Multi-sensory integration for strategic behavior guidance in pediatric dentistry: A narrative review
Anshula Deshpande1
, Pooja Bane2, Sivakumar Nuvvula3
Highlights
This phenomenon can be used in clinical practice to create a novel communication medium between the clinician and the child.
A sensory-adapted dental environment (SDE) may be suitable for reducing dental anxiety & maladaptive behaviors, thus facilitating a calming effect in the dental clinic among children.
This approach to behavior guidance can be used to the child’s advantage and to support the clinician in best managing the patient.
Abstract
Dental procedures, especially invasive ones, can elicit fear and anxiety. Young children are especially prone to dental anxiety as they lack the necessary coping skills. Under such circumstances, communication management and the proper use of commands are universally considered beneficial. In this narrative review, we present a compendium of communication strategies by engaging multi-modal sense of a child in a dental operatory. Incorporatingthe visual, auditory, read &/write & kinesthetic-tactile (VARK) models in behavior guidance during dental treatment can ensure that the child has a positive dental experience. Further amplification of this model is done by incorporating it into a multi-sensory adapted dental environment. The sensory-adapted milieu can create a positive psychological impact
Keywords: Behavior Guidance; Child Behavior; Communication; Dental Anxiety; Multisensory; Psychological Adaptation
Author Affiliations
- Professor, Department of Pediatric and Preventive Dentistry, K.M. Shah Dental College and Hospital, India ( Correspondence: dranshula@gmail.com )
- Post-graduate student, Department of Pediatric and Preventive Dentistry, K.M. Shah Dental College and Hospital, India
- Professor and Head, Department of Pediatric and Preventive Dentistry, Narayana Dental College and Hospital, India
References
- Baier K, Milgrom P, Russell S, Mancl L, Yoshida T. Children’s fear and behavior in private pediatric dentistry practices. Pediatr Dent 2004;26:316-321
- Sheller B. Challenges of managing child behavior in the 21st century dental setting. Pediatr Dent 2004;26:111-123
- American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: Pediatr Dent 2021;41:206-224
- Allen KD, Stanley RT, McPherson K. Evaluation of behavior management technology dissemination in pediatric dentistry. Pediatr Dent 1990;12:79-82
- Klingberg G, Freeman R, Ten Berge M, Veerkamp J. EAPD Guidelines and Policeis. [Internet] 2022 [cited 2022 July 17]. Available from: https://www.eapd.eu/index.php/policies-and-guidelines
- American Academy on Pediatric Dentistry Clinical Affairs Committee-Behavior Management Subcommittee, American Academy on Pediatric Dentistry Council on Clinical Affairs. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent 2008;30:125-133
- Stigers JI. Nonpharmacologic management of children’s behaviors. In: Dean JA, ed. McDonald and Avery’s Dentistry for the Child and Adolescent. 10th ed. St. Louis, Elsevier; 2016
- Howenstein J, Kumar A, Casamassimo PS, McTigue D, Coury D, Yin H. Correlating parenting styles with child behavior and caries. Pediatr Dent2015;37:59-64
- Berlo DK. The process of communication: an introduction to theory and practice, New York: Holt, Rinehart & Winston; 1960
- Sarnat H, Arad P, Hanauer D, Shohami E. Communication strategies used during pediatric dental treatment: a pilot study. Pediatr Dent 2001;23:337-342
- Driessnack, M. Children’s drawings as facilitators of communication: A meta-analysis. J Pediatr Nurs 2005;20:415-423
- Shapiro M, Melmed RN, Sgan‐Cohen HD. Physiological effect of dental environment sensory adaptation on children’s dental anxiety. Eur J Oral Sci 2007;115:479-483
- Kumar SP, Nathan BS. Development of Multisensory Integration Approach Model. Int J Appl Res 2016;2:629-633
- Sharma S, Saxena S, Naik SN, Bhandari R, Shukla AK, Gupta P. Comparison between Conventional, Game-based, and Self-made Storybook-based Oral Health Education on Children’s Oral Hygiene Status: A Prospective Cohort Study. Int. J Clin Pediatr Dent 2021;14:273-280
- Carpenter, Neurophysiology: Arnold –Hodder headline group, London,1996.
- Lisle AM. Maintaining interaction in the ZPD through reflective practice and action research, Teach Dev 2006;1:117-1143
- Scott K. Multisensory mathematics for children with mild disabilities. Exceptionality 1993;4:97-111
- Paul A. Cognitive load theory: A Broader view on the role of memory in learning and education. Educ Psychol Rev 2014; 2:191-195
- Goettems ML, Zborowski EJ, Dos Santos FC, Costa VPP, Torriani DD. Nonpharmacologic intervention on the prevention of pain and anxiety during pediatric dental care: a systematic review. Academic pediatrics 2017;17:110-119
- Berson RB, Brostoff D, Martinoff JT. A survey of dental office terminology in pediatric dental practice. Pediatr Dent 1980.;2:110-116
- Kozlov M. Talking to Pedodontic Patients, Master’s Thesis, Loyola University School of Dentistry, 1964
- Deshpande AN, Shah SY, Jain A. Effectiveness of Euphemism with and without Self-designed Pictorial Flashcard in the Form of Dental Pictionary as Behavior Modification Technique in 4–6-year-old Children: A Randomized Controlled Study. J. South Asian Assoc Pediatric Dent 2022;22:59-63
- Buck J. The house-tree-person technique. Los Angeles: Western Psychological Services; 1981
- Engel BS. Considering children’s art: Why and how to value their works. Washington: National Association for the Education of Young Children; 1995
- Carter B. Pain narratives and narrative practitioners: A way of working “in-relation” with children experiencing pain. J Nurs Manag 2004; 12:210-216.
- Farhat-McHayleh N, Harfouche A, Souaid P. Techniques for managing behaviour in pediatric dentistry: comparative study of live modelling and tell-show-do based on children’s heart rates during treatment. Journal of the Canadian Dental Association. 2009 May1;75(4).
- Vishwakarma AP, Bondarde PA, Patil SB, Dodamani AS, Vishwakarma PY, Mujawar SA. Effectiveness of two different behavioral modification techniques among 5–7-year- old children: A randomized controlled trial. J Indian Soc Pedod Prev Dent 2017;35:143-150
- Krishnakumar R, Silla SS, Durai SK, Govindarajan M, Ahamed SS, Mathivanan L. Comparative evaluation of audio and audio-tactile methods to improve oral hygiene status of visually impaired school children. Chrismed J Health Res 2016; 3:55-59
- Bhor KB, Vinay V, Ambildhok K, Shetty V. Effectiveness of oral health educational interventions on oral health of visually impaired school children: A systematic review and meta‐analysis. Spec Care Dentist 2021;41:291-308
- Cherry K. Types of nonverbal communication. [Internet] 2022 [cited 2022 July 27]. Available from: https://www.verywellmind.com/types-of-nonverbal-communication-2795397
- Kopacz J. Color in Three-Dimensional Design. New York:McGraw- Hill; 2003.
- Logan-Clarke V, Appleby J. What is color therapy? Color Therapy Healing Workshops.UK: Bognor Regis; 2009
- Cermak SA, Stein Duker LI, Williams ME, Dawson ME, Lane CJ, Polido JC. Sensory adapted dental environments to enhance oral care for children with autism spectrum disorders: A randomized controlled pilot study. J Autism Dev Disord
- Gibson D.Solitudes: Exploring nature with music. [Internet] 2022 [cited 2022 June 10]. Available from:http://www.allmusic.com/album/the-classics-2-exploring-nature-with-music- mw0000916892.
- Edelson SM, Edelson MG, Kerr DCR, Grandin T. Behavioral and physiological effectsof deep pressure on children with autism: A pilot study evaluating the efficacy of Grandin’s Hug Machine. Am J Occup Ther 1999;53:145–152
- Grandin T. Thinking in pictures: And other reports from my life with autism. New York:Vintage; 2006
- Lehrner J, Marwinski G, Lehr S, Johren P, Deecke L. Ambient odors of orange and lavender reduce anxiety and improve mood in a dental office. Physiol Behav 2005;86:92-95
- Burnett KM, Solterbeck LA, Strapp CM. Scent and mood state following an anxiety-provoking task. Psychol Rep 2004;95:707-722
- Venkataramana M, Pratap KV, Padma M, Kalyan S, Reddy AA, Sandhya P. Effect of aromatherapy on dental patient anxiety: a randomized controlled trial. J Indian Assoc Public Health Dent 2016;14:131-139
Article Info
Contemp Pediatr Dent 2023:3(2):41-51
Received: 08 July 2022
Accepted: 28 August 2022
Online First: 30 August 2022
253 views
Full Text
| File | Downloads |
|---|---|
CPD.2022.118
|
958 |
How to Cite
Anshula Deshpande, Pooja Bane, Sivakumar Nuvvula. Multi-sensory integration for strategic behavior guidance in pediatric dentistry: A narrative review. Contemp Pediatr Dent 2022:3(2):41-51.
Related Articles
Share Article
Under a Creative Commons license
