Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-27T20:09:59.976Z Has data issue: false hasContentIssue false

Behaviour Modification in Dentistry: a Review

Published online by Cambridge University Press:  16 June 2009

S. J. E. Lindsay
Affiliation:
Institute of Psychiatry and Royal Dental Hospital, London
C. J. Busch
Affiliation:
Institute of Psychiatry, London

Extract

The review evaluates the contribution which behaviour modification has made to the outstanding behavioural problems in dentistry: the treatment and management of the fear of routine conservation; the prevention of tooth and gum disease; the management of acute operative pain and chronic facial pain.

Investigations of dental fear and operative pain have been limited perhaps too much to patients, especially children, who attend for dental treatment. Behaviour modification has yet to help adequately those patients who avoid dentists and who may be the most acutely afraid and the most intolerant of dentistry. More adequate contributions here could be made if behavioural sciences were much more satisfactorily taught in dental undergraduate and postgraduate curricula than at present.

Useful contributions to preventive dentistry have already been made. The successful treatment of chronic facial pain will have to depend, at least in part, on a more adequate understanding of the psychophysiological mechanisms of the complaint. The nature of the placebo effect in treatment here also needs to be more thoroughly understood.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1981

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andlaw, R. J. (1977). Diet and dental caries: a review. Journal of Human Nutrition 31, 4552.Google ScholarPubMed
Andlaw, R. J. (1978). Oral hygiene and dental caries: a review. International Dental Journal 28, 16.Google ScholarPubMed
Arata, C. L. G., Klorman, R., Chandler, M. J. and Sveen, O. B. (1977). Reducing paedodontic patients' uncooperativeness with coping and mastery models. A.A.D.R. Abstracts. Journal Dental Research B. 160, 433.Google Scholar
Bandura, A. (1969). Principles of Behaviour Modification, New York: Holt, Rinehart and Winston.Google Scholar
Bell, W. H. (1969). Non-surgical management of the pain dysfunction syndrome. Journal of the American Dental Association 79, 161170.CrossRefGoogle Scholar
Bessette, R., Bishop, B. and Mohl, N. (1971). Duration of masseteric silent periods in patients with TMJ syndrome. Journal of Applied Physiology 30, 864868.CrossRefGoogle ScholarPubMed
Blinkhorn, A. S., Craft, M., Shaw, O., Smith, J. and Speirs, R. L. (1979). Behavioural sciences in the dental curriculum. British Dental Journal 147, 117120.CrossRefGoogle ScholarPubMed
Busch, C. J. (1979). Preparing Very Frightened Children for Dental Treatment. Unpublished M. Phil, thesis, London University.Google Scholar
Carlsson, S. G. and Gale, E. W. (1977). Biofeedback in the treatment of longterm temporomandibular joint pain. Biofeedback Self Regulation 2, 161171.CrossRefGoogle ScholarPubMed
Chaves, J. F. and Brown, J. M. (1978). Self-generated strategies for the control of pain and stress.Paper presented at Annual Conference of American Psychological Association,Toronto.Google Scholar
Corah, N. L. (1973). Effect of perceived control on stress reduction in paedodontic patients. Journal of Dental Research 52, 12611264.CrossRefGoogle Scholar
Corah, N. L., Gale, E. N. and Illig, S. J. (1979). The use of relaxation and distraction to reduce psychological stress during dental procedures. Journal of the American Dental Association 98, 390394.CrossRefGoogle ScholarPubMed
Curson, I. and Coplans, M. P. (1970). The need for sedation in conservative dentistry. British Dental Journal 128, 1922.CrossRefGoogle ScholarPubMed
Finlayson, D. A. and Pearson, J. C. G. (1967). Dundee dental health campaign: a study of its value 6 years later. British Dental Journal 123, 535536.Google Scholar
Finlayson, D. A. and Wilson, W. A. (1961). Dental health education: results of Dundee campaign. British Dental Journal 111, 103106.Google Scholar
Finn, S. B. (1973). Clinical Paedodontics, London: Saunders.Google Scholar
Gale, E. N. (1978). Psychological characteristics of long-term female temporomandibular joint pain patients. Journal of Dental Research 57, 481483.CrossRefGoogle ScholarPubMed
Gardner, W. J. and Licklider, J. C. R. (1959). Auditory analgesia in dental operations. Journal of the American Dental Association 59, 11441149.CrossRefGoogle ScholarPubMed
Glaros, A. G. and Rao, S. M. (1977). Bruxism: a critical review. Psychological Bulletin 84, 767781.CrossRefGoogle ScholarPubMed
Gray, P. G., Todd, J. E., Slack, G. L. and Bullman, J. S. (1970). Adult Dental Health in England and Wales, 1968 London: HMSO.Google Scholar
Holloway, P. J. and Swallow, J. N. (1975). Child Dental Health: A Practical Introduction, Bristol: Wright.Google Scholar
Howitt, J. W. and Stricker, G. (1965). Child patient response to various dental procedures. Journal of the American Dental Association 70, 7074.CrossRefGoogle ScholarPubMed
Kaplis, N., Drolette, M., Boffa, J. and Kress, G. (1979). A longitudinal study of multiple approaches to dental health education. Communications in Dental Oral Epidemiology 7, 133141.CrossRefGoogle ScholarPubMed
Katkin, E. S. and Goldband, S. (1979). The placebo effect and biofeedback. In Clinical Applications of Biofeedback: Appraisal and Status. Gatchel, R. J. and Price, K. P. (Eds), Oxford: Pergamon.Google Scholar
Kazdin, A. E. (1975). Recent advances in token economy research. In Progress in Behaviour Modification 1., Hersen, M., Eisler, R. M. and Miller, P. M. (Eds), New York: Academic Press.Google Scholar
Kleinknecht, R. A. and Bernstein, D. A. (1979). Short-term treatment of dental avoidance. Behaviour Therapy and Experimental Psychiatry 10, 311315.CrossRefGoogle Scholar
Kleinknecht, R. A., Klepac, R. K. and Alexander, L. D. (1973). Origins and characteristics of dental fear. Journal of the American Dental Association 86, 842848.CrossRefGoogle Scholar
Klepac, R. K. (1975). Successful treatment of avoidance of dentistry by desensitisation or by increasing pain tolerance. Behaviour Therapy and Experimental Psychiatry 6, 307310.CrossRefGoogle Scholar
Lenchner, V. and Wright, G. Z. (1975). Non-pharmacotherapeutic approach to behaviour management. In Behaviour Management in Dentistry for Children. Wright, G. Z. (Ed.) Philadelphia: Saunders.Google Scholar
Lindhe, J. and Koch, G. (1967). The effect of supervised oral hygiene on the gingivae of children. Journal of Periodontal Research 2, 215220.CrossRefGoogle ScholarPubMed
Lindsay, S. J. E., Roberts, G. J. and Gibson, A. (1978). The techniques of O2–N2O sedation. Proceedings of the British Paedodontic Society 8, 1315.Google Scholar
Lindsay, S. J. E. and Roberts, G. J. (1979). Does relative analgesia work? British Dental Journal 147, 206.CrossRefGoogle ScholarPubMed
Lindsay, S. J. E. and Roberts, G. J. (1980). Methodology for behavioural research on dentally anxious children: the example of relative analgesia. British Dental Journal 149, 175179.CrossRefGoogle ScholarPubMed
Martens, L. V.Frazier, P. J., Hirt, K. J., Meskin, L. H. and Prosher, J. (1973). Developing brushing performance in second graders through behaviour modification. Health Service Reports 88, 818822.CrossRefGoogle Scholar
Matthews, A. and Rezin, V. (1977). Treatment of dental fears by imaginal flooding and rehearsal of coping behaviour. Behaviour Research and Therapy 15, 32328.CrossRefGoogle Scholar
Melamed, B. G. (1978). Preparation of children for dental treatment: effects of film modelling. In Behavioural Dentistry, Ingersoll, B. (Ed.), Virginia: West Virginia University Press.Google Scholar
Melamed, B. G., Weinstein, D., Hawes, R. and Katin-Borland, M. (1975). Reduction of fear-related dental management problems with the use of filmed modelling. Journal of the American Dental Association 90, 822826.CrossRefGoogle Scholar
Melzack, R., Weisz, A. Z. and Sprague, L. T. (1963). Strategies for controlling pain: contribution of auditory stimulation and suggestion. Experimental Neurology 8, 239244.CrossRefGoogle Scholar
Reading, A. and Raw, M. (1976). The treatment of mandibular dysfunction pain. British Dental Journal 140, 201205.CrossRefGoogle ScholarPubMed
Reiss, M. L., Piotrowski, W. D. and Bailey, J. S. (1976). Behavioural community psychology: encouraging low-income parents to seek dental care for their children. Journal of Applied Behaviour Analysis 9, 287397.CrossRefGoogle Scholar
Reuben, B. and Laskin, D. M. (1977). Electromyographic analysis of masticatory muscle activity in myofascial pain-dysfunction syndrome. AADR Abstracts, Journal of Dental Research B232, 720.Google Scholar
Rugh, J. D. and Solberg, W. K. (1976). Psychological implications in temporomandibular pain and dysfunction. Oral Science Review 7, 330.Google ScholarPubMed
Sermet, O. (1971). A study of the dentally anxious child. Unpublished M.Sc., thesis. University of Wales, Cardiff.Google Scholar
Shaw, D. W. and Thoresen, C. E. (1974). Effects of modelling and desensitisation in reducing dentist phobia. Journal of Consulting and Clinical Psychology 21, 415420.Google Scholar
Sheiham, A. (1977). Is there a scientific basis for six-monthly dental examinations? Lancet, 27 08 442444.CrossRefGoogle Scholar
Stenn, P. G., Mothersell, K. J. and Brooke, R. I. (1979). Biofeedback and a cognitive behavioural approach to treatment of myofascial pain dysfunction syndrome. Behaviour Therapy 10, 2936.CrossRefGoogle Scholar
Telford, A. B. and Murray, J. J. (1974). The effect of systematic chairside oral hygiene instruction on gingivitis and oral cleanliness in children. Communications of Dental Oral Epidemiology 2, 5057.CrossRefGoogle ScholarPubMed
Todd, J. E. (1975). Children's Dental Health in England and Wales 1973, London: HMSO.Google Scholar
Weisenberg, M. (1977). Pain and pain control. Psychological Bulletin 84, 1081044.CrossRefGoogle ScholarPubMed
White, W. C. and Davis, M. T. (1974). Vicarious extinction of phobic behaviour in early childhood. Journal of Abnormal Child Pyschology 2, 2532.CrossRefGoogle ScholarPubMed
Yemm, R. (1969). Temporomandibular dysfunction and masseter muscle response to experimental stress. British Dental Journal 508510.Google Scholar
Yemm, R. (1976). Neurophysiologic studies of temporomandibular joint dysfunction. Oral Science Review 7, 3153.Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.