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2.3 Behavior-Management Techniques
Protective Stabilization Protective stabilization (previously referred to as “restraint”) is used when other behavior-management techniques are insufficient, such as during emergencies, in situations in which it is essential to obtain accurate clinical information via an examination (to determine the extent of treatment needed or the urgency of treatment), in the case of a child with special health care needs, or when a child cannot cooperate with restorative treatment. The purpose of protective stabilization is to ensure the safety of the child, the oral health professional, and other dental office staff. Protective stabilization should be used for the shortest amount of time possible.
Protective stabilization (not including a parent holding a child) requires informed consent beyond that provided for basic care. (For more information about informed consent, see Guideline on Behavior Guidance for the Pediatric Dental Patient.) The child’s record should include the following:
Parents are the best people to help with the protective stabilization of a young child. As with any approach, before embarking on treatment, review the purpose of protective stabilization with parents, and discuss alternatives (including not providing treatment). Although many parents will want to help with protective stabilization, some will not and would prefer not to watch the procedure. If a parent wants to help (but is not holding the child), position the parent so that the child can see him or her. If possible, place the parent close enough so that he or she can hold the child’s hand. Periodically assess the child’s status and relate it to the parent. Ask the parent for affirmation that the child is reacting as you perceive him or her to be. Following the procedure, return the child to the parent as soon as possible for comfort and contact. |
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