A curriculum for behaviour and oral healthcare management for dentally anxious children - recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

TY - JOUR

T1 - A curriculum for behaviour and oral healthcare management for dentally anxious children - recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

AU - Rezende Costa, Luciane

AU - Heidari, Ellie

AU - Banerjee, Avijit

AU - Newton, Tim

AU - Therese Hosey, Marie

AU - Daher, Anelise

PY - 2020/9/1

Y1 - 2020/9/1

N2 - Background: Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim: To report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. Design: A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Results: Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. Conclusion: Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners.

AB - Background: Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim: To report dentists’ opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. Design: A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Results: Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. Conclusion: Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners.

KW - conscious sedation

KW - curriculum

KW - dental anxiety

KW - dental atraumatic restorative treatment

KW - dental caries

KW - dental education

UR - http://www.scopus.com/inward/record.url?scp=85081753919&partnerID=8YFLogxK

U2 - 10.1111/ipd.12635

DO - 10.1111/ipd.12635

M3 - Article

SN - 0960-7439

VL - 30

SP - 556

EP - 569

JO - International Journal of Paediatric Dentistry

JF - International Journal of Paediatric Dentistry

IS - 5

ER -