Part 5

Techniques of communicative
management

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 Techniques of communicative management

1. Behavior shaping:
a- this term is refers to the process of influencing behavior to wards a desired ideal
one. Ideal behavior is show by a patient who maintains excellent oral hygiene,
diet control and is relaxed of cooperative during operative treatment.
b- The proper action is to plan treatment in such a way that the child‘s behavior is
gradually (step by step) improve to the desired level. By doing so, you can
influence positive attitudes, and behavior and carryout the required treatment.
c- The number of steps include in each session will depend on how the child
responds.

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d- The gradual approach may delay the progress of treatment but can
modify the responses of a frightened child to be a nice cooperative
child. For example, the following steps can be applied to preform
a prophylaxis:-
• Child lying a cross parents lap and carry brief examination.
• Use a prophylaxis brush-rubber cup gently by hand first and then
in a slow-speed hand piece.
• Let the parent handle the prophylaxis tool, and apply it on child‘s
teeth.
• Let the child sit on dental chair and you can use the prophylaxis
brush, rubber cap slowly by a hand piece.

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2. Tell-Show-Do method (TSD):
-The aims of TSD are to:
a- tell the child about the treatment.
b- show at least some part of how it will be done.
c- and then to do it.
-This method is used widely in introducing a child to prophylaxis.
-To the TSD sequence, you can add “praise” because good behavior
should immediately be reinforced.
-For TSD in general, the explanation should not be detailed so not
confuse the child, they should be given simply and in a brief
manner.

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3. Reinforcement:-
-Is the strengthening of a pattern of behavior to be displayed
in the future.
-The child‘s behavior is a reflection of a responses to the
rewards and punishments of the enviroment.
-The dentist‘s approval should be show frequently during
treatment when ever child react positively. This approval
usually expressed verbally and could be by smiks and nods
-The most worse thing is to ignore the child‘s good
cooperative.
-Present are from of rewards, as coloring sheets, balloons and
stickers. Even a prophylaxis brush can be a reward.
-These present should only given at the end of a session so
not be as a bribe to cooperate.
-Avoid reinforcing poor behavior.
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4. Voice control:-
-The dentist must make a modulation on voice volumen and tone to
influence in patient behavior.
-Voice control requires the dentist to interjet more authority into
his/her communication with the child.
-Children who are unable to understand due to age disability or
emotional disturbance are contraindicated for this mehod.
5.Modelling:-
-It is providing an example or demonstration about how to do.
-Show the patient the office before attempting to do any treatment.
-Show to the patient other children at the office.

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6.Desenitization:-
-This techniques reduce anxiety.
-First presenting an object situation that evokes fear.
7. Non verbal communication:-
-Provide reinforcement and guiding behavior through contact posture
and facial expression.
8.Hand over mouth:-
-It is used to intercept tantrums
-It to be paired voice control.
-It is intended to get the child‘s attention and quiet him so the child can
hear what the dentist is saying.
-It is indicated when the child has a hysterical screaming and angry
children.
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