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A study of behavior modification for developmentally disabled children.

J R Boj1, J M Davila

  • 1Eastman Dental Center, Rochester, NY.

ASDC Journal of Dentistry for Children
|November 1, 1989
PubMed
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A desensitization tape-slide series for young children with developmental disabilities did not reduce dental anxiety. Children exposed to the series exhibited higher arousal and poorer behavior during their dental examination.

Area of Science:

  • Pediatric Dentistry
  • Developmental Psychology
  • Behavioral Science

Background:

  • Preparing young children with developmental disabilities for dental visits is challenging.
  • Traditional methods may not adequately address dental anxiety in this population.
  • A desensitization and modeling approach using a tape-slide series was explored.

Purpose of the Study:

  • To evaluate the effectiveness of a tape-slide series in preparing three- and four-year-old developmentally disabled children for their initial dental examination.
  • To assess the impact of the series on children's behavior and anxiety levels.

Main Methods:

  • A tape-slide series featuring a clown and a child model was developed.
  • Twenty-eight children with no prior dental experience were divided into control and experimental groups.

Related Experiment Videos

  • Behavior was measured using heart rate, a modified Melamed's scale, and dentist's subjective evaluation.
  • Main Results:

    • The experimental group, exposed to the tape-slide series, showed higher arousal and poorer behavior.
    • Heart rate was a sensitive and objective measure of anxiety and arousal.
    • The modified Melamed's scale was not sensitive enough for microbehavioral analysis.
    • Dentist's subjective evaluations were prone to biased interpretation.

    Conclusions:

    • The tape-slide series, as implemented, did not effectively reduce anxiety or improve behavior in young developmentally disabled children for dental visits.
    • Heart rate monitoring is a reliable indicator of anxiety in pediatric dental settings.
    • Further research is needed to develop effective preparation strategies for this vulnerable population.