Protective stabilization in pediatric dentistry: A qualitative study on the perceptions of mothers, psychologists, and pediatric dentists
Mariana Cézar Ilha, Carlos Alberto Feldens, Josiane Razera, Aline Groff Vivian, Elisa Maria Rosa de Barros Coelho, Paulo Floriani Kramer
Abstract
BACKGROUND: Evidence regarding the feelings evoked, distress caused, and the best way to conduct protective stabilization for the management of young children is lacking. AIM: Describe the perceptions of mothers, psychologists, and pediatric dentists regarding the use of protective stabilization during the dental care of children up to three years of age attending a University Dental Clinic in southern Brazil. DESIGN: After watching a video of dental care involving the protective stabilization technique, individualized qualitative interviews were held with three groups [mothers (n = 5), psychologists (n = 7), and pediatric dentists (n = 4)] to investigate four categories of interest: importance of the technique, affective attitude, distress caused to the child, and participation of parents. After the transcription of the recorded comments, qualitative content analysis was performed. RESULTS: Protective stabilization generated emotional discomfort but was well accepted by all groups. All expressed the need to create a bond between the dentist and caregiver; and the active participation of the caregiver was considered fundamental. The mothers and psychologists rejected other options, such as passive restraint, general anesthesia, and sedation. CONCLUSION: The three groups admitted having negative feelings, recognized the importance of protective stabilization, and suggested conditions for its use.