Pediatric Dentistry · single question
A child is cooperative during X-ray but shows a gag reflex. What Frankl Behavioral Scale score applies?
Show answer and explanation
Correct answer: C. Frankl 3 (Positive)
Frankl Scale: 1=Definitely Negative (refusing, forceful crying); 2=Negative (reluctant, uncooperative); 3=Positive (accepts treatment, cautious but follows instructions); 4=Definitely Positive (excellent rapport, laughing). A child who IS COOPERATIVE during X-rays despite having a gag reflex = Frankl 3 (Positive) — cooperation is the key criterion.
- A. Incorrect. Frankl 1 = definite refusal/forceful crying — a cooperative child cannot be Frankl 1.
- B. Incorrect. Frankl 2 = reluctant/uncooperative — cooperative patients are rated 3 or higher.
- C. CORRECT. Frankl 3 = Positive — cooperative despite some physiologic difficulty (gag reflex).
- D. Incorrect. Frankl 4 = ideal cooperation, laughing, enthusiastic — gag reflex suggests Frankl 3 is more appropriate.
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