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WWA #7 Easing and Managing Pediatric Patient Fears (Behavioral guidance to…
WWA #7 Easing and Managing Pediatric Patient Fears
dental anxiety
objective fear - results from direct experience; previous negative experience
subjective fear - does not come from prior experience; might come from stories from peers, images of terrifying dentists in the media, sensing mom's dental anxiety
management
pharmacosedation
the act of making calm with the administration of anxiety reduction medication, such as barbiturate or benzodiazepine
iatrosedation
relaxed state induced by actions rather than drugs ; psychologically based
Behavioral guidance to reduce anxiety
tell-show-do
informing the patient what will happen, demonstrating it, and then performing that part of the procedure
distraction
directing the patient's attention from a behavior, thought, or feeling to something else
voice control
controlled modulation of the clinician's voice volume, tone, or pace to influence and direct the patient's behavior
modeling
providing the patient an example or demonstration about how to behave construct
nonverbal communication
clinician reinforces desired behavior and guides behavior through body language, contact, posture, and facial expression
systematic desensitization
reducing the patient's anxiety by initially presenting a situation or object that evokes a little fear, and then progressively presenting stimuli that are more fear-provoking
positive reinforcement
offering a tangible or social reward in response to the patient having a desired behavior
Factors that influence appointment outcomes in pediatric patients
family and external influences
developmental factors
patient temperament
dental team factors
body language assessment
engagement behaviors - indicate interest, receptivity, or agreement. Good eye contact, smiling, and open body posture
disengagement behaviors - signal that a person is bored, angry, or defensive. Eye contact decreases, compressed lips, head turned away, clenched jaw muscles