Discussing the Hand-Over-Mouth Technique

Abstract

Objective: To discuss the relevance or not of using the “Hand Over Mouth Technique” (HOM) to manage children's behavior in dental offices today, with an emphasis on ethical and legal aspects. Material and Methods: A literature review was carried out considering legal frameworks in the administrative, civil, and criminal spheres, aiming to identify potential violations that put professionals at risk of legal, civil, and criminal ethical proceedings. Results: Some crucial aspects need to be highlighted when discussing HOM, including the context in which it was used and the current reality of dental care for children. Dental treatment for children must be based on the humanization of care, health promotion, with parents inside the office, and minimally invasive dentistry. Techniques such as selective dentin removal, atraumatic restorative treatment, application of silver diamine fluoride, and conscious sedation are a reality in pediatric dentistry offices and offer effective and less traumatic treatment possibilities. Conclusion: Using Hand Over Mouth Technique violates the Code of Dental Ethics and at the same time, places the professional who uses it in a borderline situation in relation to the Brazilian Statute of the Child and Adolescent and the Consumer Protection Code.