pediatric behavior management deserves significant attention by dentists in the development of such a philosophy. Different strategies are available to manage the variety of pediatric patients' challenges that dentists face. Yet, achieving familiarity and comfort with all of these strategies is a difficult if not impossible task. Therefore, dentists must assess which methods they can be use effectively and safely. Dentists must communicate with parents so that their informed consent is obtained for any of the strategies chosen. Knowledge of the society or community in which one works is essential in deciding which technique will be acceptable. Furthermore, methods of pediatric management are most effective if they are honest extensions of one's personality. Thus, developing a management philosophy demands that one be true to oneself. Behavior-management methods used should be based on careful assessment of one's training and experience with the methods, and evaluation of one's personal philosophy of practice. In addition, the environment in which one practices must be considered in choosing the optimum mix of management strategies with which to fill one's practice "bag of tricks".
所有治疗儿童的专业人员都必须形成护理理念。在制定这样一种理念的过程中，儿科行为管理值得牙医给予高度关注。针对牙医所面临的各类儿科患者的挑战，有不同的策略可供采用。然而，要熟悉并熟练运用所有这些策略，即便不是不可能，也是一项艰巨的任务。因此，牙医必须评估哪些方法他们能够有效且安全地使用。牙医必须与家长沟通，以便就所选用的任何策略获得他们的知情同意。了解自己工作所在的社会或社区对于决定哪种技术会被接受至关重要。此外，如果儿科管理方法是个人性格的真实延伸，那么这些方法最有效。因此，形成一种管理理念要求一个人忠于自己。所采用的行为管理方法应基于对自己使用这些方法的培训和经验的仔细评估，以及对个人执业理念的评估。此外，在选择最佳管理策略组合以充实自己的执业“锦囊妙计”时，必须考虑执业环境。
