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Perception of Protective Stabilization by Pediatric Dentists: A Qualitative Study
M Marty1, A Marquet1, M C Valéra1,2
1Faculté de Chirurgie Dentaire, Université de Toulouse III, Toulouse, France.
JDR Clinical and Translational Research
|October 7, 2020
Summary
Pediatric dentists experience significant psychological impact and feelings of failure when using protective stabilization for uncooperative children. The study highlights the need for better training and potential legislation regarding this practice.
Area of Science:
- Pediatric Dentistry
- Child Psychology
- Medical Ethics
Background:
- Pediatric dentists face challenges managing uncooperative children during dental care.
- Standard behavior management and sedation techniques are not always sufficient.
- Protective stabilization is an option, but its impact on practitioners is poorly understood.
Purpose of the Study:
- To evaluate the perceptions of pediatric dentists regarding the use of protective stabilization.
- To understand the psychological impact and influencing factors of protective stabilization on dental practitioners.
Main Methods:
- Conducted semistructured qualitative interviews with pediatric dentists.
- Utilized thematic analysis of interview transcripts via NVivo software.
- Focused on perceptions and experiences in a French university hospital setting.
Main Results:
- Protective stabilization has a significant psychological impact on dentists, often leading to feelings of professional failure.
- Reasons for stabilization include child's behavior/age and environmental factors (parents, team).
- Dentists' methods for managing the effects of protective stabilization were detailed.
Conclusions:
- Dental surgeons must balance care decisions with personal convictions regarding protective stabilization.
- There is a need for specific training and potential legislation on protective stabilization.
- Findings can inform decision-makers on a framework for physical restraint in pediatric dentistry.

