Key Points
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Good behavioural management techniques are essential for providing effective child dental treatment. Currently, little is known in Britain about paediatric dentists' attitudes towards different behavioural techniques. This study provides preliminary insight into these attitudes.
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The study shows that the paediatric dentists surveyed were positively oriented to parental accompaniment of the child during treatment and generally viewed parents as useful allies in facilitating dental treatment for the child more effectively.
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Further studies, comparing the effectiveness of various behavioural management techniques, are now required.
Abstract
Objective Good behavioural management techniques are essential for treating children. Recent research has investigated parental and paediatric attitudes towards various behavioural management techniques. However, in the UK, very little is known about paediatric attitudes towards such issues. Accordingly, the aim of this investigation was to conduct a survey in order to provide insight into the current thinking of paediatric dentists across the UK.
Study design A questionnaire was developed for this study on the basis of previous surveys investigating the attitudes of paediatric dentists towards the use of various behavioural management techniques in Australia and the USA. Areas covered in the questionnaire included: attitudes towards parental accompaniment; attitudes regarding parental expectations; and attitudes towards the use of various different child management techniques. The questionnaire was sent out to all registered members of the British Society of Paediatric Dentistry (n = 304).
Results 245 responses (80.5%) were returned, of which 218 provided valid and useable information (72%). A majority of 80% of respondents supported parental accompaniment of the child during the course of treatment. Separate analysis of variance (ANOVA) procedures revealed significant differences between acceptability of parental accompaniment and the year in which dentists had qualified (P < 0.05). More recently qualified dentists were less accepting of parental accompaniment. Only a minority of dentists reported feeling pressured by parental expectations with regard to their child's treatment. However, an independent sample t-test revealed that male dentists experienced greater perceived conflict between dental and parental expectations, than female dentists (P < 0.05).
In terms of specific behavioural management techniques, the most favoured was 'tell-show-do' with 87% of respondents citing this as their most commonly used method. Least acceptable were 'hand over mouth' techniques, foIlowed closely by active restraint and papoose board.
Conclusion In general, paediatric dentists in the UK favoured less 'restraining' methods of behavioural management. There was widespread support for parental accompaniment in the dentaI operatory and a desire to work in participation with parents in order to facilitate the child's good behaviour and more effective dental treatment. Further studies comparing the effectiveness of various techniques used with regard to treatment time and clinical outcomes, are now required.
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References
Kay L, Tinsley S Frightening Patients? Frightening Dentists? Communication for the dental team. 1998 Chapter 8 p80–91.
Havelka C, McTigue D, Wilson S, Odom J The influence of social status and prior explanation on parental attitudes toward behaviour management techniques. Pediatr Dent 1992; 14: 376–381.
Pickham JR An analysis of the phenomenon of increased parental participation during the child's dental experience. J Dent Child 1991 November/Dec Issue 458–463.
Freeman R The case for mother in the surgery. Br Dent J 1999; 186: 610–613.
Lawrence SM, McTigue DJ, Wilson S, Odom JG, Waggoner WF, Fields HW Parental attitudes toward behaviour management techniques used in paediatric dentistry. Pediatr Dent 1991; 13: 151–155.
Association of Pedodontic Diplomats Techniques for behaviour management – a survey. J Dent Child 1972; 39: 368–372.
Levy RC, Domoto PK Current techniques for behaviour management – A survey. Pediatr Dent 1979; 1: 160–164.
Association of Pedodontic Diplomates Survey of attitudes and practices in behaviour management. Pediatr Dent 1981; 3: 246–250.
Glusrud PH Dentists' characteristics and child behaviour management techniques. ASDC J Dent Child 1984; 51: 337–343.
Wright FA, McMurray NE, Giebartowski J Strategies used by dentists in Victoria, Australia, to manage children with anxiety or behaviour problems. ASDC J Dent Child 1991; 58: 223–228.
Wright FA, McMurray NE, Giebartowski J A national survey of dentists' management of children with anxiety or behaviour problems. ASDC J Dent Child 1991; 36: 378–383.
Nathan JE Management of the difficult child: a survey of paediatric dentists' use of restraints, sedation and general anaesthesia. ASDC J Dent Child 1989; 56: 4293–301.
McKnight-Hanes C, Myers DR, Dushku JC, Davis HC The use of behaviour management techniques by dentists across practitioner type, age, and geographic region. Pediatr Dent 1993 15: 267–71.
Murphy MG, Fields HWJr, Machen JB Parental acceptance paediatric dentistry behaviour management techniques. Pediatr Dent 1984; 6: 193–98.
Fields HWJr, Machen JB, Murphy MG Acceptability of various behaviour management techniques relative to types of dental treatment. Pediatr Dent 1984, 6: 199–203.
Acknowledgements
The authors would like to thank all of the paediatric dentists who took the time to participate in this survey.
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Crossley, M., Joshi, G. An investigation of paediatric dentists' attitudes towards parental accompaniment and behavioural management techniques in the UK. Br Dent J 192, 517–521 (2002). https://doi.org/10.1038/sj.bdj.4801416
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DOI: https://doi.org/10.1038/sj.bdj.4801416
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