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A perceção dos pais e dos dentistas frente a diferentes estratégias avançadas do controlo e de gestão de comportamento em odontopediatria
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Abstract(s)
Introdução: A gestão do comportamento infantil é um desafio na prática clínica em Odontopediatria, neste sentido, técnicas de controlo de comportamento tem um papel importante em criar uma experiência positiva para as crianças durante o tratamento. A escolha destas técnicas, no entanto, depende das necessidades clínicas e da aceitação dos responsáveis. Objetivos: O presente estudo avaliou a aceitação, por responsáveis e médicos dentistas, de duas técnicas avançadas de controlo do comportamento, quando utilizadas em crianças com cooperação limitada. Materiais e métodos: O estudo de natureza qualitativa utilizou como base teórica a análise do discurso do sujeito. A amostra de conveniência incluiu pais/responsáveis de crianças saudáveis entre 3 e 10 anos de idade, atendidas na Clínica de Odontopediatria da FMD-UCP e médicos dentistas que consentiram na participação no estudo. Os dados foram obtidos por meio de entrevista realizada em local reservado por um único examinador, previamente treinado e calibrado. Inicialmente, os pais/responsáveis assistiram vídeos de atendimento infantil utilizando duas técnicas diferentes: estabilização protetora e sedação consciente medicamentosa. Os entrevistados foram motivados a falar livremente sobre o assunto, sem interferências do pesquisador e as entrevistas foram posteriormente transcritas. O mesmo foi realizado com o grupo de médicos dentistas. As entrevistas foram transcritas e submetidas à análise do discurso. Resultados: Os resultados deste estudo qualitativo evidenciam que tanto os pais como os profissionais de medicina dentária, reconhecem a importância das técnicas avançadas de controlo comportamental. A sedação consciente foi a técnica mais aceite entre os médicos dentistas e pais, os Odontopediatras enfatizaram a sua preferência pela estabilização protetora. Por outro lado, a estabilização protetora foi percecionada como potencialmente mais traumática, tanto física como emocionalmente, embora considerada necessária em situações específicas. A maioria dos pais demonstrou disponibilidade para participar ativamente no atendimento e, se necessário, suportar os custos associados às técnicas. Conclusões: Este estudo explorou a perceção de país, médicos dentistas e odontopediatras sobre a sedação consciente e a estabilização protetora. A sedação foi a técnica preferida por médicos dentistas e pais, por ser menos traumática para a criança, enquanto os odontopediatras demonstraram maior familiaridade com a estabilização, sobretudo devido à falta de recursos para sedação. A colaboração parental e fatores como cultura, geração e estrutura do sistema de saúde mostraram-se determinantes na aceitação destas técnicas, destacando a importância de uma abordagem centrada na criança.
Introduction: The management of child behavior is a challenge in clinical Pediatric Dentistry practice. In this sense, behavior management techniques play an important role in creating a positive experience for children during treatment. However, the choice of these techniques depends on clinical needs and the acceptance of the guardians. Objectives: This study evaluated the acceptance, by guardians and dentists, of two advanced behavior management techniques when used on children with limited cooperation. Materials and Methods: This qualitative study was based on the theoretical framework of the subject's discourse analysis. The convenience sample included parents/guardians of healthy children aged 3 to 10 years, seen at the Pediatric Dentistry Clinic of FMD-UCP, and dentists who consented to participate in the study. Data was obtained through an interview conducted in a private setting by a single examiner, who was previously trained and calibrated. Initially, the parents/guardians watched videos of child treatment using two different techniques: protective stabilization and conscious sedation with medication. The interviewees were encouraged to speak freely on the topic without researcher interference, and the interviews were later transcribed. The same process was carried out with the group of dentists. The interviews were transcribed and submitted to discourse analysis. Results: The results of this qualitative study show that both parents and dentists recognise the importance of advanced behaviour management techniques. Conscious sedation was the most accepted technique among general dentists and parents, while paediatric dentists emphasised their preference for protective stabilization. On the other hand, protective stabilization was perceived as potentially more traumatic, both physically and emotionally, although it was considered necessary in specific situations. Most parents expressed willingness to actively participate in the treatment process and, if needed, to bear the costs associated with these techniques. Conclusions: This study explored the perspectives of parents, dentists, and paediatric dentists regarding conscious sedation and protective stabilization. Conscious sedation was the preferred technique among general dentists and parents, as it was seen as less traumatic for the child. Paediatric dentists showed greater familiarity with protective stabilization, mainly due to the lack of resources for safe sedation. Parental involvement, along with factors such as culture, generation, and healthcare system limitations, played a key role in the acceptance of these techniques, highlighting the need for a child-centred approach.
Introduction: The management of child behavior is a challenge in clinical Pediatric Dentistry practice. In this sense, behavior management techniques play an important role in creating a positive experience for children during treatment. However, the choice of these techniques depends on clinical needs and the acceptance of the guardians. Objectives: This study evaluated the acceptance, by guardians and dentists, of two advanced behavior management techniques when used on children with limited cooperation. Materials and Methods: This qualitative study was based on the theoretical framework of the subject's discourse analysis. The convenience sample included parents/guardians of healthy children aged 3 to 10 years, seen at the Pediatric Dentistry Clinic of FMD-UCP, and dentists who consented to participate in the study. Data was obtained through an interview conducted in a private setting by a single examiner, who was previously trained and calibrated. Initially, the parents/guardians watched videos of child treatment using two different techniques: protective stabilization and conscious sedation with medication. The interviewees were encouraged to speak freely on the topic without researcher interference, and the interviews were later transcribed. The same process was carried out with the group of dentists. The interviews were transcribed and submitted to discourse analysis. Results: The results of this qualitative study show that both parents and dentists recognise the importance of advanced behaviour management techniques. Conscious sedation was the most accepted technique among general dentists and parents, while paediatric dentists emphasised their preference for protective stabilization. On the other hand, protective stabilization was perceived as potentially more traumatic, both physically and emotionally, although it was considered necessary in specific situations. Most parents expressed willingness to actively participate in the treatment process and, if needed, to bear the costs associated with these techniques. Conclusions: This study explored the perspectives of parents, dentists, and paediatric dentists regarding conscious sedation and protective stabilization. Conscious sedation was the preferred technique among general dentists and parents, as it was seen as less traumatic for the child. Paediatric dentists showed greater familiarity with protective stabilization, mainly due to the lack of resources for safe sedation. Parental involvement, along with factors such as culture, generation, and healthcare system limitations, played a key role in the acceptance of these techniques, highlighting the need for a child-centred approach.
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Keywords
Odontopediatra Controlo de comportamento infantil Sedação consciente Pediatric dentist Child behavior management Conscious sedation
Pedagogical Context
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Without CC licence