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VOLUME 19 , ISSUE 2 ( February, 2018 ) > List of Articles


Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View

Hicham Riba, Asma Al-Shahrani, Hayat Al-Ghutaimel, Adel Al-Otaibi, Salim Al-Kahtani

Citation Information : Riba H, Al-Shahrani A, Al-Ghutaimel H, Al-Otaibi A, Al-Kahtani S. Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View. J Contemp Dent Pract 2018; 19 (2):237-241.

DOI: 10.5005/jp-journals-10024-2243

License: CC BY 3.0

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2018; The Author(s).



Parental presence/absence in the dental operatory (also called: Parent-in—parent-out technique) is an extremely controversial aspect of the nonpharmacological BMTs. Historically, dentists used to exclude parents from dental operatory to avoid their interference with the dentist's aptitude to build a rapport and relationship with the child, hence increasing the child management problems by disrupting treatment and making the dentist unfocused and uncomfortable.


The purpose of this article is to review and emphasize on the importance of parental presence/absence in the dental operatory, especially in a certain age group, as a behavior management technique (BMT) in pediatric dentistry, and to present a modified view of this technique.


This article reviews the current literature concerning behavior management in pediatric dentistry. It includes a medline database search and review of the comprehensive textbooks in pediatric dentistry. Some recommendations were based on the opinions of experienced researchers and clinicians.


Parent-in—parent-out technique in dental operatory is advocated to gain emotional support and avoid the effect of traumatic separation, especially in younger children or special health-care needs patients.

Clinical significance

The parent-in—parent-out technique in dental operatory is underused, or misused. This article clarifies the proper use of this technique along with a minor modification to it to make it more effective on young apprehensive dental patients.

How to cite this article

Riba H, Al-Shahrani A, Al-Ghutaimel H, Al-Otaibi A, Al-Kahtani S. Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View. J Contemp Dent Pract 2018;19(2):237-241

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