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Child-Centred child management in a changing world

  • P. Weinstein
Article
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Abstract

Background: There is a need to “re-think” child management, as the completion of a procedure is not the only dental goal. Short versus long-term goals and the behavioural and pharmacologic repertoire will influence outcomes. Review: A child-centred approach is described, with a specific protocol for the dental waiting room. The changing attitudes of society need to be taken into account in the use of behaviour management techniques by paediatric dentists. Conclusion: The goal of managing children in the dental environment requires some thought: the welfare of the child depends on attention by a clinician to long term goals. The contemporary child centred clinician has a wide range of child management skills. It is not optional for the clinician to develop his/her behavioural expertise to a high level; clinician skills have long-term consequences. These days behaviour management begins in the waiting room where initial contact provides the opportunity to shape subsequent behaviours.

Key words

child management behaviour fear 
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References

  1. Alpert, JJ, Robertson, LS, Kosa, J, Heagarty, MC, Haggerty, RJ. Delivery of health care for children: report of an experiment. Pediatrics, 1976;57(6)917–30.PubMedGoogle Scholar
  2. Bedos, C, et al. Perception of dental illness among persons receiving public assistance in Montreal. Am J Public Health, 2005;95(8):1340–4.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Bendell, D, Field, T, Yando, R, Martinez, A, Pickens, J. “Depressed” mothers perceptions of their preschool children’s vulnerability. Child Psychiatry Human Dev, 1994;24(3):183–90.CrossRefGoogle Scholar
  4. Christakis, DA, Mell, L, Wright, JA, Davis, R, Connell, FA. The association between greater continuity of care and timely measles-mumps-rubella vaccination. Am J Public Health, 2000;90(6):962–5.PubMedCentralPubMedCrossRefGoogle Scholar
  5. Cole, BO, Welbury, RR. Atraumatic restorative treatment (ART) technique: Does it have a place in everyday practice? Dent Update, 2000;27(3):118–20,122-3.PubMedGoogle Scholar
  6. Field, T, Diego, M, Hernansez-Reif, M, Fernandez, M. Depressed mothers’ newborns show less discrimination of other newborns’ cry sounds. Infant Behav Dev, 2007;30(3): 431–5.PubMedCentralPubMedCrossRefGoogle Scholar
  7. Frencken, JE, Van’t Hof, MA, Van Amerongen, WE, Holmgren, CJ. Effectiveness of a single-surface ART restoration in the permanent dentition: a meta-analysis. J Dent Res, 2004; 83(2):120–3.PubMedCrossRefGoogle Scholar
  8. Leeners, B, Stiller, R, Block, et al. Consequences of childhood sexual abuse experiences on dental care. J Psychosom Res, 2007;62(5):581–8.PubMedCrossRefGoogle Scholar
  9. Lentz, KA. The expressed fears of young children. Child Psychiatry Hum Dev, 1985;16(1):3–13.PubMedCrossRefGoogle Scholar
  10. Leventhal, H, et al. The common sense model of self-regulation of health and illness. In Cameron, LD, Leventhal, H, eds. The self-regulation of health and illness behaviour, London, UK: Taylor and Francis books, 2003Google Scholar
  11. Leventhal, H. Living with chronic illness: A contextualized self-regulation approach. In Sutton, S, et al, eds. Handbook of health psychology. London, UK: Sage Publications, 197–240, 2004Google Scholar
  12. Milgrom, P, Vignehsa, H, Weinstein, P. Adolescent dental fear and control: prevalence and theoretical implications. Behav Res Ther, 1992;30(4):367–73.PubMedCrossRefGoogle Scholar
  13. Milgrom, P, Mancl, L, King, B, Weinstein, P. Origins of childhood dental fear. Behav Res Ther, 1995;33(3):313–9.PubMedCrossRefGoogle Scholar
  14. Milgrom, P, Weinstein, Getz, T. Treating fearful dental patients., 2nd ed, Seattle. University of Washington Continuing Dental Education, 1995.Google Scholar
  15. Newton, JT, Patel, H, Shah, S, Sturmey, P. Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK. Int J Paediatr Dent, 2004;14(2):111–7.PubMedCrossRefGoogle Scholar
  16. Pickrell, JE, Heima, M, Weinstein, P, et al. Using memory restructuring strategy to enhance dental behaviour. Int J Paediatr Dent, 2007;17(6):439–48.PubMedCrossRefGoogle Scholar
  17. Raadal, M, Kaakko, T, Milgrom, P, et al. A randomized clinical trial of triazolam in 3- to 5-year-olds. J Dent Res, 1999;78(6):1197–203.PubMedCrossRefGoogle Scholar
  18. Skaret E, Weinstein P, Milgrom P, Kaakko T, Getz, T. Factors related to severe untreated tooth decay in rural adolescents: a case-control study for public health planning. Int J Paed Dent, 2004;14(1):17–26, 2004.CrossRefGoogle Scholar
  19. Walker, EA, Milgrom, P, Weinstein, P, Getz, Y, Richardson, R. Assessing abuse and neglect and dental fear in women. J Am Dent Assoc, 1996;127(4):485–90.PubMedCrossRefGoogle Scholar
  20. Weinstein, P, Getz, T, Ratener, P, Domoto, P. The effect of dentists’ behaviours on fear-related behaviours in children. J Am Dent Assoc, 1982;104(1):32–8.PubMedCrossRefGoogle Scholar
  21. Weinstein, P, Domoto, PK, Holleman, E. The use of nitrous oxide in the treatment of children: results of a controlled study. J Am Dent assoc, 1986;112(3):325–31.PubMedCrossRefGoogle Scholar
  22. Weinstein, P, Milgrom, P, Ramssay, DS. Treating dental fears using nitrous oxide inhalation and systematic desensitization. Gen Dent, 1988;36(4):322PubMedGoogle Scholar
  23. Weinstein, P, Milgrom, P, Hoskuldsson O, et al. Situation-specific child control: a visit to the dentist. Behav Res Ther, 1996;34(1):11–21.PubMedCrossRefGoogle Scholar
  24. Weinstein, P, Troyer, R, Jacobi, D, Moccasin, M. Dental experiences and parenting practices of Native American mothers and caretakers: what we can learn for the prevention of baby bottle tooth decay. ASDC J Dent Child, 1999;66(2), 120–6.PubMedGoogle Scholar
  25. Weinstein, P, Raadal, M, Naidu, S, et al. A videotaped intervention to enhance child control and reduce anxiety of the pain of dental injections. Eur J Paediatr Dent, 2003;4(4):181–5.PubMedGoogle Scholar
  26. Willumsen, T. the impact of childhood sexual abuse on dental fear. Community Dent Oral Epidemiol, 2004;32(1):73–9.PubMedCrossRefGoogle Scholar

Copyright information

© Adis Internationals 2008

Authors and Affiliations

  • P. Weinstein
    • 1
  1. 1.Dental Public Health Sciences, Depts of Pediatric Dentistry and PsychologyUniversity of Washington, SeattleWashingtonUSA

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