This document discusses factors that affect child behavior in a dental setting. It identifies factors under the dentist's control like their attire, attitude, the dental office environment and appointment length. Factors not under the dentist's control include the child's development, past experiences, home environment and parental influences. Specifically, it notes that a child-friendly office with toys and parental presence can help reduce anxiety. A dentist's calm demeanor and short appointments also promote cooperation. Children's baseline anxiety and experiences affect their comfort level during treatment.

1. FACTORS AFFFECTING CHILD
BEHAVIOUR IN DENTAL OFFICE
KELSY VARGHESE
FINAL YR PART II
REG NO:150021659

2. CONTENTS
• INTRODUCTION
• FACTORS:
– UNDER CONTROL OF DENTIST
– NOT UNDER CONTROL OF DENTIST
– UNDER CONTROL OF PARENT
• REFERENCES

3. INTRODUCTION
• The pattern in which a child responds to any
social and environmental stimulus is described
as the behavior of the child.
• Behavioral Pedodontics: it is the study of
science, which helps to understand
development of fear, anxiety, and anger as it
applies to child in the dental situation.

4. FACTORS AFFECTING CHILD
BEHAVIOUR
• The factors that influence the child behavior
of children in a dental operatory can be
broadly classified into :
1. Sociocultural and developmental factors
2. Familial factors
3. Factors associated with the dentist/dental
operatory.

5. UNDER CONTROL OF DENTIST
• Dentists attire/attitude
• Outcome of an earlier appointment
• Dental office environment
• Presence or absence of parents in operatory
• Length and time of appointment

6. DENTIST’S ATTIRE/ATTIRE
• An ideal attitude of the dentist and the dental
assistant is highly essential to obtain
cooperative behavior of the patient.
• The attire of the dentist implies the hairdo,
dress makeover and general outlook.
• The dentists attire should communicate a
security and an authority figure.
• The attire should be approachable and inviting
for children to interact with.

8. DENTAL OFFICE ENVIRONMENT
• It should be warm and simulate a homely
environment.
• Operatory can be made colorful and lively
with posters, television, toys for children.
• A separate waiting room for children with
comics, books, toys etc.

9. PRESENCE OR ABSENCE OF PARENTS
IN OPERATORY
• Parental presence can be a source fo diversion to
the child and barrier to the dentist.
• Parents can be encouraged to be inside the
operatory:
– Stranger anxiety is the exuberantly exaggerated level
of anxiety manifested in 2yr old children.
– Separation anxiety is an exaggerated level of anxiety
manifested in 2-3yrs
– The parent can help to retrain the child on either a lap
to lap mode, patient on parent mode or bystander
mode.

10. LENGTH AND TIME OF APPOINTMENT
• Attention time span refers to the time span
during which the orientation of the child required
for effective behavior management can be
predictably maintained with no distortion or
deviation
– Short-<30min
– Long-upto 45min
• Should be in early morning, as they are more
cooperative and relaxed

11. FAMILIAL FACTORS
• Home environment
• Family and peer influence
• Maternal attitude and behavior

12. HOME ENVIRONMENT
• Home is the first school where a child learns
to behave

13. FAMILY AND PEER INFLUENCE
• Family conflicts
• Influence of elderly and older siblings
• Status of child in family

14. MATERNAL ANXIETY AND BEHAVIOUR
Mother child relationship is more intimate
Children usually have more contact with mothers

15. • One tailed theory by Bell
• According to this one tailed theory most of the
childs characteristics like his personality, behavior,
etc are influenced by parental characteristics
especially maternal

18. SOCIOECULTURAL AND
DEVELOPMENTAL FACTOERS
• Baseline anxiety
• Growth and development of the child
• Past dental and medical experience
• school environment and peer influences

19. BASELINE ANXIETY
• The unperturbed initial anxiety of a child
before any dental appointment is the baseline
anxiety.
• Effective parenting helps children to have a
positive attitude towards new situation.

20. GROWTH AND DEVELOPMENT
• Any abnormality in normal growth and
development may have led to feeling of
rejection and inferiority.
• Mentally handicapping conditions
• Very young child-under 3yrs-lacks intellectual
maturity to accept treatment

21. PAST DENTAL AND MEDICAL
EXPERIENCES
• Quality of visits is important
• If the child encountered an unpleasant dental
treatment in the past, such a pt is negative
towards receiving any dental treatment.

22. SCHOOL ENVIRONMENT
• A child benefited by school dental health
programs will have a positive approach
towards dental treatment.
• The importance of teeth and oral hygiene
might have been taught in the child.

23. REFERENCES
• ILLUSTRATED PAEDIATRIC DENTISTRY PR
CHOCKALINGAM
• PAEDIATRIC DENTISTRY SHOBHA TANDON-
THIRD EDITION