O comportamento de crianças durante atendimento odontológico

Faculdade de Odontologia de Piracicaba -UNICAMP
Psicologia Teoria e Pesquisa 01/2003; DOI: 10.1590/S0102-37722003000100008
Source: DOAJ

ABSTRACT Este trabalho avaliou o comportamento de 6 crianças com história de não - colaboração durante tratamento odontológico, que passaram por 5 sessões odontológicas, nas quais empregou-se o placebo ou o diazepam de maneira duplo - cega, além de estratégias psicológicas de manejo do comportamento (distração, explicação, reforçamento e estabelecimento de regras). As sessões foram filmadas em vídeo - tape, com marcas sonoras a cada 15 segundos, indicativas dos momentos em que os comportamentos emitidos pelos participantes (choro, movimentos de corpo e/ou cabeça, fuga e esquiva) e as estratégias de manejo do comportamento seriam registrados. Os resultados mostraram que o medicamento na dose utilizada foi eficaz para controlar os comportamentos de 1 participante, sendo que os demais não permitiram a realização do tratamento e exibiram aumento crescente da resistência ao tratamento. Parece necessário que a criança seja auxiliada a enfrentar a situação de tratamento nas sessões iniciais, impedindo o aumento da resistência.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Control children behavior during dentistry treatment is one of the big dentists’ challenges. Uncooperative children behavior in pediatric dentistry is a topic of debate among researchers, who look for different explanations like fear, anxiety and aversive experiences for this kind of reaction. Behavior analysis’ research in pediatric dentistry contexts provides evidence that the aversive stimulus as a establishing operation changes the value of other contingencies in the dental context, such as positive reinforcement or distraction, and this is a possible reason for the difficulty of managing children disruptive behaviors. A brief literature review is presented in this work, including the concept of establishing operations, avoidance and escape. Moreover, the function of establishing operations in the pediatric dentistry context is analyzed, suggesting that they establish conditions for the maintenance of children disruptive behavior in the dentistry clinics. Possibilities of intervention with contingencies that reduce aversive proprieties of the situation are discussed.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Dental treatment causes anxiety in patients and professionals. In the case of patients, the clinical aspects, mainly invasive factors, such as local anesthesia, and, in the case of professionals, their behavior may produce anxiety with their evasive answers. The need to deal with the patient’s anxiety requires complex procedures of the dentists. Coupled to the dentist’s own anxiety for technical preciseness and permanent clinical knowledge acquisitions, the dentist’s routine turns into a physically and emotionally stressing procedure. Such a situation may worsen when the professional training of the dentist is somewhat deficient in knowledge acquisition on the doctor-patient relationship and in behavior management techniques.
    Psicologia em Estudo 12/2007; 12(3):609-616.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This article intended to analyze the interaction between mother's and children's behaviors during dental care. The subjects were 5 dental patients (aged between 2 and 7 years) with their mothers. Dental sessions were videotaped, observers recorded child's and dentist's behavior. Quantitative analysis showed the higher rates of non-cooperation associated to the least interactive mother. Qualitative analysis, through functional analysis, indicated that the mothers might play a role as antecedents and as consequences for children's behavior in dental care; also, they can exert the function of historical variable by training self-controlled and rule-following behavior. Analyzing the contingencies, it is possible to predict and control behavior. Parents can be instructed and trained to conduct themselves more properly for the benefit of their child's health.
    Estudos de Psicologia (Campinas) 12/2013; 30(4):629-640. DOI:10.1590/S0103-166X2013000400016

Preview (2 Sources)

Available from