A curriculum for behaviour and oral healthcare management for dentally anxious children—Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)
Background Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim To report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques...
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Published in | International journal of paediatric dentistry Vol. 30; no. 5; pp. 556 - 569 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.09.2020
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Subjects | |
Online Access | Get full text |
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Abstract | Background
Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic.
Aim
To report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP.
Design
A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face‐to‐face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses.
Results
Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%‐30.0% have training in pharmacological techniques. The four‐domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non‐pharmacological and pharmacological approaches, and decision‐making.
Conclusion
Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners. |
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AbstractList | BackgroundDentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic.AimTo report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP.DesignA survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face‐to‐face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses.ResultsAlmost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%‐30.0% have training in pharmacological techniques. The four‐domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non‐pharmacological and pharmacological approaches, and decision‐making.ConclusionDental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners. Background Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim To report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. Design A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face‐to‐face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Results Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%‐30.0% have training in pharmacological techniques. The four‐domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non‐pharmacological and pharmacological approaches, and decision‐making. Conclusion Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners. Abstract Background Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim To report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. Design A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face‐to‐face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Results Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%‐30.0% have training in pharmacological techniques. The four‐domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non‐pharmacological and pharmacological approaches, and decision‐making. Conclusion Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners. Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners. |
Author | Newton, J. Tim Heidari, Ellie Rocha, Renata Sá Daher, Anelise Costa, Luciane R. Banerjee, Avijit Hosey, Marie T. Bendo, Cristiane B. Moreira, Ana Paula de Sousa Costa Moura, Larissa Silva |
Author_xml | – sequence: 1 givenname: Luciane R. orcidid: 0000-0001-7637-0049 surname: Costa fullname: Costa, Luciane R. email: lsucasas@ufg.br organization: Universidade Federal de Goiás – sequence: 2 givenname: Cristiane B. orcidid: 0000-0003-4849-8779 surname: Bendo fullname: Bendo, Cristiane B. organization: Universidade Federal de Minas Gerais – sequence: 3 givenname: Anelise orcidid: 0000-0002-0863-031X surname: Daher fullname: Daher, Anelise organization: Paediatric Dentist, Brazilian Dental Association ‐ Goiás section – sequence: 4 givenname: Ellie orcidid: 0000-0002-4609-0991 surname: Heidari fullname: Heidari, Ellie organization: Guy’s Dental Hospital – sequence: 5 givenname: Renata Sá orcidid: 0000-0002-9666-8173 surname: Rocha fullname: Rocha, Renata Sá organization: Universidade Federal de Campina Grande – sequence: 6 givenname: Ana Paula de Sousa Costa surname: Moreira fullname: Moreira, Ana Paula de Sousa Costa organization: Paediatric Dentist at Private Practice – sequence: 7 givenname: Larissa Silva surname: Moura fullname: Moura, Larissa Silva organization: Paediatric Dentist at Polícia Militar do Estado de Goiás – sequence: 8 givenname: Avijit orcidid: 0000-0003-0091-7348 surname: Banerjee fullname: Banerjee, Avijit organization: Guy’s Dental Hospital – sequence: 9 givenname: J. Tim orcidid: 0000-0003-4082-6942 surname: Newton fullname: Newton, J. Tim organization: King’s College London – sequence: 10 givenname: Marie T. orcidid: 0000-0003-1178-4106 surname: Hosey fullname: Hosey, Marie T. organization: King's College London |
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Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their... Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence... Abstract Background Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known... BackgroundDentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their... BACKGROUNDDentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their... |
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SubjectTerms | Anxiety Children conscious sedation curriculum Decision making dental anxiety dental atraumatic restorative treatment Dental caries dental education Dentistry Dentists Management Researchers |
Title | A curriculum for behaviour and oral healthcare management for dentally anxious children—Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE) |
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