行為管理對學齡前兒童牙科診療合作度之影響

Behavior management is a key factor in providing dental care for children. Young dentists usually take time to learn the behavior management techniques by trial and error. This study aimed to analyze the behavior management skills of dentists at Taipei Municipal Wan-Fang Hospital, it's influence to the preschool children's behavior at the first visit has also been evaluated. 3-to-6-year-old children for first dental visit at pediatric dentistry department of Taipei Municipal Wan- Fang Hospital were included. All subjects were healthy and denied previous dental experience. Behavior shaping process in the visit was video recorded. The cooperation of patients and the behavior management techniques used by the dentist in the visit were recorded by the author and analyzed by SPSS vol.16. The results showed a total of 92 patients were included ( 50 boys and 42 girls.) There was a positive correlation between the age of subjects and their cooperation during the visit. The pedo resident group treated patients whose age were significantly younger than those in the intern group and the GP resident group. However, patients in the pedo resident group were significantly more cooperative than the other 2 groups. The pedo resident group used significantly more positive reinforcement and instruction than the other 2 groups during treatment. The intern group and the GP resident groups spent more time on Tell-Show-Do and explanation. The older the patient, the more cooperative during first dental visit. Pedo residents treat younger patients with better cooperation. Young dentists should use more positive reinforcement and instruction in behavior shaping.