Tipovi ponašanja djece u ordinaciji dentalne medicine

Bol kao negativno iskustvo u djece dovodi do razvoja dentalnog straha. DS kao dominantan čimbenik uvelike otežava dentalno medicinske zahvate i posljedično može dovesti do odbijanja suradnje i pogoršanja oralnog zdravlja. Ako ga se ne prepozna i pravilno ne tretira, može se razviti u DA. Količinu DS-a i DA možemo objektivno mjeriti pomoću VPT-a, FIS-a i CFSS-DS-a. Izrazito je važno da liječnik dentalne medicine poznaje normalno ponašanje djeteta u određenoj dobi jer je to jedini način da prepozna anomalije u ponašanju i pravilno pristupi svakom pojedinom djetetu. Brojni su čimbenici koji utječu na ponašanje djeteta. Ponašanje možemo klasificirati prema Franklovoj skali ponašanja i po kategorijama po Wright-u. Frankl razlikuje jasno negativno, lagano negativno, lagano pozitivno i jasno pozitivno ponašanje. Wright dijeli ponašanje u kooperativno, manjak kooperativne sposobnosti i potencijalno nekooperatvno ponašanje. Potencijalno nekooperabilno ponašanje može biti nekontrolirano („histerično“), prkosno (tvrdoglavo), bojažljivo, napeto kooperativno, plačljivo i stoičko ponašanje. Za kontrolu ponašanja najčešće se koristi psihološki pristup u obliku metoda oblikovanja ponašanja, „reci – pokaži – učini“ metode te metoda potkrepljivanja, prikazivanja, desenzibilizacije i svladavanja.Pain as a negative experience leads to the development of dental fear in children. DF as dominant factor makes dental medical procedures really difficult to conduct and, consequently, it can lead to the rejection of cooperation and the deterioration of oral health. If it is not recognized and properly treated it can develop into DA. The amount of DF and DA can be objectively measured using VPT, FIS and the CFSS-DS. It is extremely important that a doctor of dental medicine understands the normal behaviour of children in certain age because it is the only way to detect anomalies in the behaviour and only way he can properly approach to each child. There are many factors that affect child's behaviour. Behaviour can be classified according to Frankl’s behaviour scale and by Wright’s categories. Frankl distinguishes clearly negative, slightly negative, slightly positive, and clearly positive behaviour. Wright divides behaviour into cooperative behaviour, lack of cooperative skill and potentially uncooperative behaviour. Potentially uncooperative behaviour can be: uncontrolled ("hysterical"), defiant (stubborn), shy, tensely cooperative, tearful and stoic behaviour. Most common methods in controlling behaviour are psychological approach consisting of methods that shape behaviour, "tell – show – do” method and the method of reinforcement, demonstration, desensitization and restraint