Child and parent communication Flashcards
What influences the way children act when they come into the clinic?
Age
Personality
Culture
Previous experience
Family stories
Ambiance
Dental team
What are the percentages for communication delivery?
Non- verbal= 55%
Tone= 38%
Actual words= 7%
what is the age range for pre-cooperative children?
1-3 year olds
what is the 3 points in the triangle of communication?
giving information
getting information
understanding information
What are the non-pharmacological methods to aid tx delivery?
gain rapport with pt
give control to pt
What are some specific techniques you can use to build rapport?
enhancing control
relaxation- breathing techniques
tell- show-do
positive reinforcement
modelling
desensitisation
structured time
hypnosis
how can you enhance the child’s feeling of control?
let the child operate the chair
give them a stop signal- respond immediately
give choice where possible
in what case does the tell show do technique work
in pt with low anxiety levels
in what cases are structured time best used for?
LA
hand pieces
washing off acid etch
What does SOARS in motivational interviewing stand for?
S- seek permission
O- open questions
A- affirmations
R- reflective listening
S- summarising
what are the 2 topical LA gel available in DDH?
Lidocaine gel (clear)
Benzocaine gel (pink/ orange red)
leave on for 2 min and infiltrate straight away after removal for max effect
When is IANB used on children?
pulpotomy procedure on lower Es
What type of la do you give for extraction of lower Es?
buccal + lingual infiltrations
what is the max rec dose of lidocaine?
4.4mg per kg
absolute ceiling of 300mg
how many cartridges is in 300mg?
7
how many mg are there per ml in 2% lidocaine?
20mg
how many mg of lidocaine are there in 2.2ml?
44mg
What is given for inhalation sedation?
nitrous oxide/ oxygen
What is given for IV sedation
Midazolam
what is the recovery time with inhalation sedation?
15mins
At what age is inhalation sedation used?
3 and up
What is the recovery time with IV sedation?
the next day
At what age is iv not recommended
below 15
what route is used for short anaesthesia (1-5mins) in GA?
via naso-pharyngeal airway
what route is used for long anaesthesia in GA?
endo-tracheal intubation
how many times can you consume sugar per day?
4
how many days do you do the diet diary for?
3 days
including one weekend day
how many grams constitute as high sugar per 100g of food?
15
how often do you review diet diary and advice for:
high risk
low risk
high risk- every visit
low risk- every year
how much ppm of flouride is in duraphat?
22,600ppm
what are the contraindications for fluoride varnishes?
asthma
colophony/ elsatoplast allergies
ulcerative gingivitis/ stomatitis
how often do you apply fluoride varnish?
x2 a year to children over 2 years
how often do you apply fluoride varnish in high risk patients?
3-4 times a year
