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<p>Managing child behaviors in the dental setting<br>LT Randy G. Reese, MSC, USNR, and Commander Margaret Alexander, DC, USN<br><br>Introduction<br>A study done in 1990 found that 15% to 20% of children in a private dental practice were disruptive. Despite claims that “dentistry related fears are not as much of an issue anymore for most American children,” dentists who work with children will certainly encounter disruptive behavior in one form or another. Disruptive behavior can interfere with treatment, increase stress of the dental operator and staff, and disturb other patients. Though much has been written on managing child behaviors in a dental setting, Wilson found only 35 controlled studies investigating different methods over the past three decades. This update will provide a summary and synthesis of the current literature regarding this subject. First, different types of disruptive behavior will be discussed. Next, preventative measures will be outlined. Finally, a range of interventions including parental presence in the operatory, communicative, behavioral, physical, and empathic strategies will be presented.
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<br>Subjects: pediatrics</div>
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U.S. Navy. Naval Postgraduate Dental School</div>
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