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Pediatric Dentistry · single question

A patient with autism — what technique should NOT be used?

  1. Voice control (tell-show-do alternative)
  2. Sedation when necessary
  3. Positive reinforcement
  4. Tell-show-do
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Correct answer: A. Voice control (tell-show-do alternative)

  • A. VOICE CONTROL (raising or changing the tone/volume of voice to redirect behavior) is NOT recommended for autistic patients — sudden loud voices or changes in tone can cause significant anxiety and sensory distress in autism spectrum disorder patients. The preferred technique is TELL-SHOW-DO with gentle, predictable communication. ⚠️ Note: 'Hand-over-mouth' technique is also contraindicated in autism.
  • B. Sedation is an appropriate technique when behavioral management is insufficient for autistic patients requiring dental treatment.
  • C. Positive reinforcement (praise, rewards) is an appropriate behavioral management technique for autistic patients in the dental setting.
  • D. Tell-show-do IS appropriate for autistic patients — predictable, step-by-step explanation with demonstration is effective.

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