Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents

Objective : To evaluate the acceptance of the parents of special needs patients (SNP) concerning behavior guidance techniques (BGT) used for the dental care. Methods : Participants were asked to answer a sociodemographic questionnaire and, after this, they received individual explanations regarding each of the BGT, and answered if they accepted, accepted with restrictions or did not accept each one of them. Data were analyzed using binomial nonparametric test for the difference between proportions and the chi-square test. Results : Participated 83 parents of SNP. All of them considered the use of communicative management (CM) for the patients’ dental care to be totally acceptable. The use of protective stabilization (PS) was considered acceptable by 76 parents (91.57%), sedation (SD) by 65 parents (78.32%), general anesthesia (GA) by 63 parents (75.90%) and nitrous oxide inhalation (NOI) by 62 parents (74.70%). The differences between the levels of acceptance for each method regarding the three educational levels were not statistically significant. Sedation was statistically more readily accepted by parents of patients aged 31 to 40 years when compared with those of children until ten years of age. The acceptance of protective stabilization was statistically higher for patients with physical disabilities when compared with those of patients who had congenital disabilities, intelligence or behavioral deviations. Conclusion : Communicative management and protective stabilization were statistically more acceptable by parents than the other techniques.

[1]  B. Peretz,et al.  Pattern of parental acceptance of management techniques used in pediatric dentistry. , 2013, The Journal of clinical pediatric dentistry.

[2]  P. Shivaprakash,et al.  Parental acceptance of pediatric behavior management techniques: a comparative study. , 2012, Journal of the Indian Society of Pedodontics and Preventive Dentistry.

[3]  F. Jimeno,et al.  Acceptance by Spanish parents of behaviour-management techniques used in Paediatric Dentistry , 2010 .

[4]  P. Nelson-Filho,et al.  Auxiliary devices for management of special needs patients during in-office dental treatment or at-home oral care , 2010 .

[5]  M. Romer Consent, restraint, and people with special needs: a review. , 2009, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[6]  P. Glassman A review of guidelines for sedation, anesthesia,and alternative interventions for people with special needs. , 2009, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[7]  N. Dougherty The dental patient with special needs: a review of indications for treatment under general anesthesia. , 2009, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[8]  L. Mancl,et al.  Parental attitudes regarding behavior guidance of dental patients with autism. , 2008, Pediatric dentistry.

[9]  C. C. Carrara,et al.  Parental acceptance of behavior management techniques for children with clefts. , 2005, Journal of dentistry for children.

[10]  Guideline on behavior guidance for the pediatric dental patient. , 2005, Pediatric dentistry.

[11]  K. Julliard,et al.  Behaviors of children with and without attention deficit hyperactivity disorder during a dental recall visit. , 2000, ASDC journal of dentistry for children.

[12]  P. Casamassimo,et al.  A comparison of opinions from parents of disabled and non-disabled children on behavior management techniques used in dentistry. , 1995, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.