Parent’s acceptance of advanced behavior management techniques on children during dental treatment

Abstract Aim This study explores the acceptance of Advanced Behavior Management Techniques (ABMTs) by parents during their children’s dental treatments, comparing the opinion of parents of neurotypical children with that of parents of children with autism spectrum disorders (ASDs). Methods An observ...

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Main Authors: Claudia Salerno, Silvia Cirio, Cinzia Maspero, Margerita Roner, Valeria D’Avola, Maria Grazia Cagetti
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-024-05234-8
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author Claudia Salerno
Silvia Cirio
Cinzia Maspero
Margerita Roner
Valeria D’Avola
Maria Grazia Cagetti
author_facet Claudia Salerno
Silvia Cirio
Cinzia Maspero
Margerita Roner
Valeria D’Avola
Maria Grazia Cagetti
author_sort Claudia Salerno
collection DOAJ
description Abstract Aim This study explores the acceptance of Advanced Behavior Management Techniques (ABMTs) by parents during their children’s dental treatments, comparing the opinion of parents of neurotypical children with that of parents of children with autism spectrum disorders (ASDs). Methods An observational cross-sectional study was conducted involving 440 parents, divided into two groups: 236 parents of neurotypical children and 204 parents of children with ASDs, recruited from pediatricians’ centers and centers for ASDs children in Northern and Southern Italy. A survey assessed their familiarity and acceptance of ABMTs, including protective stabilization, conscious sedation, and deep sedation/general anesthesia. Discrete variables were expressed as absolute and relative frequencies (%) and compared with Pearson’s chi-squared or Fisher’s exact test. Continue variables were expressed as mean ± SD and compared with the one-way ANOVA test. Heatmap and PCA analysis were used to determine possible correlations between items. Results Parents of children with ASDs showed a higher acceptance rate of ABMTs compared to parents of neurotypical children. Overall, only 30.68% of parents knew ABMTs before the survey. Differences between the two groups of parents in acceptance of Active Stabilization in emergency settings, Passive Stabilization in routine settings, and Deep sedation/general anesthesia in both settings were observed (p < 0.01). Only 6.82% of parents ever used at least one ABMT on their children. Heatmap analysis revealed that parents who have accepted one of the ABMTs tend to accept the others as well. Conclusion Differences in parental acceptance of different ABMTs was noted among the two groups of parents, with greater acceptance of ABMTs observed in the group of parents of children with ASDs. Parents of both groups have significant gaps in their knowledge of ABMTs. Therefore, increased awareness and personalized communication strategies are needed to increase acceptance of the studied techniques and, thus, facilitate access to dental care for uncooperative pediatric patients. Patient-centered behavior management strategies that meet children’s needs and parents’ preferences can contribute to the achievement of good oral health.
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spelling doaj-art-4f7c9c48b1c64a7a8268b30c4acd06f02024-12-01T12:45:18ZengBMCBMC Pediatrics1471-24312024-11-0124111110.1186/s12887-024-05234-8Parent’s acceptance of advanced behavior management techniques on children during dental treatmentClaudia Salerno0Silvia Cirio1Cinzia Maspero2Margerita Roner3Valeria D’Avola4Maria Grazia Cagetti5Department of Restorative, Preventive and Pediatric Dentistry, University of BernDepartment of Biomedical, Surgical and Dental Sciences, University of MilanFondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, University of MilanDepartment of Biomedical, Surgical and Dental Sciences, University of MilanDepartment of Biomedical, Surgical and Dental Sciences, University of MilanDepartment of Biomedical, Surgical and Dental Sciences, University of MilanAbstract Aim This study explores the acceptance of Advanced Behavior Management Techniques (ABMTs) by parents during their children’s dental treatments, comparing the opinion of parents of neurotypical children with that of parents of children with autism spectrum disorders (ASDs). Methods An observational cross-sectional study was conducted involving 440 parents, divided into two groups: 236 parents of neurotypical children and 204 parents of children with ASDs, recruited from pediatricians’ centers and centers for ASDs children in Northern and Southern Italy. A survey assessed their familiarity and acceptance of ABMTs, including protective stabilization, conscious sedation, and deep sedation/general anesthesia. Discrete variables were expressed as absolute and relative frequencies (%) and compared with Pearson’s chi-squared or Fisher’s exact test. Continue variables were expressed as mean ± SD and compared with the one-way ANOVA test. Heatmap and PCA analysis were used to determine possible correlations between items. Results Parents of children with ASDs showed a higher acceptance rate of ABMTs compared to parents of neurotypical children. Overall, only 30.68% of parents knew ABMTs before the survey. Differences between the two groups of parents in acceptance of Active Stabilization in emergency settings, Passive Stabilization in routine settings, and Deep sedation/general anesthesia in both settings were observed (p < 0.01). Only 6.82% of parents ever used at least one ABMT on their children. Heatmap analysis revealed that parents who have accepted one of the ABMTs tend to accept the others as well. Conclusion Differences in parental acceptance of different ABMTs was noted among the two groups of parents, with greater acceptance of ABMTs observed in the group of parents of children with ASDs. Parents of both groups have significant gaps in their knowledge of ABMTs. Therefore, increased awareness and personalized communication strategies are needed to increase acceptance of the studied techniques and, thus, facilitate access to dental care for uncooperative pediatric patients. Patient-centered behavior management strategies that meet children’s needs and parents’ preferences can contribute to the achievement of good oral health.https://doi.org/10.1186/s12887-024-05234-8Autism spectrum disorderAdvanced behavior management techniquesDental treatment
spellingShingle Claudia Salerno
Silvia Cirio
Cinzia Maspero
Margerita Roner
Valeria D’Avola
Maria Grazia Cagetti
Parent’s acceptance of advanced behavior management techniques on children during dental treatment
BMC Pediatrics
Autism spectrum disorder
Advanced behavior management techniques
Dental treatment
title Parent’s acceptance of advanced behavior management techniques on children during dental treatment
title_full Parent’s acceptance of advanced behavior management techniques on children during dental treatment
title_fullStr Parent’s acceptance of advanced behavior management techniques on children during dental treatment
title_full_unstemmed Parent’s acceptance of advanced behavior management techniques on children during dental treatment
title_short Parent’s acceptance of advanced behavior management techniques on children during dental treatment
title_sort parent s acceptance of advanced behavior management techniques on children during dental treatment
topic Autism spectrum disorder
Advanced behavior management techniques
Dental treatment
url https://doi.org/10.1186/s12887-024-05234-8
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