title: Knowledge and practice of behavioral management principles among dentists treating adults with learning disabilities.
abstract: This study investigated U.K. dentists' knowledge and practice of behavioral management principles (BMPs) as applied to adults with learning disabilities (AWLD). A postal questionnaire enquired into the dentists' experience in managing AWLD, utilization of behavioral management techniques, and knowledge of BMPs. The response rate was 41% (N = 53). Two groups were investigated: specialists (dentists registered on the Special Care Dentistry specialists' list, n = 37) and nonspecialists (dentists not on the list, n = 16). Although specialists treated more AWLD than nonspecialists, both groups of dentists reported they felt highly confident in managing AWLD. However, all dentists' knowledge of the principles of nonpharmacological BMPs was low. Specialists had a tendency to use a greater range of nonpharmacological behavioral management techniques compared to non-specialists. These results suggest that dental team members need more training in the theory and practice of BMPs, which might lead to less reliance on costly pharmacological interventions and a clinical experience that is more respectful of the dignity and independence of AWLD.
authors.affiliation: Dental Public Health and Oral Health Services Research Department, King's College London Dental Institute, UK. humza84@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Humza Bin Saeed
authors.forename: Blánaid
authors.initials: B
authors.lastname: Daly
authors.forename: J T
authors.initials: JT
authors.lastname: Newton
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental; D000769:Anesthesia, Inhalation; D032763:Behavior Control / Q000379:methods*; D001521:Behavior Therapy / Q000193:education; D002983:Clinical Competence; D015928:Cognitive Behavioral Therapy; D016292:Procedural Sedation; D003430:Cross-Sectional Studies; D003730:Dental Care for Persons with Disabilities; D003812:Dentist-Patient Relations; D003815:Dentists; D004497:Education, Dental; D005260:Female; D006801:Humans; D007859:Learning Disabilities / Q000523:psychology; D008297:Male; D053210:Pharmaceutical Preparations, Dental / Q000627:therapeutic use; D019239:Practice Patterns, Dentists'; D012149:Restraint, Physical; D013039:Specialties, Dental / Q000193:education
chemical_list: D053210:Pharmaceutical Preparations, Dental