BOQ - Kitap Yönetim Sistemi
Kitap Bölümü

PEDİATRİK DENTAL TEDAVİLERDE DAVRANIŞ YÖNLENDİRMENİN ROLÜ

Mustafa Enes Şen
bolu abant izzet baysal üniversitesi
Tuğçe Dişyar
Ar. Gör., Bolu Abant İzzet Baysal Üniversitesi Diş Hekimliği Fakültesi
Zeynep Öztürk
Dr. Öğr. Üyesi, Bolu Abant İzzet Baysal Üniversitesi
Erişim Durumu
Özel Erişim
Yayınlanma Tarihi
26 October 2026
Sayfa Sayısı
109-130
DOI

Özet

ÖZET

Çocuk diş hekimliğinde başarılı bir tedavi süreci, dental işlemlerin doğru uygulanmasının yanı sıra çocuğun psikolojik ve gelişimsel özelliklerinin dikkate alınmasını gerektirir. Dental korku ve kaygı; çocuğun yaşı, önceki deneyimleri, aile tutumları ve klinik çevre gibi birçok faktörden etkilenebilmekte ve tedavi sırasında iş birliğini güçleştirebilmektedir. Bu nedenle davranış yönlendirme, çocuk ile diş hekimi arasında güvene dayalı iletişimin kurulması, kaygının azaltılması ve olumlu dental deneyimlerin geliştirilmesi açısından çocuk diş hekimliğinin temel bileşenlerinden biridir.

Günümüzde davranış yönlendirme; iletişim temelli ve bireyselleştirilmiş yaklaşımlar çerçevesinde ele alınmakta, anlat–göster–uygula, pozitif pekiştirme, modelleme ve dikkati başka yöne çekme gibi temel yöntemlerin yanı sıra dijital uygulamalar, sanal gerçeklik ve diğer güncel yaklaşımlardan da yararlanılmaktadır. Gerektiğinde koruyucu stabilizasyon, sedasyon ve genel anestezi gibi ileri yöntemler de tedavi planına dahil edilebilmektedir. Bu bölümde çocuklarda dental korku ve kaygıyı etkileyen faktörler, davranışın değerlendirilmesi, güncel davranış yönlendirme yöntemleri, yöntem seçimi ve bu yaklaşımların tedavi sonuçları üzerindeki etkileri güncel bilimsel kanıtlar doğrultusunda ele alınmaktadır.

Anahtar Kelimeler: Çocuk diş hekimliği, davranış yönlendirme, dental kaygı, dental korku, pediatrik dental tedavi

Konu Alanı: Diş Hekimliği -> Diş Hekimliği (diğer) -> Pedodonti

Bu Bölüme Atıf Yap
N/A

AAPD. (2025). Behavior guidance for the pediatric dental patient. In The Reference Manual of Pediatric Dentistry (pp. 379–399).

Almarzouq, S. S. F. S., Chua, H., Yiu, C. K. Y., & Lam, P. P. Y. (2024). Effectiveness of Nonpharmacological Behavioural Interventions in Managing Dental Fear and Anxiety among Children: A Systematic Review and Meta-Analysis. Healthcare, 12(5), 537. https://doi.org/10.3390/healthcare12050537

Berry, E. J. (2025). A review on moderate sedation in pediatric dentistry: a focus on indications, safety and the newest medications. Journal of Oral and Maxillofacial Anesthesia, 4, 5–5. https://doi.org/10.21037/joma-24-24

Caleza-Jiménez, C., Suárez-Marchena, C., Chandler-Gutiérrez, L., Segura-Egea, J. J., & Machuca-Portillo, C. (2026). Parental Acceptance of Passive Protective Stabilization During Pulp Therapy in Primary and Young Permanent Dentition: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 15(6), 2200. https://doi.org/10.3390/jcm15062200

Candan, M., Kutlu, E., & Yilmaz Karaman, İ. (2023). Predictors of Parental Acceptance towards Contemporary Behavior Management Techniques Used in Pediatric Dentistry: A Preliminary Study on Turkish Population. Children, 10(10), 1592. https://doi.org/10.3390/children10101592

Carmona-Santamaría, M., Pérez-Sánchez, D., Aura-Tormos, J. I., Guinot-Barona, C., Marqués-Martínez, L., & García Miralles, E. (2026). Utilization Patterns and Clinical Indications of General Anesthesia in Pediatric Dentistry: A Systematic Review. Children, 13(3), 422. https://doi.org/10.3390/children13030422

Cermak, S. A., Stein Duker, L. I., Williams, M. E., Dawson, M. E., Lane, C. J., & Polido, J. C. (2015). Sensory Adapted Dental Environments to Enhance Oral Care for Children with Autism Spectrum Disorders: A Randomized Controlled Pilot Study. Journal of Autism and Developmental Disorders, 45(9), 2876–2888. https://doi.org/10.1007/s10803-015-2450-5

Chanin, M., Etcheverry, N., Levi-Minzi, M. A., Chung, J., Padilla, O., & Ocanto, R. A. (2023). Parent Perception of Child’s Behavior during the Initial Dental Visit among Children with Autism Spectrum Disorder: A Cross Sectional Study. International Journal of Environmental Research and Public Health, 20(3), 2454. https://doi.org/10.3390/ijerph20032454

Cianetti, S., Lombardo, G., Lupatelli, E., Pagano, S., Abraha, I., Montedori, A., Caruso, S., Gatto, R., De Giorgio, S., & Salvato, R. (2017). Dental fear/anxiety among children and adolescents. A systematic review. European Journal of Paediatric Dentistry, 18(2), 121–130. https://doi.org/10.23804/ejpd.2017.18.02.07

Cristea, R. A., Ganea, M., Potra Cicalău, G. I., & Ciavoi, G. (2025). Dentophobia and the Interaction Between Child Patients and Dentists: Anxiety Triggers in the Dental Office. Healthcare, 13(9), 1021. https://doi.org/10.3390/healthcare13091021

Dahlander, A., Soares, F., Grindefjord, M., & Dahllöf, G. (2019). Factors Associated with Dental Fear and Anxiety in Children Aged 7 to 9 Years. Dentistry Journal, 7(3), 68. https://doi.org/10.3390/dj7030068

Dhaliwal, J. K., Alzyood, M., & Al Rawashdeh, R. (2025). A systematic review and narrative synthesis of evidence from randomised controlled trials: the impact of behaviour guidance techniques on dental anxiety in paediatric patients. BMC Oral Health, 25(1), 1690. https://doi.org/10.1186/s12903-025-06533-x

Dhar, V., Jayaraman, J., Marghalani, A. A., Wells, M., Randall, C. L., Law, C., Majstorović, M., Gosnell, E., Townsend, J., Chen, C.-Y., & Wedeward, R. (2023). Nonpharmacological Behavior Guidance For Children During Dental Treatment Visits: A Systematic Review and Meta-Analysis-Part 2. Pediatric Dentistry, 45(3), 197–220.

Elicherla, N. R., Saikiran, K. V., Anchala, K., Elicherla, S. R., & Nuvvula, S. (2024). Evaluation of the effectiveness of tell-show-do and ask-tell-ask in the management of dental fear and anxiety: a double-blinded randomized control trial. Journal of Dental Anesthesia and Pain Medicine, 24(1), 57. https://doi.org/10.17245/jdapm.2024.24.1.57

Farzanegan, P., Ghasempour, M., Massoodi, A., & Shirafkan, H. (2025). Correlation Between Child’s Dental Fear and Anxiety Symptoms and Evaluating Factors Associated With Dental Fear. Health Science Reports, 8(5). https://doi.org/10.1002/hsr2.70879

Gizani, S., Seremidi, K., Katsouli, K., Markouli, A., & Kloukos, D. (2022a). Basic behavioral management techniques in pediatric dentistry: A systematic review and meta-analysis. Journal of Dentistry, 126, 104303. https://doi.org/10.1016/j.jdent.2022.104303

Gizani, S., Seremidi, K., Katsouli, K., Markouli, A., & Kloukos, D. (2022b). Basic behavioral management techniques in pediatric dentistry: A systematic review and meta-analysis. Journal of Dentistry, 126, 104303. https://doi.org/10.1016/j.jdent.2022.104303

Grisolia, B. M., dos Santos, A. P. P., Dhyppolito, I. M., Buchanan, H., Hill, K., & Oliveira, B. H. (2021). Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta‐analyses. International Journal of Paediatric Dentistry, 31(2), 168–183. https://doi.org/10.1111/ipd.12712

Haridoss, S., Swaminathan, K., Madiraju, G. S., Ravi, R., Mohan, R., & Thadani, M. (2026). Technology-enhanced behavior guidance for pediatric dental anxiety: a systematic review and meta-analysis of effectiveness and safety of virtual reality, augmented reality, biofeedback, and games. Frontiers in Dental Medicine, 7. https://doi.org/10.3389/fdmed.2026.1819864

Kajita, M., Pohjola, V., Kataja, E.-L., & Lahti, S. (2025). Exploring high dental anxiety subtypes using cluster analysis approach: a cross-sectional study. BMC Oral Health, 25(1), 1506. https://doi.org/10.1186/s12903-025-06820-7

Kaur, K., Saini, R. S., Binduhayyim, R. I. H., Mosaddad, S. A., & Heboyan, A. (2025). Analyzing Nonpharmacological Behavior Management in Children With Dental Anxiety: A Systematic Review and Meta‐Analysis. Health Science Reports, 8(8). https://doi.org/10.1002/hsr2.71176

Klinberg, G., & Broberg, A. G. (2007). Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. International Journal of Paediatric Dentistry, 17(6), 391–406. https://doi.org/10.1111/j.1365-263X.2007.00872.x

Kong, X., Song, N., Chen, L., & Li, Y. (2024). Non-pharmacological interventions for reducing dental anxiety in pediatric dentistry: a network meta-analysis. BMC Oral Health, 24(1). https://doi.org/10.1186/s12903-024-04919-x

Marty, M., Carbillet, M., & Valera, M. C. (2024). Students’ perception of protective stabilization of pediatric dental patients: a qualitative study. Journal of Clinical Pediatric Dentistry, 48(1), 19. https://doi.org/10.22514/jocpd.2024.003

Massignan, C., Soares, J. P., PIRES, M. M. de S., DICK, B., PORPORATTI, A. L., CANTO, G. D. L., & BOLAN, M. (2022). Parental acceptance toward behavior guidance techniques for pediatric dental visits: a meta-analysis. Brazilian Oral Research, 36. https://doi.org/10.1590/1807-3107bor-2022.vol36.0127

Narayan, V. K., & Samuel, S. R. (2020). Appropriateness of various behavior rating scales used in pediatric dentistry: A Review. Journal of Global Oral Health, 2, 112. https://doi.org/10.25259/JGOH_64_2019

Padminee, K., Hemalatha, R., Shankar, P., Senthil, D., Jayakaran, T. G., & Kabita, S. (2022). Effectiveness of biofeedback relaxation and audio-visual distraction on dental anxiety among 7- to 12-year-old children while administering local anaesthesia: A randomized clinical trial. International Journal of Paediatric Dentistry, 32(1), 31–40. https://doi.org/10.1111/ipd.12787

Pickrell, J. E., Heima, M., WEINSTEIN, P., COOLIDGE, T., COLDWELL, S. E., SKARET, E., CASTILLO, J., & MILGROM, P. (2007). Using memory restructuring strategy to enhance dental behaviour. International Journal of Paediatric Dentistry, 17(6), 439–448. https://doi.org/10.1111/j.1365-263X.2007.00873.x

Randall, C. L., & Dhar, V. (2023). Pediatric Dentists’ Use of Nonpharmacological Behavior Guidance Techniques and Experiences with Parent / Caregiver Acceptance: A National Survey. Pediatric Dentistry, 45(5), 418–424.

Ribeiro, C. D. P. V., Alves, J. B., Kominami, P. A., Takeshita, E. M., Bezerra, A. C. B., & Massignan, C. (2023). Does use of animal therapy during dental care help to reduce anxiety in children and adolescents? A systematic review. International Journal of Paediatric Dentistry, 33(2), 181–195. https://doi.org/10.1111/ipd.13033

Shindova, M. P., & Belcheva, A. B. (2021). Dental fear and anxiety in children: a review of the environmental factors. Folia Medica, 63(2), 177–182. https://doi.org/10.3897/folmed.63.e54763

Sun, I. G., Chu, C. H., Lo, E. C. M., & Duangthip, D. (2024). Global prevalence of early childhood dental fear and anxiety: A systematic review and meta-analysis. Journal of Dentistry, 142, 104841. https://doi.org/10.1016/j.jdent.2024.104841

Themessl‐Huber, M., Freeman, R., HUMPHRIS, G., MacGILLIVRAY, S., & TERZI, N. (2010). Empirical evidence of the relationship between parental and child dental fear: a structured review and meta‐analysis. International Journal of Paediatric Dentistry, 20(2), 83–101. https://doi.org/10.1111/j.1365-263X.2009.00998.x

Üstün, N., Akgöl, B. B., & Bayram, M. (2025a). Cartoon-assisted visual/auditory distraction usage in paediatric dental care, assessment of effects on patient anxiety, pain, and behaviour: a randomised crossover clinical trial. BMC Oral Health, 25(1), 425. https://doi.org/10.1186/s12903-025-05770-4

Üstün, N., Akgöl, B. B., & Bayram, M. (2025b). Cartoon-assisted visual/auditory distraction usage in paediatric dental care, assessment of effects on patient anxiety, pain, and behaviour: a randomised crossover clinical trial. BMC Oral Health, 25(1), 425. https://doi.org/10.1186/s12903-025-05770-4

Vello-Ribes, M. A., Aura-Tormos, J. I., Valero-Contelles, C., Casaña-Ruiz, M. D., & Catala-Pizarro, M. (2026). Behavioural Impact of Parental Presence Versus Absence in Paediatric Dentistry: A Systematic Review. Dentistry Journal, 14(1), 33. https://doi.org/10.3390/dj14010033

Weiner, A. A., & Sheehan, D. V. (1990). Etiology of dental anxiety: psychological trauma or CNS chemical imbalance? General Dentistry, 38(1), 39–43.

Yigit, T., Gucyetmez Topal, B., & Ozgocmen, E. (2022). The effect of parental presence and dental anxiety on children’s fear during dental procedures: A randomized trial. Clinical Child Psychology and Psychiatry, 27(4), 1234–1245. https://doi.org/10.1177/13591045211067556

Kitap Bölümü (PDF)
PEDİATRİK DENTAL TEDAVİLERDE DAVRANIŞ YÖNLENDİRMENİN ROLÜ
Bu Bölüme Atıf Yap:
N/A
Kitap:
Yayınevi:
Vizetek Yayıncılık