Behavior management in pediatric dentistry in children aged two to eight years: Systematic review.
DOI:
https://doi.org/10.47990/s6tnjt22Keywords:
dental fear, dental anxiety, Tell-show-do, audio-visual distraction, pediatric dentistryAbstract
Introduction: Dental anxiety and fear are common situations in pediatric dental consultations and can affect the development of dental treatment. Therefore, establishing a good relationship of trust between the dentist and the child is crucial to maintain the child's cooperation. Objective: To determine the effectiveness of different strategies and techniques used in managing the behavior of pediatric dental patients aged two to eight years who present fear and anxiety. Materials and methods: A systematic review was conducted following the recommendations of the PRISMA guidelines. The Cochrane Risk of Bias Assessment Tool (RoB 2) version 2 was used to assess the risk of bias in randomized trials. Results: Nine articles were included. The techniques used include tell-show-do (TDD), auditory distraction (AD), audiovisual distraction (AVD), mobile phone game distraction (MTG), positive reinforcement, voice control, passive parental presence, active parental presence, conscious sedation, bubble breathing play therapy (BBPPT), and tell-play-do (TPD). The most used technique is tell-show-do, and although it is effective, studies demonstrate the superiority of other techniques such as audiovisual distraction and tell-play-do. Conclusions: When several strategies are combined, there may be a synergistic effect that further reduces levels of dental fear and anxiety in this population.
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