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Reverse Psychology in Pediatric Dentistry: A Narrative Review.

Sonu Acharya1, Sheetal Acharya2

  • 1Professor, Pediatric and Preventive Dentistry, Institute of Dental Sciences, Siksha 'O' Anusandhan (SOA) (deemed to be) University, Bhubaneswar, Odisha, India; Private Practice, Bhubaneswar, Odisha; Fellow, International Association of Pediatric Dentistry.

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Reverse psychology helps manage pediatric dental anxiety by encouraging cooperation. While effective for simple procedures, its success decreases with invasive treatments or highly anxious children.

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Area of Science:

  • Pediatric Dentistry
  • Behavioral Psychology

Background:

  • Managing child anxiety and behavior in dental settings is crucial.
  • Reverse psychology offers a novel approach by leveraging a child's autonomy.

Purpose of the Study:

  • To review the application, efficacy, ethics, and limitations of reverse psychology in pediatric dentistry.
  • To assess its effectiveness in managing dental anxiety and uncooperative behavior in children aged 4-12.

Main Methods:

  • Narrative review of existing literature on reverse psychology in pediatric dental care.
  • Analysis of case examples and studies demonstrating its use with children aged 4-12.

Main Results:

  • Reverse psychology is effective for non-invasive procedures, especially with the tell-show-do technique.
  • It reduces mild to moderate anxiety but is less effective for invasive procedures or severely anxious children.
  • Ethical considerations include potential manipulation and the need for informed parental consent.

Conclusions:

  • Reverse psychology is a valuable tool in pediatric dentistry for specific scenarios.
  • Further research is needed to optimize its application and understand long-term effects on children's dental attitudes.
  • Integration with digital tools like gamification shows potential for improved engagement.