Dental Fear and Anxiety in Pediatric Patients : Practical Strategies to Help Children Cope

This book is a comprehensive guide to pediatric dental fear/anxiety (DFA) and phobia that will provide practitioners with a full understanding of the etiology, prevalence, assessment, and management of these conditions. The coping styles of children when under stress are explored, with discussion of their relevance to the assessment visit and treatment allocation. Practical treatment techniques are comprehensively covered, from non-pharmacological behavioral strategies relevant for children with no or mild DFA to those approaches more appropriate for children with severe DFA/phobia. The importance of the use of language and communication skills to build rapport and allay anxiety is explored. Relaxation and hypnosis techniques are described, with guidance on how to introduce these to patients and their parents/carers. Techniques that help children cope when receiving injections are detailed, including systematic needle desensitization ; these provide practitioners with options to help resolve DFA and phobia regarding needles. Intravenous sedation, including the challenge of cannulation, is covered comprehensively. Furthermore, cognitive behavioral therapy is presented, with suggestion of practical self-help material when appropriate. The closing chapter looks to the future, discussing the barriers to and the changes required for the creation of more child-centered DFA services. Front Matter....Pages i-xiii Front Matter....Pages 1-1 Background and Prevalence of Dental Fear and Anxiety....Pages 3-19 Patient and Parent Preparation....Pages 21-30 Dental Fear and Anxiety Assessment in Children....Pages 31-42 Coping Styles in Children....Pages 43-56 The Assessment Visit....Pages 57-70 Treatment Allocation: Explaining the Options....Pages 71-92 Front Matter....Pages 93-93 Non-pharmacological Behaviour Management Techniques: An Art and a Science....Pages 95-116 Communication and the Use of Language....Pages 117-136 Relaxation....Pages 137-152 Hypnosis....Pages 153-172 Intravenous Sedation....Pages 173-195 Techniques Which Help Children Cope with Local Anaesthesia (Including Systematic Needle Desensitisation)....Pages 197-225 Cognitive Behavioural Therapy....Pages 227-237 Front Matter....Pages 239-239 A Child-Centred Service: The Voice of the Child....Pages 241-252