Authors: American Academy of Pediatric Dentistry.
Title: Clinical Guideline on Behavior Management.
Journal: Ped Dent
Date: Jan 2004
Citation: Reference Manual 2004 - 2005: 89 - 94
Category: Pediatric Endodontics
Evidence-based Ranking: 5
Purpose/Objectives: The document contains definitions, objectives, indications and contraindications for behavior management techniques which are deemed useful in pediatric dentistry.

Informed Consent: the dentist should inform the legal guardian about the nature of the technique to be used, its risks, benefits, and any alternative techniques. BM is a clinical art form and skill built on a foundation of science. Goals - establish communication, alleviate fear and anxiety, deliver quality dental care, build a trusting relationship between dentist and child, and promote the childÂ’s positive attitude towards dental health.

Basic Behavior Management: techniques discussed include - Voice control, Nonverbal communication, Tell-show-do, Positive reinforcement, Distraction, Parental presence/absence, Nitrous oxide.

Advanced Behavior Management: when the basic fail - HOME (hand-over-mouth exercise), medical immobilization, sedation, and general anesthesia

ReviewerÂ’s Comments: Good information regarding pediatric BMs