DEPARTMENT OF PEDIATRIC DENTISTRY

LESSON NOTES
BEHAVIOUR MANAGEMENT IN PEDIATRIC DENTISTRY

BEHAVIOR MANAGEMENT - OBJECTIVES

• Goals of communication and education
• Process of dialogue, facial expression, and voice tone
• Build a relationship between dentist and patient

DEFINITIONS
BEHAVIOR
Behavior is any activity that can be observed , recorded and measured.
BEHAVIOR MANAGEMENT
Behavior management is the means by which dental health team effectively and efficiently
performs treatment for a child and at the same time instills a positive dental attitude.
(WRIGHT,1975)
BEHAVIOR SHAPING
It is the procedure, which slowly develops behavior by reinforcing a successive approximation of
desired behavior until desired behavior comes into being.
BEHAVIOR MODIFICATION It is defined as the attempt to alter human behavior and
emotion in a beneficial manner according to laws of modern learning theory.(EYSENCK,1964)

FRANKEL’S BEHAVIOUR RATING SCALE

RATING 1:DEFINITELY NEGATIVE-complete refusal of treatment,forceful
crying,fearfulness
RATING 2:NEGATIVE-uncooperativeness,some evidance of negative attitude but not
pronounced
RATING 3:POSITIVE-acceptance of treatment,cautious behaviour,is cooperative but may
become uncooperative once treatment starts.
RATING 4:DEFINITELY POSITIVE-good rapport with dentist,interested in dental
procedure
CLASSIFICATION OF BEHAVIOUR MANAGEMENT
NON-PHARMACOLOGICAL(PSYCHOLOGICAL APPROACH)
 COMMUNICATION
 USE OF SECOND LANGUAGE
 TELL-SHOW-DO
 DESENSITIZATION
 MODELING
 BEHAVIOR SHAPING
 CONTINGENCY MANAGEMENT
 EXTERNALIZATION
 DISTRACTION
 ASSIMILATION AND COPING
 PARENTAL PRESENCE OR ABSENCE
 RETRANING
 VISUAL IMAGERY
 FLOODING TECHNIQUE
 VOICE CONTROL
 USE OF POETRY AND DRAWINGS
 HYPNOSIS
 HAND OVER MOUTH TECHNIQUE
 PROTECTIVE STABILISATION
PHARMACOLOGICAL MANAGEMENT
 PRE-MEDICATION
 CONSCIOUS SEDATION
 GENERAL ANESTHESIA