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How to Use Behavior Management to Let Children See Their Teeth Smoothly?

“Wow~ You did a great job today, you are very quiet, and you lie down and help your aunt, so good!” Cocoa performed well, and Xiaoya immediately gave encouragement. “Wait, I’m going out and telling my mother, cocoa today is so brave and good to lie down~ very brave little friend Auntie is going to send Lego.”

Just when I kept brainwashing to encourage the good performance of cocoa, I secretly felt that the thresholds above had been crossed, so it should be OK today. No problem.

As a result, what happened was counterproductive. In the second half of Cocoa’s nerve extraction, the eye frame began to get wet again, and then he started crying again. He didn’t specifically say anything, just crying.

“What’s wrong? Are you uncomfortable?” Cocoa did not respond particularly to my inquiry.

“Does the tooth hurt?” Still no response.

“If you cry like this, the aunt can’t give away the prize.” Coco’s crying still didn’t change, and then he shouted “Mom~~”.

“And in this way, there is no way to tell my mother, but cocoa is so brave to see his teeth today!” The crying finally became smaller, and then returned to the original calmness.

After the treatment was successfully completed, I asked my mother to come back to the clinic to explain today’s treatment. Then I praised Cocoa for courageous performance today. She also gave Fang Fangxiao a prize to let her go home happily.

Every child dentist faces challenges throughout his life. Among them, the biggest specialty of children’s dentists is that how to let children cooperate with treatment is also the topic we want to talk about today, so-called “behavior management”.

 

Good behavior rewards, bad behavior takes away the reward or ignores him

The principle of behavior management is very simple, that is, when he does the behavior you want him to do, give him a reward (positive enhancement); when he does the behavior you don’t want, he takes the reward (negative punishment) and does not react (weaken) ), or even give him something he doesn’t like (positive punishment).

When a child gets a reward when he sings, the frequency of the child’s singing may increase in the future. Conversely, when the child screams, he is punished, or no one takes care of him, and gets nothing, then the frequency of his screaming may decrease, or he may no longer scream from now on.

In children’s dentists, usually young children under the age of three and a half, the communication ability is not very good, and the ability to tolerate cooperation is also a little bit, although the restriction can still be used, but the duration of maintenance may not be long, so it is relatively It is often combined with treatment by means of restraints or anesthesia.

Older children over the age of three and a half have better verbal communication skills. They usually try to use behavior management to coordinate treatment. However, in recent years, more and more people have chosen anesthesia as an auxiliary treatment method for older children.

Reward: immediate, clear, favorite

There are several factors for rewards to be effective:

Immediately: He should be rewarded immediately for his good behavior. Delayed rewards are easily invalid.

Clear: Can point out what good behavior he did. So being able to communicate in words is very important.

Favorites: If the prizes given to him are the ones he likes.

We sometimes think that good behavior must be “done”, but in fact, in children’s dentistry, “did not do” what behavior is also a good behavior. A child “lie down” does not cry or struggle. Maybe many dentists Thank you very much.

When we want to reward the children, we have to tell the children clearly what he did so he can get the reward, so that he will try harder to do the same thing to get the reward. So you have to tell him clearly what he did and get rewarded.

If you can’t give a good reward at the moment, you can also give him a small thing first, let him gather a few to exchange for a big prize, this is also an immediate reward.

When giving rewards, you must make sure that your rewards are liked by the children, and don’t give them a prize that he doesn’t like, because it may have no effect. The encouragement of speech is usually a simple and effective prize, of course, it is better to have a real prize.

Going back to the previous example of cocoa, after cocoa started to cry without anesthetic (good behavior), I immediately encouraged him to “very quiet, lie down and help Auntie’s favor, so great!” Let him know that lie down and lie down, Quietness is the behavior I want him to do, and hope that he will continue to maintain these behaviors.

Set the rules before taking away the reward

And when the child has behaviors that we don’t like, before doing child behavior management, you can first try to find out why these behaviors occur. Can we avoid these behaviors? For example, if the child is in pain, can he get some anesthesia so that he will not hurt? The child is eager to go to the toilet. Can we stop him from going to the toilet?

But sometimes we really can’t find the reason why the child has these behaviors, or his reason is that the treatment of the teeth is inevitable (some children just hate the mouth with any smell of water or gloves), then there are several kinds of children’s dentists. method.

One is to take away the things he already owns and likes. For example, if you give him stickers, then you will get them if you are not good. Or in fact, the presence of parents is also a huge reward for children, “You are not good, then mom can’t accompany you / hold your hand.” is also a common method.

It should be noted that these methods are best for children to set rules beforehand, and to implement the rules thoroughly so that children know how to follow the rules of the game. Parents often say next to them, “If you cry like this, I will leave.” But once said twice, three times, the parents are still around, and the child doesn’t believe what you said.

We don’t want children to be sheep-fed children, so we cannot be sheep-fed adults.

In the example of Cocoa, remind “you can only get prizes if you are obedient”, “If you are obedient, you will go to praise your mother.” Let him know what he should do to get what he wants, and cry without disturbance. To what he wants.

Ignorance makes children boring

I shared a child who used urine escape before. He kept shouting that I wanted to pee (bad behavior), but I ignored him (ignore). Although he still tried to increase the intensity of urine escape, he found that it was useless. Then I gave up myself.

When we spend our energy to do an action, we hope to get a corresponding return. And when we do an action without getting a reward or even receiving any response, then we will become more and more unwilling to do such an action. This is the power of indifference. You don’t have to punish the child or scold the child. As long as you don’t respond, the child may change.

However, it should be noted that when a child encounters indifference, he usually does not immediately obey, but will have more intense actions to attract your attention, and hope to achieve his desired purpose. You have to pass this fierce resistance period before he can really reduce the behavior we don’t like and then do other behaviors.

Like Xiaoming who used urine to escape, he went all the way from “I want to urinate”. Seeing that I didn’t respond, I continued to increase the code to “I have urinate”. This gradually increased the severity until it really didn’t work for a long time. , It really took other paths.

Punishment is now done less, anesthesia is gradually becoming mainstream

And to make certain behaviors decline, giving stimulation that will cause uncomfortable feelings is also a method. Like in the past, animal experiments often used electric shocks to prevent animals from doing certain things. One switch will cause electric shock, then the animal may know not to do it in the future. Go to the switch, but now we certainly cannot call the child to let the child cooperate with the teeth.

In fact, children’s dentists are not likely to use corporal punishment to make children cooperate. At most, they use voice control to calm the child, stop the child’s tense emotions, and then re-enable them by rewards and indifference. Children cooperate with treatment.

However, there is another trick that allows children to fully cooperate with treatment, that is, anesthesia, whether it is laughing gas, sedation anesthesia, or general anesthesia or, in recent years, the acceptance of parents has become higher and higher. If the child is really extremely nervous and uncooperative, anesthesia is actually a behavior management method that can be considered.

It is easy to understand but difficult to use

Behavior management is the biggest reason why children’s dentists are independent of other dentists, and it is also the biggest challenge that children’s dentists face every day. The situation of each child may be different. How to use different behavior management methods interactively to let children see the most Smooth, can only try and hone more.

In addition to seeing the teeth, it can be used in general life. What should I do if a child cries if he does not drink milk before going to bed? What to do when you brush your teeth and cry and struggle? What if I don’t accept toys? Want to quit a pacifier? Do you want him to sit and eat well? All of these are considered to be the categories of behavior management, and the principles are still the same: doing the right thing rewards, doing the wrong thing and taking the reward or ignoring him.

It’s easy to say (is it?), but in fact there are still many details to pay attention to.

Behavior management can help your child know what you want him to do and don’t want him to do. Doing it or not is the same thing, at least, let him have a trace, don’t let him get confused.

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