Use of Protective Stabilization for Pediatric Dental Patients

Abstract

This best practice is presented to assist dentists regarding the need for and use of the advanced behavior guidance technique of protective stabilization when treating pediatric dental patients. Considerations for the use of protective stabilization include the patient’s specific oral health needs, dental and medical histories, cognitive and emotional development, alternative approaches to care (including treatment deferral or pharmacological techniques), impact on the quality of care and the patient’s well-being, as well as the desires of the parent. Recommendations address the education and training of the health care providers, indications along with contraindications and precautions for the use of protective stabilization, discussion of consent/assent with parent and patient, immobilization techniques and equipment, monitoring of the patient during restriction of movement, and documentation of the use of protective stabilization for patients. In the spirit of patient safety, the decision to utilize protective stabilization and chosen techniques should be customized for each patient. Protective stabilization must be considered within an overall behavior guidance plan that promotes a positive dental attitude, safety for the patient, parent, and dental team, and quality care.

This document was developed through a collaborative effort of the American Academy of Pediatric Dentistry Councils on Clinical Affairs and Scientific Affairs to offer updated information and recommendations regarding assessment of caries risk and risk-based management protocols.

^{KEYWORDS: BEHAVIOR THERAPY, CHILD, DELIVERY OF HEALTH CARE, INFORMED CONSENT; RESTRAINT, PHYSICAL}