Abstract
Background
Behaviour management techniques (BMT) in children are essential to achieve a successful dental treatment, but parents are not equally accepting BMT.
Aim
To investigate the parental acceptance of advanced behaviour management techniques used in paediatric dentistry in normal and in emergency situations in Germany.
Methods
Parents bringing their children for dental care answered a questionnaire on the acceptance of four advanced BMT: passive restraint, active restraint, nitrous oxide sedation and general analgesia. The study was conducted in five university dental clinics in Germany. Parents rated overall acceptance of each technique using a five points Likert scale.
Results
136 parents answered the questionnaire. The acceptance of all advanced BMT was significantly higher when the treatment was urgent (p < 0.001, paired sample t test). Nitrous oxide sedation was rated as the most acceptable technique in normal treatment (52.6%) and in emergency situation (68.2%), while passive restraint was the least acceptable technique in both normal (19.9%) and emergency situation (37.8%).
Conclusions
Parents in Germany are more willing to accept advanced BMT in emergency situations, with nitrous oxide being generally the most preferred technique.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
AAPD. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2016;38(6):185–98.
Abushal MS, Adenubi JO. Attitudes of Saudi parents toward behavior management techniques in pediatric dentistry. J Dent Child. 2003;70(2):104–10.
Alammouri M. The attitude of parents toward behavior management techniques in pediatric dentistry. J Clin Pediatric Dent. 2006;30(4):310–3.
Boka V, Arapostathis K, Vretos N, et al. Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent. 2014;15(5):333–9. https://doi.org/10.1007/s40368-014-0119-y.
Elango I, Baweja D, Shivaprakash P. Parental acceptance of pediatric behavior management techniques: a comparative study. J Indian Soc Pedod Prev Dent. 2012;30(3):195.
Fields HW Jr, Machen JB, Murphy MG. Acceptability of various behavior management techniques relative to types of dental treatment. Pediatr Dent. 1984;6(4):199–203.
Gazal G, Fareed WM, Zafar MS, et al. Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: a review. Saudi Pharm J. 2016;24(4):379–85.
Kamolmatayakul S, Nukaw S. Parent attitudes toward various behaviour management techniques used in pediatric dentistry in Southern Thailand. Int J Health Promot Educ. 2002;40(3):75–7.
Lawrence SM, McTigue DJ, Wilson S, et al. Parental attitudes toward behavior management techniques used in pediatric dentistry. Pediatr Dent. 1991;13(3):151–5.
Machado GDCM, Mundim AP, Prado MMD, et al. Does protective stabilization of children during dental treatment break ethical boundaries? A narrative literature review. Oral Health Dent Manag. 2015;14(4-August):188–93. https://doi.org/10.4172/2247/2452.1000806.
Paryab M, Afshar H, Mohammadi R. Informing parents about the pharmacological and invasive behavior management techniques used in pediatric dentistry. J Dent Res Dent Clin Dent Prospect. 2014;8(2):95–100. https://doi.org/10.5681/joddd.2014.017.
Patel M, McTigue DJ, Thikkurissy S, et al. Parental attitudes toward advanced behavior guidance techniques used in pediatric dentistry. Pediatr Dent. 2016;38(1):30–6.
Scott S, Garcia-Godoy F. Attitudes of Hispanic parents toward behavior management techniques. ASDC J Dent Child. 1998;65(2):128–31.
Torriani D, Ferro R, Bonow M, et al. Dental caries is associated with dental fear in childhood: findings from a birth cohort study. Caries Res. 2014;48(4):263–70.
Webb MD, Moore PA. Sedation for pediatric dental patients. Dent Clin North Am. 2002;46(4):803–14. xi.
Wilson S. Pharmacological management of the pediatric dental patient. Pediatr Dent. 2004;26(2):131–6.
Hallonsten A, Jensen B, Raadal M, et al. EAPD guidelines on sedation in paediatric dentistry. European academy of paediatric dentistry Im internet. 2013. https://www.eapd.eu/uploads/5CF03741_file.pdf. Accessed 20 Dec 2017.
Gao X, Hamzah S, Yiu CKY, et al. Dental fear and anxiety in children and adolescents: qualitative study using YouTube. J Med Internet Res. 2013;15(2):379–85.
World Medical Association Inc. Declaration of Helsinki. Ethical principles for medical research involving human subjects. J Indian Med Assoc. 2009;107(6):403–5.
Acknowledgements
We thank the parents who took part in this study and the dentists who helped to distribute the questionnaire in the different universities.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Al Zoubi, L., Schmoeckel, J., Mustafa Ali, M. et al. Parental acceptance of advanced behaviour management techniques in normal treatment and in emergency situations used in paediatric dentistry. Eur Arch Paediatr Dent 20, 319–323 (2019). https://doi.org/10.1007/s40368-018-0408-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40368-018-0408-y