Int J Stomatol

Int J Stomatol ›› 2026, Vol. 53 ›› Issue (4): 465-475.doi: 10.7518/gjkq.2026617

• Expert Forum • Previous Articles     Next Articles

Comfortable dental treatment for children: behavior management strategies

Yi Liu(),Qin Du()   

  1. Center of Stomatology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Affiliated Hospital of University of Electronic Science and Technology, Chengdu 610072, China
  • Received:2025-11-21 Revised:2026-04-15 Online:2026-07-01 Published:2026-06-25
  • Contact: Qin Du E-mail:liuyikq@med.uestc.edu.cn;duqin@med.uestc.edu.cn
  • Supported by:
    Natural Science Foundation of Sichuan Province(2026NSFSC0686);Scientific Research Foundation of Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital(2022QN30)

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Abstract:

The rapid development of stomatology and the continuous improvement of patients' medical needs have led to a notable focus on comfortable dental treatment techniques. During dental treatment, children often exhibit anxiety and uncooperative behaviors due to factors such as pain during treatment, incomplete cognitive development, and fear of unfamiliar environments. This not only influences the quality and efficiency of treatment but may also have long-term negative effects on their future oral health behaviors. Comfortable dental treatment technology aims to reduce children's fear and pain, improve treatment compliance, and enhance the diagnostic and treatment experience through methods such as behavior management, drug sedation, and painless technology. This paper systematically organizes relevant studies on comfortable dental treatment for children at multiple levels from basic theoretical research to clinical application. It emphasizes the latest advancements and efficacy of non-pharmacological behavior management technologies, drug sedation and anesthesia technologies, and digital and artificial intelligence-assisted technologies.

Key words: pediatric dentistry, behavior management, comfort treatment, digitalization

CLC Number: 

  • R788

TrendMD: 

Tab 1

Common local anesthetic agents in pediatric dentistry"

药物类型药物名称浓度及剂型特点最大推荐剂量
酰胺类利多卡因2%注射液应用广泛，用于浸润麻醉及阻滞麻醉4.4 mg/kg
2%、5%软膏或凝胶性能稳定，起效快，用于表面麻醉4.4 mg/kg
甲哌卡因2%注射液+1∶100 000肾上腺素；3%注射液（不含肾上腺素）pH值较高，局部组织有感染时的最佳选择，依据所需麻醉时间选择是否含肾上腺素4.4 mg/kg
阿替卡因4%注射液毒性相对较小，浸润效力强，4岁以下不推荐7 mg/kg
复方利多卡因2.5%利多卡因和2.5%丙胺卡因，乳膏镇痛效果优于单一麻药，但口感欠佳避免过量
酯类苯佐卡因20%凝胶起效快、作用时间短，不适用于患有高铁血红蛋白血症的患者，2岁以下不推荐避免过量
丁卡因2%~4%凝胶表面麻醉时作用强度较高，毒性较高避免过量
西他卡因14%苯佐卡因+2%氨苯丁酯+2%盐酸丁卡因，喷雾具有苯佐卡因的快速起效与丁卡因的深层麻醉作用避免过量
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