Amaç: Çocuğun, ebeveyn veya yardımcı personel tarafından kısmi veya tamamen sabitlenmesi ile diş tedavisi sırasında herhangi bir yaralanmaya karşı korumaya yönelik tekniğe, koruyucu stabilizasyon tekniği (KST) denir. Bu çalışmanın amacı; yaşanılan kötü tecrübe ve deneyimlerin diş hekimi korkusu oluşturduğu yargısından yola çıkılarak, diş hekimliği korkusu bulunan bireylerin çocuklarda KST uygulaması hakkındaki görüşlerinin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmada, 2020 yılında Atatürk Üniversitesi Diş Hekimliği Fakültesi Pedodonti ABD'ye başvuran hasta yakınlarına diş hekimine gitme huzursuzluğu ve KST konularından oluşan 16 soruluk bir anket doldurulmuştur. Veriler, SPSS 20.0 paket programında 0,05'lik anlamlılık düzeyinde değerlendirilmiştir. Bulgular: Ankete 18-70 yaş aralığındaki (yaş ortalaması 34,6±10,1) 280 katılımcı dâhil edilmiştir. İlk kez diş hekimine gitme yaşı ortalaması 12,96±7,05 yıl (en az 4 en fazla 50) olarak belirlenmiştir. Ebeveynler, çocuklarının yararına olduğu düşüncesiyle KST ile yapılacak diş tedavilerine olumlu yaklaştıklarını belirtmişlerdir. Katılımcılara sorulan 'Diş hekimine gitme huzursuzluğunuza neden olan tecrübe hangisiydi?' sorusuna en çok lokal anestezi uygulaması (%25,9) cevabı verilmiştir. Sağlık alanındaki işlemlere karşı duyulan korku sıralaması endoskopi ve kolonoskopi > kadın doğum ve üroloji > diş hekimliği işlemleri> kas içi enjeksiyon > damar yolu açtırma olarak bulunmuştur. Sonuç: Bu çalışmaların bulguları, diş hekimliği korkusu olan bireylerin bile çocuklarının yararına olduğunu düşündükleri takdirde KST kabul edebileceklerini ortaya koymuştur.
Anahtar Kelimeler: Dental anksiyete; çocuk diş hekimliği; davranış kontrolü
Objective: The technique of partial or complete fixation of the child by the parent or auxiliary personnel to protect against any injury during dental treatment is called the protective stabilization technique. Based on the judgment that bad dental experiences cause dental fear, it is aimed to determine the bad experiences of the parents and to evaluate their views on the possibility of applying protective stabilization technique for children. Material and Methods: In the study, a 16-question questionnaire consisting of uneasiness to go to the dentist and immobilization was filled out by the companions of the patient who applied to the Department of Pediatric Dentistry of Atatürk University Faculty of Dentistry in 2020. The data were evaluated in the SPSS 20.0 package program at a significance level of 0.05. Results: 280 participants between the ages of 18-70 (mean age 34.6±10.1) were included in the survey. The mean age of going to the dentist for the first time was 12.96±7.05 years (minimum 4, maximum 50). Parents stated that they thought positively about the dental treatments to be performed with protective stabilization technique, as they thought it would be beneficial for their children.According to the participants' question, according to primary education teaching, was it experience' local anesthesia application (25.9%) was given the most to the question. 'What was the experience that made you feel uneasy about going to the dentist?'. The order of fear for the procedures in the health field was found as endoscopy and colonoscopy > gynecology and urology > dental procedures > intramuscular injection > vascular access opening. Conclusion: The findings of this study revealed that even individuals with dental fear can accept protective stabilization technique if they think that it is for the benefit of their children.
Keywords: Dental anxiety; pediatric dentistry; behavior control
- Clinical Affairs Committee-Behavior Management Subcommittee, American Academy of Pediatric Dentistry. Guideline on Behavior Guidance for the Pediatric Dental Patient. Pediatr Dent. 2015;37(5):57-70. [PubMed]
- Nunn J, Foster M, Master S, Greening S; British Society of Paediatric Dentistry. British Society of Paediatric Dentistry: a policy document on consent and the use of physical intervention in the dental care of children. Int J Paediatr Dent. 2008;18 Suppl 1:39-46. [Crossref] [PubMed]
- Patel M, McTigue DJ, Thikkurissy S, Fields HW. Parental attitudes toward advanced behavior guidance techniques used in pediatric dentistry. Pediatr Dent. 2016;38(1):30-6. [PubMed]
- American Academy of Pediatric Dentistry Clinical Affairs Committee--Behavior Management Subcomittee; American Academy of Pediatric Dentistry Council on Clinical Affairs--Committee on Behavior Guidance. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2005-2006;27(7 Suppl):92-100. [PubMed]
- Cademartori MG, Corrêa MB, Silva RA, Goettems ML. Childhood social, emotional, and behavioural problems and their association with behaviour in the dental setting. Int J Paediatr Dent. 2019;29(1):43-9. [Crossref] [PubMed]
- Martinez Mier EA, Walsh CR, Farah CC, Vinson LA, Soto-Rojas AE, Jones JE. Acceptance of behavior guidance techniques used in pediatric dentistry by parents from diverse backgrounds. Clin Pediatr (Phila). 2019;58(9):977-84. [Crossref] [PubMed]
- Ilha MC, Feldens CA, Razera J, Vivian AG, de Rosa Barros Coelho EM, Kramer PF. Protective stabilization in pediatric dentistry: A qualitative study on the perceptions of mothers, psychologists, and pediatric dentists. Int J Paediatr Dent. 2021;31(5):647-56. [Crossref] [PubMed]
- Robinson-Riegler B, Robinson-Riegler G. Remembering the personal past. In: Robinson-Riegler B, Robinson-Riegler G, eds. Cognitive Psychology: Applying the Science of the Mind. 2nd ed. Boston: Pearson; 2008. p.289-330.
- Tustin K, Hayne H. Defining the boundary: age-related changes in childhood amnesia. Developmental Psychology. 2010;46(5):1049-61. [Crossref] [PubMed]
- West TA, Bauer PJ. Assumptions of infantile amnesia: are there differences between early and later memories? Memory. 1999;7(3):257-78. [Crossref] [PubMed]
- Alammouri M. The attitude of parents toward behavior management techniques in pediatric dentistry. J Clin Pediatr Dent. 2006;30(4):310-3. [Crossref] [PubMed]
- Venkatesan R, Dajam AA, Alhelali AA, Almuqati AA, Mohammed A, Abdullah RMS. Measuring parental awareness and knowledge about the first dental visit and acceptance level of different behavior management techniques in South Saudi Arabia. IJMDC. 2021;5(7):1422-9. [Crossref]
- Davis DM, Fadavi S, Kaste LM, Vergotine R, Rada R. Acceptance and use of protective stabilization devices by pediatric dentistry diplomates in the United States. J Dent Child (Chic). 2016;83(2):60-6. [PubMed]
- Taran PK, Kaya MS, Bakkal M, Özalp Ş. The effect of parenting styles on behavior management technique preferences in a Turkish population. Pediatr Dent. 2018;40(5):360-4. [PubMed]
- Davidovich E, Meltzer L, Efrat J, Gozal D, Ram D. Post-discharge events occurring after dental treatment under deep sedation in pediatric patients. J Clin Pediatr Dent. 2017;41(3):232-5. [Crossref] [PubMed]
- Kupietzky A. Strap him down or knock him out: Is conscious sedation with restraint an alternative to general anaesthesia? Br Dent J. 2004;196(3):133-8. [Crossref] [PubMed]
- Ganzberg S. The FDA warning on anesthesia drugs. Anesth Prog. 2017;64(2):57-8. [Crossref] [PubMed] [PMC]
- Akyüz S, Kuşçu ÖÖ, Akgöz S, Demirhan Erdemir A, Atıcı E. Diş hekimliğinde korku ve korkuya etik yaklaşım [Fear in dentistry and ethical approach to fear]. Turkiye Klinikleri J Med Ethics. 2005;13(1):26-33. [Link]
- Kocaman G, Ceylan Ş. Dental kaygıda aile tutumu, klinik düzenlemesi ve kriz yönetimi hakkında pedodontistlerin görüşlerinin alınması [Recognition of pedodontists about family attitude, clinical regulation and crisis management in dental anxiety]. İzlek Akademik Dergi. 2018;1(1):55-64. [Link]
- Kreider KA, Stratmann RG, Milano M, Agostini FG, Munsell M. Reducing children's injection pain: lidocaine patches versus topical benzocaine gel. Pediatr Dent. 2001;23(1):19-23. [PubMed]
- McDonald RE, Avery DR, Dean JA. Local anesthesia and pain control for the child and adolescent. In: McDonald RE, Avery DR, Dean JA, Jones JE, eds. Dentistry for the Child and Adolescent. 8th ed. China: Mosby Elsevier; 2004. p.241-52. [Crossref]
.: İşlem Listesi