Application of Behavior Management Techniques for Paediatric Dental Patients by Tanzanian Dental Practitioners
Hassan Mohamed Kawia, Hawa Shariff Mbawalla, Febronia Kokulengya Kahabuka*
Department of Orthodontics, Paedodontics and Preventive Dentistry, School of Dentistry, Muhimbili University of
Health and Allied Sciences, P.O. Box 65014, Dar es Salaam, Tanzania
Background: Management of children’s behavior is an integral
component of pediatric dental practice.
Objective: To investigate the oral health care providers’
awareness, use and factors for choice of behavior management techniques when
attending paediatric dental patients. Methods: A cross-sectional
study among dental practitioners in
Dar es Salaam, Tanzania. Data collection was done through interview using a
structured questionnaire. The recorded information included: awareness and
application of behavior management techniques (BMT) when attending a child
dental patient, factors influencing choice of a particular technique,
socio-demographics, level of professional training, working experience and
facility profile. Using SPSS program version 18, frequency distributions and
cross tabulations analyses were performed. Results: 74 dental
practitioners participated in the study, of whom 49 (66.2%) were males and 44
(59.5%) were graduates. Most participants were aware of the behavior management
techniques, ranging from 100% for Tell-Show-Do to 86% for distraction. A small
proportion (9.5%) reported to have adequate skills, all of them were graduates.
The use of universally accepted BMTs was reported by 65% of experienced
practitioners, 61% of graduates, 59% of those reporting to have received formal
training and all of those reporting to have fair/inadequate skills to apply BMTs
(p= 0.01). Conclusion: Most participants were aware of BMTs,
although few acknowledged having adequate skills to apply the techniques. They
use BMTs during treatment of paediatric dental patients and their choice of the
technique is mainly influenced by children’s factors.
Keywords: Awareness, behavior management techniques, paediatric, practitioners, professional training, Tanzania.
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* Address correspondence to this author at the Muhimbili University of
Health and Allied Sciences, United Nations Road, School of Dentistry,
Department of Orthodontics, Paedodontics and Preventive Dentistry, 3rd
Floor Room 303, P.O. Box 65014, Dar es Salaam, Tanzania;
Tel: +255-22-2151135; Fax: +255-22-2150465;