title: Parental Attitudes Toward Advanced Behavior Guidance Techniques Used in Pediatric Dentistry.
abstract: OBJECTIVE
  To re-examine parental attitudes toward advanced behavior management techniques in pediatric dentistry and determine whether cost, urgency, and amount of treatment influence parental preferences.
  
  
  METHODS
  Parents viewed previously validated videotaped clinical vignettes of four advanced behavior guidance techniques: (1) passive immobilization; (2) active immobilization; (3) general anesthesia; and (4) oral sedation. The study was conducted in a children's hospital dental clinic and a suburban private pediatric dentistry office. Parents rated overall acceptance of the techniques, and acceptance under specified conditions using an anchored visual analogue scale.
  
  
  RESULTS
  One hundred five parents completed the survey; 55 from the children's hospital and 50 from private practice. Oral sedation was rated as the most acceptable technique, followed by general anesthesia, active immobilization, and passive immobilization. As urgency, convenience, and previous experience increased, parental acceptance of the technique increased. As cost of treatment increased, parental acceptance decreased. Ratings between the children's hospital group and private practice group differed, as did the demographic variables of insurance, income, and race.
  
  
  CONCLUSIONS
  The hierarchy of parental acceptance of advanced behavior guidance techniques is changing with increasing approval of pharmacological management and decreasing approval of physical management. The health care delivery system, urgency, convenience, previous experience, and cost all influence parental acceptance.
authors.affiliation: Dentist in private practice, Columbus, Ohio, USA.
authors.forename: Monica
authors.initials: M
authors.lastname: Patel
authors.affiliation: Pediatric Dentistry, Department of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, Ohio, USA. McTigue.1@OSU.EDU.
authors.forename: Dennis J
authors.initials: DJ
authors.lastname: McTigue
authors.affiliation: Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio, USA.
authors.forename: Sarat
authors.initials: S
authors.lastname: Thikkurissy
authors.affiliation: Professor and chair, Department of Orthodontics, College of Dentistry, The Ohio State University, Columbus, Ohio, USA.
authors.forename: Henry W
authors.initials: HW
authors.lastname: Fields
mesh_terms: D000768:Anesthesia, General; D001290:Attitude; D002648:Child; D002652:Child Behavior; D006801:Humans; D010290:Parents; D010377:Pediatric Dentistry; D011795:Surveys and Questionnaires