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An Algorithm-Based Approach for Behavior and Disease Management in Children

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Pharmacologic behavior management for dental treatment is an approach to provide invasive yet compassionate care for young children; it can facilitate the treatment of children who otherwise may not cooperate for traditional in-office care. Some recent highly publicized procedural sedation-related tragedies have drawn attention to risks associated with pharmacologic management. However, it remains widely accepted that, by adhering to proper guidelines, procedural sedation can assist in the provision of high-quality dental care while minimizing morbidity and mortality from the procedure. The purpose of this paper was to propose an algorithm for clinicians to consider when selecting a behavior and disease management strategy for early childhood caries. This algorithm will not ensure a positive outcome but can assist clinicians when counseling caregivers about risks, benefits, and alternatives. It also emphasizes and underscores best-safety practices.
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Keywords: ALGORITHM; BEHAVIOR GUIDANCE; CHILD SAFETY; CHRONIC DISEASE MANAGEMENT; DECISION-TREE; GENERAL ANESTHESIA; PEDIATRIC DENTISTRY; PROCEDURAL SEDATION

Document Type: Short Communication

Affiliations: 1: Research assistant professor, in the Department of Pediatric Dentistry, University of North Carolina at Chapel Hill School of Dentistry, Chapel Hill, N.C., USA;, Email: [email protected] 2: Distinguished professor and chair of Pediatric Dentistry, University of North Carolina at Chapel Hill School of Dentistry, and professor, Department of Health Policy and Management, University of North Carolina at Chapel Hill Gillings School of Global Public Health; Chapel Hill, N.C., USA 3: Professor and director, Pediatric Dentistry Residency program, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA 4: Professor Emeritus, Division of Pediatric Dentistry, The Ohio State University College of Dentistry, and an attending dentist at Nationwide Children's Hospital, Columbus, Ohio, USA 5: Research professor, in the Department of Pediatric Dentistry, University of North Carolina at Chapel Hill School of Dentistry, Chapel Hill, N.C., USA

Publication date: March 1, 2018

More about this publication?
  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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