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• Cooperative Behaviour
• Lacking Cooperative Behaviour
• Potentially Cooperative Behaviour(5
Subtypes)-
Uncontrolled Behaviour
Defiant/Obsinate Behaviour
Timid Behaviour
Tense-cooperative Borderline Behaviour
Whining behaviour
Classification of Behavior
Management
Behavior
Management
Psychological Physical
Pharmacological
Approach Approach
Preappointment
behavior modification
Communication
Use of second
language
Tell Show Do
Modeling
Parental presence or
absence
Distraction
Voice control
Hand Over Mouth
Physical
Approach
Physical Restraints
Premedication
Pharmacologi
cal Conscious Sedation
General Anaesthesia
• Pre-appointment Behaviour Modification-
-Audiovisual Modeling-The goal is for the
patient to reproduce the behaviour exhibited by
model.
Child sees the video cassette before
proceeding to dental clinic,on day of appointment.
Type of model used can be siblings,other
children or parents.
Advantages-Extinction of fear
Disadvantages-Expensive and time consuming
-Preappointment Mailing-Contact with the child’s
parents before the first dental visit can alienate
some concerns.
• Communication-
-First objective in successful management of the
young child is to establish communication.
-By involving the child in conversation,the dentist not
only learns about the patient but also may relax the
youngster.
-There are 2 ways of establishing communication-
Verbal (spoken language)& Non Verbal(expression
without words like handshake,welcome).
-Effective vocabulary is important aspect as the
dentist must only use the words that are
understandable by the child.
-The 3 most important facets of communication are
source,medium and receiver.In reference to
dentistry ,dentist is the source,dental clinic is the
medium and child is d receiver.
• Use of second language(Euphemisms)-
-Address the child at his or her level of
comprehension.This does not suggest
the use of baby talk,but rather employing
words that have meaning for that child.
-The dental staff as well as the dentist
should be oriented to the use of “second
language”.The tone of the voice can also
be very effective in altering the child’s
behaviour.A kind,firm,or a soft or a loud
voice says a lot to the child.It is not what
you say but it is how you say it.
DENTAL TERMINOLOGY WORD SUBSTITUTE
Enjoys pointless riddles & Uses big words Can sit still for brief
jokes periods
Accepts & respects Knows name & address Enjoys stunting & jumping
authority,will take
permission
Silly,Giggling Uses complete sentences Likes dancing gracefully
readily
Objectives Of Behaviour
Management
• To establish effective
communication with child &
parent.
• Gain child & parent confidence
for dental treatment.
• Teach child positive aspect of
preventive dental care.
• Provide a comfortable,relaxing
environment to the child.
Factors Influencing Child’s
Behaviour In Dental Office
Wright summarized the following factors-
• Medical history
• Maternal anxiety
• Family & peer influence
• Dental office environment
• Growth & development
• Personal factors
• Environmental factors
• Other variables
• Medical History-Children who view medical
experience positively are more likely to be
co-operative.
• Textbook of pedodontics-
Shobha Tandon
• Textbook of pediatric
dentistry-Nikhil Marwah
• Net sources