Systematic Desensitisation — NDEB AFK MCQ

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ModeratePaediatric DentistrySystematic DesensitisationNDEB AFK

Which approach to managing a child's dental anxiety uses graduated exposure to increasingly anxiety-provoking stimuli?

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Correct answer: B — Systematic desensitisation

Systematic desensitisation (Wolpe, 1958) involves gradual exposure to anxiety-provoking stimuli in a hierarchical sequence (least to most threatening), combined with relaxation techniques. In paediatric dentistry, this might progress from sitting in the dental chair → examination with mirror → explorer → prophylaxis → local anaesthesia → restorative treatment over multiple visits. Each step is mastered before progressing. It is particularly useful for anxious children and those with previous negative dental experiences.

Reference: Dean – McDonald and Avery's Dentistry for the Child and Adolescent, 11th ed., 2021