The Psychology of Treating Child Patients

The Psychology of Treating Child Patients The Psychology of Treating Child Patients - Start

Added : 2016-07-30 Views :76K

Download Presentation

The Psychology of Treating Child Patients

Download Presentation - The PPT/PDF document "The Psychology of Treating Child Patient..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.

Presentations text content in The Psychology of Treating Child Patients


The Psychology of Treating Child Patients

Brandy A. Lopez


Project Design

Child patient and dental staff observation

Dental staff survey

College student survey



In the United States it was found that 23% of 895 5-11 year olds showed dental anxiety.Dental anxiety occurs via 3 pathways:Direct conditioningModelingMaternal Dental AnxietyInformation/Instruction


Non-Physical Behavioral Management

American Academy of Pediatric Dentistry: voice control, distraction and social learning theory


Dental Terminology

Word Substitutes

Rubber dam

Rubber raincoat

Rubber dam clamp

Tooth button

Rubber dam frame

Coat rack


Tooth paint

Topical Fluoride Gel

Cavity Fighter

Air syringe

Wind gun

Water syringe

Water gun


Vacuum cleaner



Study Models


High Speed


Low Speed



Physical Behavior Management

American Academy of Pediatric Dentistry: Papoose boardSedation35%



Dental Staff Survey

Majority consensus

The behavior of the parent/guardian that brings the child affects the behavior of the child.

Social learning theory (tell-show-do technique) is a vital element in acquiring child cooperation.

It is possible to diagnose the level of dental anxiety of a patient within the first few minutes of meeting with dental caregiver.

Having the television on relaxes the patient.




College Student Survey

55.12% of college students have low dental anxiety

21.97% of college students have moderate dental anxiety

18.32% of college students have high dental anxiety

Greatest anxiety triggers:

Waiting for the dentist to begin drilling on the patient’s teeth

Root canal treatment

Not being numb enough for the treatment procedure



1 Miligrom P, Mancl L, King B, Weinstein P. Origins of childhood fear. Behav Res Ther 1995; 33: 313-329.2 Klingberg G, Berggren U, Carlsson SG, Noren JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci 1995; 103: 405- 412. 3 Klingberg G, Berggren U. Dental problem behaviors in children of parents with severe dental fear. Swed Dent J 1992; 16: 27-32.4 American Academy of Pediatric Dentistry. Guidelines 2001-02. Chicago, IL: AAPD, 2002.5 Bandura A. Social Learning Theory. Morristown, NJ: General Learning Press, 1971.


Discussion: Are you afraid of the dentist?

1. If you had to go to the dentist tomorrow for a check-up, how would you feel about it


16.3% a

. I would look forward to it as a reasonably enjoyable experience.

41.9% b

. I wouldn't care one way or the other


32.6% c

. I would be a little uneasy about it.

4.7% d

. I would be afraid that it would be unpleasant and painful.

4.7% e

. I would be very frightened of what the dentist would do.


2. When you are waiting in the dentist's office for your turn in the chair, how do you feel?


39.5% a

. Relaxed.

25.6% b

. A little uneasy.

16.3% c

. Tense.

16.3% d

. Anxious.

2.3% e

. So anxious that I sometimes break out in a sweat or almost feel physically sick.


3. When you are in the dentist's chair waiting while the dentist gets the drill ready to

begin working

on your teeth, how do you feel?


23.3% a

. Relaxed.

34.9% b

. A little uneasy.

16.3% c

. Tense.

20.9% d

. Anxious.

4.7% e

. So anxious that I sometimes break out in a sweat or almost feel physically sick.


4. Imagine you are in the dentist's chair to have your teeth cleaned. While you are

waiting and

the dentist or hygienist is getting out the instruments which will be used to

scrape your

teeth around the gums, how do you feel?


32.6% a.


34.9% b

. A little uneasy


14.0% c

. Tense.

18.6% d

. Anxious.

0% e

. So anxious that I sometimes break out in a sweat or almost feel physically sick.


Key to Scoring the Dental Anxiety Scale:

a = 1, b = 2, c = 3, d = 4, e = 5

Total possible = 20

Anxiety rating:

9 - 12 = moderate anxiety but have specific stressors that should be discussed and


13 - 14 = high anxiety

15 - 20 = severe anxiety (or phobia).









About DocSlides
DocSlides allows users to easily upload and share presentations, PDF documents, and images.Share your documents with the world , watch,share and upload any time you want. How can you benefit from using DocSlides? DocSlides consists documents from individuals and organizations on topics ranging from technology and business to travel, health, and education. Find and search for what interests you, and learn from people and more. You can also download DocSlides to read or reference later.