Pharmacological Behavioral Management for children and adolescence

Shin,  Teo Jeon

doi:2016.54.11.923

J Korean Dent Assoc > Volume 54(11); 2016 > Article

Journal of Korean Dental Association 2016;54(11):923-931.
DOI: https://doi.org/10.22974/jkda.2016.54.11.009 Published online November 30, 2016.

소아청소년의 약물적 행동유도

신터전

서울대학교 치의학대학원 소아치과학교실

Pharmacological Behavioral Management for children and adolescence

Teo Jeon Shin

Department of Pediatric Dentistry, School of Dentistry, Seoul National University

Abstract

Managing uncooperative behaviors related to dental treatment is necessary for guiding children and adolescence to more favorable behaviors. The first approach should be controlling their behaviors using non-phamarcologic behavior management techniques. However, if this approach fails, it is helpful to control negative behaviors pharmacologically. Accordingly, sedation is frequently used to relieve anxiety related to dental treatment. Also, general anesthesia has been applied to the situations in which sedation is either ineffective or impossible to gain cooperation during treatment. This article discusses the pharmacology of widely used sedatives for children and adolescence and clinical considerations of managing uncooperative children and adolescence with the use of sedation. Furthermore, we recommend clinical indication of selecting general anesthesia rather sedation for the purpose of behavior management.

Key Words: Anxiolysis;General Anesthesia;Sedation;