PURPOSES: The purposes of this study were to evaluate: (1) parents' ability to predict dental treatment cooperation by their autistic child; (2) behavior guidance techniques (BGTs) used during treatment; and (3) parental attitudes regarding basic and advanced BGTs. METHODS: Data were collected from 85 parent/autistic child pairs and their dentists using surveys and treatment records. RESULTS: Parents most accurately predicted if their child would permit an examination in the dental chair (> or = 88%) and would cooperate for radiographs (> or = 84%). BGTs utilized most often (> 50%) were positive verbal reinforcement (PVR), tell-show-do (TSD), mouthprops, and rewards. In general, basic BGTs were more acceptable (> 81%) than advanced BGTs (>54%). The most acceptable techniques (>90%) in order were: PVR, TSD, distraction, rewards, general anesthesia, hand-holding by parent, and mouth-props. When parents evaluated only BGTs used for their child, all BGTs, including a stabilization device, were highly acceptable (> 91%), except for staff restraint (74%). CONCLUSIONS: Parents were accurate in predicting cooperation for some procedures. The most acceptable and efficacious BGTs in order were: PVR, TSD, distraction, rewards, and hand-holding by parent. Parental perceptions of BGTs were influenced by whether or not they had been used for their child.
PURPOSES: The purposes of this study were to evaluate: (1) parents' ability to predict dental treatment cooperation by their autisticchild; (2) behavior guidance techniques (BGTs) used during treatment; and (3) parental attitudes regarding basic and advanced BGTs. METHODS: Data were collected from 85 parent/autisticchild pairs and their dentists using surveys and treatment records. RESULTS: Parents most accurately predicted if their child would permit an examination in the dental chair (> or = 88%) and would cooperate for radiographs (> or = 84%). BGTs utilized most often (> 50%) were positive verbal reinforcement (PVR), tell-show-do (TSD), mouthprops, and rewards. In general, basic BGTs were more acceptable (> 81%) than advanced BGTs (>54%). The most acceptable techniques (>90%) in order were: PVR, TSD, distraction, rewards, general anesthesia, hand-holding by parent, and mouth-props. When parents evaluated only BGTs used for their child, all BGTs, including a stabilization device, were highly acceptable (> 91%), except for staff restraint (74%). CONCLUSIONS: Parents were accurate in predicting cooperation for some procedures. The most acceptable and efficacious BGTs in order were: PVR, TSD, distraction, rewards, and hand-holding by parent. Parental perceptions of BGTs were influenced by whether or not they had been used for their child.
Authors: Sharon A Cermak; Leah I Stein Duker; Marian E Williams; Michael E Dawson; Christianne J Lane; José C Polido Journal: J Autism Dev Disord Date: 2015-09
Authors: Leah I Stein Duker; Benjamin F Henwood; Ricky N Bluthenthal; Emma Juhlin; José C Polido; Sharon A Cermak Journal: Res Autism Spectr Disord Date: 2017-05-20
Authors: Leah I Stein; Christianne J Lane; Marian E Williams; Michael E Dawson; José C Polido; Sharon A Cermak Journal: Biomed Res Int Date: 2014-07-10 Impact factor: 3.411