Dentists who treat children must continually evaluate methods for managing patients. Psychological, physical and pharmacotherapeutic techniques have been described, reviewed and questioned in papers and presentations throughout the history of dentistry. This evaluation is important because it provides avenues for controversy and change, leading to improved patient care. The issue of parental presence in the dental operatory continues to generate conflicting opinions and to stimulate debates among practitioners. This controversy has resulted in divergent reports in the dental literature, with practitioners receiving contrasting information and advice for managing the patient/parent unit. The purpose of this paper is to review the history and issues surrounding parental presence in the dental operatory, and to present guidelines for allowing parents to be with their children during treatment.

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