Most children can be managed effectively using the tech-
niques outlined in basic behavior guidance. These basic behavior guidance techniques should form the foundation for all of
the management activities provided by the dentist. Children, however, occasionally present with behavioral considerations
that require more advanced techniques. These children often cannot cooperate due to lack of psychological or emotional maturity and/or mental, physical, or medical disability. The advanced behavior guidance techniques commonly used and taught in advanced pediatric dental training programs in-
clude protective stabilization, sedation, and general anesthesia.8 They are extensions of the overall behavior guidance contin-
uum with the intent to facilitate the goals of communication, cooperation, and delivery of quality oral health care in the
difficult patient