Kata Kunci

Abstrak

Background: Protective stabilization (PS) and its subset of medical immobilization (MI) with a passive device have been part of advanced behavior guidance in pediatric dentistry for decades, yet they remain controversial. Inadequate evidence on risks and benefits, ambiguous indications and newer societal and professional skepticism make application of these techniques the subject of continuing debate. PS and MI are often the treatments of last resort and can be effective and safe. Conclusions: Clinical, psychological and logistic considerations should guide clinicians when these techniques are among behavior guidance choices. Like other forms of advanced behavior guidance, PS and MI affect children and family, and their application is also shaped by the community and care system. Practical implications: Professional guidelines provide general directions for use of PS and MI, and these should be refined by the clinician’s recognition of the limitations and possible effects of use. Finally, in the absence of a clear evidence-based pathway, application of a logic algorithm can both maximize the benefit of PS and MI and minimize negative outcomes.