Pediatric Dentistry · single question

All of the following are effective behavior management techniques for patients with autism spectrum disorder EXCEPT:

  1. Positive reinforcement
  2. Tell-show-do
  3. Hand-over-mouth technique
  4. Distraction
Show answer and explanation

Correct answer: C. Hand-over-mouth technique

The hand-over-mouth technique is NOT appropriate for ASD patients. ADA guidelines have removed HOM as an accepted technique.
  • A. Positive reinforcement is a cornerstone of behavior management for ASD patients — rewarding cooperative behavior.
  • B. Tell-show-do is a foundational, appropriate behavior management technique for ASD patients.
  • C. CORRECT. Hand-over-mouth (HOM) is NOT appropriate for ASD patients. It can be traumatizing for patients with sensory processing difficulties and communication challenges. ADA no longer considers HOM an acceptable behavior management technique.
  • D. Distraction (videos, sensory toys, music) is an effective, appropriate technique for ASD patients.

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