Documente Academic
Documente Profesional
Documente Cultură
WHAT IS BEHAVIOUR ?
-WRIGHT (1975)
WHAT IS AVERSIVE CONDITIONING
TECHNIQUE ?
Aversive conditioning is the extension of
overall behaviour guidance designed to
facilitate the goals of communication,
cooperation & delivery of quality oral health
care in difficult children.
Voice control
3) To establish authority.
HAND-OVER-MOUTH EXERCISE
popularized by : EVANGELINE JORDAN
(1920)
OBJECTIVES:
1) To redirect child's attention enabling
communication with the dentist so appropriate
behavioural expectations can be explained.
2) To extinguish excessive avoidance behaviour
& help the child to regain self control.
3) To ensure the child’s safety in delivery of
quality dental treatment.
4) To reduce the need for sedation or G.A .
INDICATIONS:
CONTRAINDICATIONS:
ACTIVE PASSIVE
Performed without Performed with
restraining device restraining device
OBJECTIVES:
CONTRAINDICATIONS:
1) A cooperative non-sedated patient
2) A patient who cannot be immobilized
safely due to associated medical or
physical condition
3) A patient who has experienced previous
physical or psychological trauma from
protective stabilization (unless no
alternatives are available)
PRECAUTIONS:
1) Tightness & duration of the stabilization
must be monitored & reassessed at regular
intervals
TYPES OF RESTRAINTS:
FOR BODY:
•Pedi wrap
•Papoose board
•Sheets
•Beanbag with straps
•Towel & tapes
FOR EXTREMITIES:
•Velcro straps
•Posey straps
•Towel & tapes
FOR HEAD:
•Head positioner
•Forearm body support
FOR MOUTH:
•Mouth blocks
•Banded tongue blades
•Mouth props
PEDI WRAP
SHEET
PAPOOSE BOARD
BEANBAG
SHEETS
FOREARM BODY
SUPPORT
FourthMolar.com
VELCRO STRAPS
POSEY STRAPS
MOUTH BLOCKS
BANDED TONGUE BLADE
HEAD POSITIONING DONE BY EXTRA ASSISTANT
PARENTAL AID IN BODY SUPPORT
EXTRA ASSISTANT IMMOBILIZING
THE CHILD
SUMMARY:
It is a non-pharmacological behaviour
modification technique for the children
showing excessive avoidance behaviour.
3 tools are:
voice control
hand-over-mouth exercise
physical restraint
Main objectives:
-to avert excessive avoidance behaviour
-to gain patient’s attention & compliance