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Hand Over mouth Technique in Pedodontics

Hand over mouth technique (HOME) is an aversive behavior modification technique used to modify a negative child’s behavior during his/her visit to a dental clinic.

First described by Dr. Envangeline Jordan in 1920.

Other names:

Aversion – Crammer (1973)

Emotional Surprise therapy – Lampshire

Hand over mouth airway restricted (HOMAR) – Levitas (1947)

Aversive conditioning – Lenchner & Wright (1975)

Objective

  1. Gain attention of child and enable communication with dentist
  2. Increase child’s confidence
  3. Remove inappropriate behavior to dental treatment
  4. Deliver quality dental care to the child safely

Indication

A child who is able to cooperate but exhibits unwanted behavior to dental treatment.

Contraindications

If this technique prevents child from breathing,

The child and dentist are emotionally involved

If the child is an immature child

Hand Over Mouth Technique

The dentist places his/her hand over child’s mouth and explains the kind of behavior which is expected from the child. The child is informed that the hand would be removed only after required behavior begins. As the child responds, the hand is removed. If after removal of hand, negative behavior is shown, the process is repeated.

Legal use of HOME Technique

Parents consent is must

HOMAR (Hand over mouth airway restricted) should not be used by the dentists

Variations

Hand over mouth and nose

Towel over mouth

Dry towel over mouth and nose

Wet towel over mouth and nose

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