Impact of verbal explanation on parental acceptance level of different behavior management techniques in dental office

Fatemeh Jahanimoghadam, Naimeh Hasheminejad, Azadeh Horri, Mohammad Reza Rostamizadeh, Mohammad Reza Baneshi


BACKGROUND AND AIM: Parents’ attitudes towards different aspects of dentistry especially the use of behavior management techniques (BMTs) can greatly effect a child’s cooperation in a dental office. The present quasi-experimental study was conducted with the aim to assess the effect of a verbal explanation on parents’ acceptance level of the most common BMTs used in pediatric dentistry.

METHODS: A videotaped presentation showing the 6 most commonly used BMTs in Iran was presented to 60 parents recruited by a convenient sampling method. Using visual analogue scale (VAS), the acceptance level of each BMT was measured before and after an explanation on the reasons of each BMT. Paired t-test, repeated measures analysis of variance (ANOVA) and independent t-test were used for statistical analysis of data. Significance level was set as 0.050.

RESULTS: Giving a verbal explanation on BMTs had a statistically significant effect on the acceptance of BMTs. Tell-show-do (TSD) and hand-over-mouth (HOM) techniques achieved the highest and lowest mean scores of parental acceptance, respectively. The acceptance of physical restraint (P = 0.013) and parental presence/absence (PPA) (P = 0.015) of parents was obtained higher among men compared to women using t-test.

CONCLUSION: Giving an explanation to parents while performing a BMT is effective in raising parents' acceptance of the technique. Non-invasive methods such as TSD and PPA of parents are the more favorable methods to parents.


Pediatric Dentistry; Behavior Control; Parental Consent

Full Text:



Abushal MS, Adenubi JO. Attitudes of Saudi parents toward behavior management techniques in pediatric dentistry. J Dent Child (Chic ) 2003; 70(2): 104-10.

Kupietzky A, Ram D. Effects of a positive verbal presentation on parental acceptance of passive medical stabilization for the dental treatment of young children. Pediatr Dent 2005; 27(5): 380-4.

Gomes HS, Vieira LA, Costa PS, Batista AC, Costa LR. Professional dental prophylaxis increases salivary cortisol in children with dental behavioural management problems: A longitudinal study. BMC Oral Health 2016; 16(1): 74.

Murphy MG, Fields HW, Jr., Machen JB. Parental acceptance of pediatric dentistry behavior management techniques. Pediatr Dent 1984; 6(4): 193-8.

Luis de Leon J, Guinot JF, Bellet Dalmau LJ. Acceptance by Spanish parents of behaviour-management techniques used in paediatric dentistry. Eur Arch Paediatr Dent 2010; 11(4): 175-8.

Pai R, Mandroli P, Benni D, Pujar P. Prospective analysis of factors associated with dental behavior management problems, in children aged 7-11 years. J Indian Soc Pedod Prev Dent 2015; 33(4): 312-8.

Harris NO, Garcia-Godoy F, Nathe CN. Primary preventive dentistry. London, UK: Pearson; 2009.

Lowe O. Communicating with parents and children in the dental office. J Calif Dent Assoc 2013; 41(8): 597-601.

Nachemson A. Towards a better understanding of low-back pain: a review of the mechanics of the lumbar disc. Rheumatol Rehabil 1975; 14(3): 129-43.

Razavi S, Purtaji B. Determining the behavior management technique's acceptance of mothers referred to the department of pediatric dentistry in Qazvin (2007). J Qazvin Univ Med Sci 2009; 13(3): 81-6. [In Persian].

Jafarzadeh M, Kooshki F, Malekafzali B, Ahmadi S. Attitude of parents referred to the department of pediatric dentistry towards different behavioral management techniques used in pediatric dentistry. J Dent Sch Shahid Beheshti Univ Med Sci 2015; 33(1): 44-50. [In Persian].

Eaton JJ, McTigue DJ, Fields HW, Jr., Beck M. Attitudes of contemporary parents toward behavior management techniques used in pediatric dentistry. Pediatr Dent 2005; 27(2): 107-13.

Ramos MM, Carrara CF, Gomide MR. Parental acceptance of behavior management techniques for children with clefts. J Dent Child (Chic) 2005; 72(2): 74-7.

Lawrence SM, McTigue DJ, Wilson S, Odom JG, Waggoner WF, Fields HW, Jr. Parental attitudes toward behavior management techniques used in pediatric dentistry. Pediatr Dent 1991; 13(3): 151-5.

Peretz B, Kharouba J, Blumer S. Pattern of parental acceptance of management techniques used in pediatric dentistry. J Clin Pediatr Dent 2013; 38(1): 27-30.

Muhammad S, Shyama M, Al-Mutawa SA. Parental attitude toward behavioral management techniques in dental practice with schoolchildren in Kuwait. Med Princ Pract 2011; 20(4): 350-5.

Boka V, Arapostathis K, Vretos N, Kotsanos N. Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent 2014; 15(5): 333-9.

Oueis HS, Ralstrom E, Miriyala V, Molinari GE, Casamassimo P. Alternatives for hand over mouth exercise after its elimination from the clinical guidelines of the american academy of pediatric dentistry. Pediatr Dent 2010; 32(3): 223-8.

Paryab M, Afshar H, Mohammadi R. Informing parents about the pharmacological and invasive behavior management techniques used in pediatric dentistry. J Dent Res Dent Clin Dent Prospects 2014; 8(2): 95–100.

Scott S, Garcia-Godoy F. Attitudes of Hispanic parents toward behavior management techniques. ASDC J Dent Child 1998; 65(2): 128-31.

Havelka C, McTigue D, Wilson S, Odom J. The influence of social status and prior explanation on parental attitudes toward behavior management techniques. Pediatr Dent 1992; 14(6): 376-81.

Chen X, Jin SF, Liu HB. Survey of parental acceptance rate to behavior management techniques used in pediatric dentistry. Shanghai Kou Qiang Yi Xue 2008; 17(5): 475-8. [In Chinese].



  • There are currently no refbacks.

Copyright (c) 2018 Journal of Oral Health and Oral Epidemiology

Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.