The Child’s Reactions to Dental Care

  • Sol Goldstein
Chapter

Abstract

Visiting the dentist has always been at best an anxiety-producing experience, evoking in some patients visions of outright panic and trauma. There may have been some realistic reasons for this in the past, when certain procedures were quite painful. Although modern dental techniques afford far less pain and a shorter period in the chair, dental visits remain, for most, a dreaded and troublesome experience. Usually adults can control their anxiety and discomfort without interfering with the dentist. Children, however, typically translate anxiety into action, in this case non-cooperation with the dentist. This may seriously interfere with the treatment being attempted. How then does one obtain the co-operation of the child?

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Recommended For Further Reading

  1. 2.
    AYER, W. A. “Use of Visual Imagery in Needle Phobic Children.” J. Dent Child. 60: 125–27, 1973. —discusses the extreme fear of injection and of extractions in some children visiting the dentist. Describes some successful approaches to the elimination of this kind of phobia, which are based largely on Wolpe’s behaviour therapy technique (which attempts to condition various stimuli that are incompatible with anxiety).Google Scholar
  2. 3.
    CLARK, C. A. “An Effective Program for National Children’s Dental Health Week”. J. Dent Child. 61: 30–32, 1974. —reports on a program in Cleveland that teaches children about dental diseases, methods of prevention, and sources where further information may be obtained which leads to positive behavioural changes.Google Scholar
  3. 5.
    FRAIBERG, S. The Magic Years. New York, Scribner’s, 1959. —delightful, easy-reading, enlightening book dealing with the early years of childhood.Google Scholar
  4. 9.
    GORDON, D. A.; TERDAL, L.; and STERLING, E. “The Use of Modeling and Desensitization in the Treatment of a Phobic Child Patient”. J. Dent Child. 61: 102–5, 1974. —describes a technique for modifying and eliminating maladaptive behaviour for a phobic child who must undergo dental treatment. Demonstrates a practical management plan for a very fearful parent and child.Google Scholar
  5. 10.
    MURPHY, L. Personality in Young Children. Vol. 2. 1st ed. New York, Basic Books, 1956. —techniques used in assessment of personality in young children. Excellent case illustrations.Google Scholar
  6. 11.
    ROSENBERG, H. M. “Behaviour Modification for the Child Dental Patient”. J. Dent Child. 61: 111–14, 1974. —stresses the need for dentists to be aware of the role that behaviour plays in determining his success in treating young patients. Suggests that dentists become proficient in using techniques of behaviour modification.Google Scholar
  7. 12.
    SAWTELL, R. O.; SIMON, J. F. Jr.; and SIMEONESSON, R. J. “The Effects of Five Preparatory Methods upon Child Behaviour During the First Dental Visit”. J. Dent Child. 61: 367–75, 1974. —compares the effects of different experimental manipulations of the child’s first dental visit. Discusses such procedures as desensitization, behaviour modification, and vicarious symbolic modeling.Google Scholar
  8. 13.
    SERMET, O. “Emotional and Medical Factors in Child Dental Anxiety”. J. Child Psychol. Psychiat. 15: 313–21, 1974. —reports the investigation of aetiological factors of child dental anxiety, and considers the role of emotional and medical factors in this regard. Technical presentation.CrossRefGoogle Scholar

Additional Reading

  1. 1.
    ABRAHAM, K. “The First Pregenital Stage of the Libido (1916)”. Selected Papers, I.P.L. no. 13, London, L. & V. Woolf, 248–79, 1949.Google Scholar
  2. 4.
    ERIKSON, E. H. The Theory of Infantile Sexuality. Childhood and Society. 2nd ed. New York, W. W. Norton, 1963.Google Scholar
  3. 6.
    FREUD, ANNA. The Ego and the Mechanisms of Defense. New York, International Univ. Press, 1967.Google Scholar
  4. 7.
    FREUD, ANNA. The Psychoanalytical Treatment of Children. New York, I.U.P., 1965.Google Scholar
  5. 8.
    FREUD, S. “Three Essays on the Theory of Sexuality” in Freud, S., ed., The Standard Edition of the Complete Psychological Works of Sigmund Freud (1901 – 19051 Vol VII: 125–45. London, The Hogarth Press, 1953.Google Scholar
  6. 9.
    FREUD, S. “Sexual Enlightenment of Children” in Freud, S., ed., The Standard Edition of the Complete Psychological Works of Sigmund Freud (1906–1908). Vol. ix: 129–39. London, The Hogarth Press, 1959.Google Scholar

Copyright information

© Macmillan Publishers Limited 1977

Authors and Affiliations

  • Sol Goldstein

There are no affiliations available

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