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Similar to Behavior management
Behavior management
- 1. BEHAVIOR MANAGEMENT DONE BY: Dr. AYAH WALEED SUPERVISED BY: Dr. LUBNA ABDUL-ELLAH
- 2. Behavior management means bywhich the dental health team effectively and efficiently performs treatment for achiled and at the same, installs apositive dental attitude.
- 3. FEAR Fear isprimary emotion for survival against danger, which is acquired soon after birth. TYPES OF FEAR:- 1-objective fear 2-subjective fear
- 4. OBJECTIVE FEAR:- Theyare the respons to stimuli that are felt, seen, heard, smelt or tasted and are not liked or accepted. SUBJECTIVE FEAR:- These are based on the feelings and attitudes that have been suggested to child by others about dentistry without the child having had the experience personally.
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- 6. FACTORS INFLUENCING CHILD’S BEHAVIOR 1-FACTOR INVOLVING THE CHILD: A. Growth and development B. I.Q of child C. Past dental experience D. Social and adaptive skill E. Position of child in the family
- 7. 2- FACTORS INVOLVING THEPARENTS:- A. Family influence B. Parent-child relationship C. Maternal anxiety D. Attitude of parents to dentistry
- 8. 3- FACTORS INVOLVING THEDENTIST A. Appearance of the dental office B. Personality of the dentist C. Time and length of appointment D. Dentist’s skill and speed E. Use of fear promoting word F. Use of subtle, flattery, praise and reward
- 9. CLASSIFICATION OF CHILDREN’SBEHAVIORS 1- CO-OPERATIVE BEHAVIOR:- Reasonably relaxed, have minimal apprehension and can be treated by a straight forward behavior shaping approach. 2- LACKING CO-OPERATIVE BEHAVIOR:- -This behavior is contrast to co-operative child. -Includes very young child (<2.5) or with specific debilitating or handicapping conditions.
- 10. 3- POTENTIALLY CO-OPERATIVE BEHAVIOR -Differs from a child lacking cooperative ability in that this child is able to cooperate and is physically and medically fit. - Potentially cooperative group are further categorized as follows: A- Uncontrolled behavior:- • Seen in 3-6 years. • Tantrum may begin in the reception area or even before. • Tears, loud crying, physical lashing out and flailing of hands and legs all suggestive of a state of acute anxiety or fear.
- 11. B- Defiant behavior:- •Can be found in all ages, more typical in the elementary school group. • Distinguished by “I don’t want to” or “I don’t have to” or “I wont”. • Once won over, these children frequently become highly cooperative.
- 12. C- Timid behavior:- •If they are managed incorrectly, their behavior can deterioate to uncontrolled. • May be from an overprotective home environment or may live in an isolated area having little contact with strangers. • Needs to gain self confidence of the child.
- 13. D- Tense cooperativebehavior:- • Accept treatment, but are extremely tense. • Tremor may be heard, when they speak. E- Whining behavior:- • Thay do not prevent treatment, but whine throughout the procedure. • Great patience is required while treating such children.
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- 17. Behavior management canbe achieved by basically two methods:- 1- Non pharamcological methods. A- Preappointment behavior modification. B- Communication. C- Behavior shaping. Tell-show do technique. Modeling.
- 18. D- Behavioral managementtechniques. Audioanalgesia Aversive conditioning Implosion therapy Retraining 2- Pharmacological methods. A- Sedative B- Hypnotic C- General anesthesia D- Tranquilizer
- 19. Preappointment behavior modification Various methods used for preappointment behavior modification includes letters, films and videotaps. COMMUNICATION The hallmark of successful dentist in managing children is his ability to communicate with them and win their confidence.
- 20. TELL-SHOW DO TECHNIQUE In this technique the child is told about the treatment, showed the instruments and then the treatment is performed. MODELING This prosedure involves, allowing patient to observe one or more model who demonstrate appropriate behavior in a particular situation.
- 21. TELL-SHOW –DO TECHNIQUE
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- 23. BEHAVIOR MANAGEMENT TECHNIQUE Audioanalgesia it is also called as ‘white noise’. This consist of providing a sound stimulus of such intensity that the patient finds it difficult to attend to anything else.
- 24. AVERSIVE CONDITIONING 1- Handover mouth technique. Used for children with sufficient maturity to understand simple verbal commands. Contraindicated in immature frightened, or the child with a serious physical, mental or emotional handicap.
- 25. HAND OVER MOUTH TECHNIQUE
- 26. 2- Physical restraints Papoose board Triangular sheet Pedi wrap Mouth prop or bite block 3- Voice control The dentist can raised his voice and instruct the child in short but strict commands.
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- 30. IMPLOSIN THERAPY Inthis technique the patient is flooded with many stimuli. It comprises of home technique, voice control and physical restraints together.
- 31. RETRAINING If achild have an unpleasant experience in the previous dental office, the child still tends to generalized that an unpleasant event will occur in his new dental office also. This is non as stimulus generalization. To remove this the dentist has demonstrate a difference and create new stimulus which is pleasant and replaces the old.
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