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Behaviour management is important because a pediatric dentist is handling a cognitively, physically  mentally and emotionally maturing child.
Is it necessary to let patient cry throughout the treatment…?
Or post the patient to general anesthesia….?!!
PEDODONTIC TREATMENT TRAINGLE CHILD DENTIST  PARENTS SOCIETY The major difference in treating adults & children is in adults its 1 to 1 relationship. However treating a child is a pedodontic treatment triangle.
[object Object],[object Object],[object Object],Parents counseling
CO-OPERATIVE TENSE CO-OPERATIVE OUTWARDLY APPREHENSIVE FEARFUL STUBBORN HYPERMOTIVE EMOTIONALLY  IMMATURE HANDICAPPED LAMPSHIRE’S CLASSIFICATION
Under The Control of The Dentist ,[object Object],[object Object],[object Object],[object Object],[object Object],FACTORS AFFECTING CHILD’S BEHAVIOR IN DENTAL CLINIC
Effect of Dentist’s Activity & Attitude
a) Data Gathering & Observation 2. JENK’s six categories of activities by a dentist
b) STRUCTURING   Objective is to explain the child importance of dental treatment and its purpose in a manner the child understands
TOOTH BRUSHING WASHING THE MOUTH WITH VACCUM AND 3 WAY SYRINGE  CLEANING THE TEETH WITH BRUSH IN HAND PIECE DRILLING A VITAL TOOTH WITH AIR TURBINE ANESTHETIC  SOLUTION REFERRED  AS WATER TO PUT TOOTH TO SLEEP MOTIVATING PATIENT TOWARDS ORAL HEALTH  STRUCTURING
c)Externalization Attention, perception, sensation are on the site of injection, eyes closed, mouth open, body rigid and drawn from other stimuli. In such case externalization helps.  c) Externalization
Distraction Attention is focused away
Involvement  Involve the child so that child’s verbal or motor  discharge do not interfere in treatment procedure
d) Dentist Attitude  ,[object Object],[object Object],[object Object],[object Object]
e) Flexible Authority  ,[object Object]
f) Education & Training
3.EFFECT OF DENTIST’S ATTIRE: ,[object Object]
[object Object],[object Object],[object Object]
Non-Pharmacological Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Universally used in pediatric dentistry with both co-operative and uncooperative child. Fundamental form of behavior management. 1.Communication  by Chambers 1976
[object Object],[object Object],[object Object],[object Object]
Systemic Desensitization ,[object Object],[object Object],[object Object]
INDICATIONS : ,[object Object],[object Object],[object Object],[object Object],First visit
Desensitization by JosephWolpe1975   Behavior Shaping (modification)
TELL SHOW DO  TECHNIQUE By ADDLESLON 1959
2 . Modeling by Bandura 1969 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Contingency Management ,[object Object]
[object Object]
[object Object]
Biofeed   Back by Buonomono 1979 : involves the use of certain instruments to detect certain physiological processes associated with fear. Humor : helps to elevate the mood of the child
COPING by Lazaue 1980
[object Object]
[object Object],[object Object],[object Object]
[object Object]
HOME(Hand over mouth exercise) ,[object Object],[object Object],[object Object],-- 3 TO 6 YRS OLD. --Healthy child who can understand but who exhibits defiance and hysterical behavior during treatment. --A child who can understand simple verbal communication. --Children displaying uncontrollable behavior.
CONTRAINDICATIONS ,[object Object],[object Object],[object Object],.
PHYSICAL RESTRAINTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assistance for  I mmobilization (Parental aid during an examination)
Physical aids to keep patients mouth   (Molt mouth prop)
Mouth props with  suction tips
Pappose board in use
Immobilization for control of body & extremities (Patient in a pedi-wrap) Head positioner
Immobilization for the extremities (Posey strap on wrist) Immobilization aids for head stabilization ( Proper positioning of the dentist’s hands, forearm  & body) Immobilization for control of body & extremities (Patient lying in a beanbag dental chair insert)
T H A N K   Y O U

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behavior management

  • 1. Behaviour management is important because a pediatric dentist is handling a cognitively, physically mentally and emotionally maturing child.
  • 2. Is it necessary to let patient cry throughout the treatment…?
  • 3. Or post the patient to general anesthesia….?!!
  • 4. PEDODONTIC TREATMENT TRAINGLE CHILD DENTIST PARENTS SOCIETY The major difference in treating adults & children is in adults its 1 to 1 relationship. However treating a child is a pedodontic treatment triangle.
  • 5.
  • 6. CO-OPERATIVE TENSE CO-OPERATIVE OUTWARDLY APPREHENSIVE FEARFUL STUBBORN HYPERMOTIVE EMOTIONALLY IMMATURE HANDICAPPED LAMPSHIRE’S CLASSIFICATION
  • 7.
  • 8. Effect of Dentist’s Activity & Attitude
  • 9. a) Data Gathering & Observation 2. JENK’s six categories of activities by a dentist
  • 10. b) STRUCTURING Objective is to explain the child importance of dental treatment and its purpose in a manner the child understands
  • 11. TOOTH BRUSHING WASHING THE MOUTH WITH VACCUM AND 3 WAY SYRINGE CLEANING THE TEETH WITH BRUSH IN HAND PIECE DRILLING A VITAL TOOTH WITH AIR TURBINE ANESTHETIC SOLUTION REFERRED AS WATER TO PUT TOOTH TO SLEEP MOTIVATING PATIENT TOWARDS ORAL HEALTH STRUCTURING
  • 12. c)Externalization Attention, perception, sensation are on the site of injection, eyes closed, mouth open, body rigid and drawn from other stimuli. In such case externalization helps. c) Externalization
  • 13. Distraction Attention is focused away
  • 14. Involvement Involve the child so that child’s verbal or motor discharge do not interfere in treatment procedure
  • 15.
  • 16.
  • 17. f) Education & Training
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25. Desensitization by JosephWolpe1975 Behavior Shaping (modification)
  • 26. TELL SHOW DO TECHNIQUE By ADDLESLON 1959
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. Biofeed Back by Buonomono 1979 : involves the use of certain instruments to detect certain physiological processes associated with fear. Humor : helps to elevate the mood of the child
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Assistance for I mmobilization (Parental aid during an examination)
  • 40. Physical aids to keep patients mouth (Molt mouth prop)
  • 41. Mouth props with suction tips
  • 43. Immobilization for control of body & extremities (Patient in a pedi-wrap) Head positioner
  • 44. Immobilization for the extremities (Posey strap on wrist) Immobilization aids for head stabilization ( Proper positioning of the dentist’s hands, forearm & body) Immobilization for control of body & extremities (Patient lying in a beanbag dental chair insert)
  • 45. T H A N K Y O U