Child and parent communication Flashcards

1
Q

What influences the way children act when they come into the clinic?

A

Age
Personality
Culture
Previous experience
Family stories
Ambiance
Dental team

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2
Q

What are the percentages for communication delivery?

A

Non- verbal= 55%
Tone= 38%
Actual words= 7%

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3
Q

what is the age range for pre-cooperative children?

A

1-3 year olds

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4
Q

what is the 3 points in the triangle of communication?

A

giving information
getting information
understanding information

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5
Q

What are the non-pharmacological methods to aid tx delivery?

A

gain rapport with pt
give control to pt

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6
Q

What are some specific techniques you can use to build rapport?

A

enhancing control
relaxation- breathing techniques
tell- show-do
positive reinforcement
modelling
desensitisation
structured time
hypnosis

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7
Q

how can you enhance the child’s feeling of control?

A

let the child operate the chair
give them a stop signal- respond immediately
give choice where possible

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8
Q

in what case does the tell show do technique work

A

in pt with low anxiety levels

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9
Q

in what cases are structured time best used for?

A

LA
hand pieces
washing off acid etch

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10
Q

What does SOARS in motivational interviewing stand for?

A

S- seek permission
O- open questions
A- affirmations
R- reflective listening
S- summarising

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11
Q

what are the 2 topical LA gel available in DDH?

A

Lidocaine gel (clear)
Benzocaine gel (pink/ orange red)

leave on for 2 min and infiltrate straight away after removal for max effect

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12
Q

When is IANB used on children?

A

pulpotomy procedure on lower Es

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13
Q

What type of la do you give for extraction of lower Es?

A

buccal + lingual infiltrations

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14
Q

what is the max rec dose of lidocaine?

A

4.4mg per kg
absolute ceiling of 300mg

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15
Q

how many cartridges is in 300mg?

A

7

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16
Q

how many mg are there per ml in 2% lidocaine?

A

20mg

17
Q

how many mg of lidocaine are there in 2.2ml?

A

44mg

18
Q

What is given for inhalation sedation?

A

nitrous oxide/ oxygen

19
Q

What is given for IV sedation

A

Midazolam

20
Q

what is the recovery time with inhalation sedation?

A

15mins

21
Q

At what age is inhalation sedation used?

A

3 and up

22
Q

What is the recovery time with IV sedation?

A

the next day

23
Q

At what age is iv not recommended

A

below 15

24
Q

what route is used for short anaesthesia (1-5mins) in GA?

A

via naso-pharyngeal airway

25
Q

what route is used for long anaesthesia in GA?

A

endo-tracheal intubation

26
Q

how many times can you consume sugar per day?

A

4

27
Q

how many days do you do the diet diary for?

A

3 days
including one weekend day

28
Q

how many grams constitute as high sugar per 100g of food?

A

15

29
Q

how often do you review diet diary and advice for:
high risk
low risk

A

high risk- every visit
low risk- every year

30
Q

how much ppm of flouride is in duraphat?

A

22,600ppm

31
Q

what are the contraindications for fluoride varnishes?

A

asthma
colophony/ elsatoplast allergies
ulcerative gingivitis/ stomatitis

32
Q

how often do you apply fluoride varnish?

A

x2 a year to children over 2 years

33
Q

how often do you apply fluoride varnish in high risk patients?

A

3-4 times a year