In The name of God

• BEHAVIOR MANAGEMENTin

Pediatric Dental Practice

Dr. Saeid BaghiDDS, MS

Pedodontist

• 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

Definition

principles

• Positive method• Dental team behavior• Organization• Truthfulness • Tolerance• Flexibility

CLASSIFICATIONS

• 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

• Retraining• Tell – Show - Do• Aversive conditioning

Behavior shaping

Tell – Show – Do

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- instrumental2- 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• Extrinsic factors

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

Thanks for your attention