PRACTICAL APPROACHES TO BEHAVIOR SUPPORT IN CHILDREN WITH SPECIAL MENTAL HEALTH NEEDS – A LITERATURE REVIEW

Vasilica Toma, Dana Alexandra Burduloi, Alexandru Pîrlog, Eugeniu Mihalaș, Laura Vasîlca-Gavrilă, Cezar Foia, Aurelia Spinei, Alina Adumitroaie

ABSTRACT

Aim: This review examines the challenges faced by dental professionals when treating patients with disabilities, both developmental and acquired, and proposes evidence-based recommendations to optimize care and patient-provider trust. Materials and method: A comprehensive review of the literature was conducted, focusing on behavioral, sensory, and procedural barriers in dental treatment for individuals with disabilities. Studies addressing clinical strategies, caregiver involvement, and environmental adaptations were analyzed to develop practical guidelines for effective management. Results: Patients with disabilities often exhibit communication difficulties, heightened anxiety, and sensory sensitivities, which can complicate routine dental procedures. Effective management strategies include individualized care plans, structured and predictable appointments, caregiver collaboration, and tailored behavior guidance techniques. Environmental adaptations, such as reducing sensory stimuli and using visual supports, along with positive reinforcement and pre-visit preparation, were consistently identified as critical factors in facilitating cooperation and building trust. Conclusions: Implementing structured, patient-centered strategies enables dental professionals to provide safe, effective, and compassionate care for patients with disabilities. Adopting these evidence-based guidelines enhances treatment outcomes, improves patient satisfaction, and fosters confidence in both patients and caregivers, supporting the broader goal of enabling individuals with disabilities to achieve optimal oral health and overall quality of life.

DOI : 10.62610/RJOR.2025.4.17.18