Behavior management strategies for pediatric in dental office and scientific criteria for the use of general anesthesia pharmacology

Given the advances in the promotion of oral hygiene and the prevention of caries, caries in the primary and permanent dentition are still a major problem. A group of these patients can be controlled by the usual psychological behavioral managements and do proper treatment. Despite access to different behavioral guidance techniques, children's anxiety during treatment is a major problem, which has a prevalence between ۳-۴۳% in different studies. The management of anxious and uncooperative children is a challenge frequently encountered by many dentists in their daily practice. In addition, children with specific medical conditions, such as cerebral palsy, autism,... are also included in this group. At times, even the most skilled and experienced pediatric dentists may fail to obtain the child's cooperation during treatment. In such cases, pharmacological behavior management, including various levels of sedation and general anesthesia, are considered According to the pediatric dentist's clinical judgment, an appropriate pharmacological behavior management technique may be selected for the child. In this way, both the child's physical and psychological well-being are preserved, while ensuring the delivery of high quality dental treatment.