280 likes | 366 Views
In The name of God. BEHAVIOR MANAGEMENT in Pediatric Dental Practice. Dr. Saeid Baghi DDS, MS Pedodontist. Definition.
E N D
BEHAVIOR MANAGEMENTin Pediatric Dental Practice Dr. SaeidBaghi DDS, MS Pedodontist
Definition • Behavior management is the means by which the dental health team effectively and efficiently performs the treatment for a child & at the same time instills a positive dental attitude
principles • Positive method • Dental team behavior • Organization • Truthfulness • Tolerance • Flexibility
Behavior management can be classified as: • 1-Non-Pharmacological methods • Communication • Behavior shaping (modification)
2. Pharmacological methods: • Pre-medication • a) Sedatives and hypnotics • b) Anti-anxiety drugs • c) Antihistamines • Conscious Sedation • General Anesthesia
Behavior shaping • Retraining • Tell – Show - Do • Aversive conditioning
Aversive conditioning • HOM (Evangeline Jordan 1920)
Behavior psychology • Age: 1-3 y/o: • Temper tantrum • Terrible twos
Behavior psychology • Age: 3-6 y/o: • Aggression: 1- instrumental 2- hostile
Behavior psychology • Age: 6- 12 y/o:
conclusion • Physical domain • Pharmacologic domain • Aversive domain • Reward oriented domain • Linguistic domain
Pain control • Specificity • Pattern • Gate control
Pain psychology • Intrinsic factors • Extrinsicfactors
Analgesics • Aspirin : • 10-15 mg/kg • q4-6h
Analgesics • Acetaminophen : • 10-15 mg/kg • q4-6h
Analgesics • NSAID : • Ibuprofen: 4-10 mg/kg q6h
Analgesics • NSAID : • Naproxen: 5-7 mg/kg bid
Analgesics • NSAID : • Tolmetin : 5-7 mg/kg qid
Sedative agents • Chloral hydrate
Sedative agents • Anti anxiety agents: • midazolam
Sedative agents • Ketamine