Helping children to accept dentistry Flashcards
What factors outside the dental setting may influence a Childs behaviour to the dentist
- Age and social development
- previous dental experiences
- Precioud medical experiences
- Peer pressure
- Media
- Learning or communication difficulties
- Parents opinion
What factors within the dental setting may influence a Childs behaviour to the dentist
- Appearance, smell and sounds
2, Dental appearance - Dental teams mannerisms
- Patental presence
List the 3 broad categories behavioural management fall under
- Psychology/ non pharmacological
- Sedation
- General anaesthesia
Give examples of behavioural management techniques that fall under Psychology/ non pharmacological
- Distraction
- Modelling
- Enhancing control
- Time out
What is distraction
Drawing attention to a totally different sensation or action to divert attention from a potentially stress producing procedure
Give examples fo how we can use distraction in dentistry
- Telling the child to breath through the nose or lift their leg during impression technique
- Pulling the l ip during LA administration
What is modelling
Observed behaviour in model will be adopted as new code of behaviour in observer
Who can be a model during a dental procedure
- Older siblings
- Someone of similar age
- Video vs live model
What do we mean by enhancing control
Giving the patent a degree of control
How can we adopt the enhancing control technique in practice
Having an agreed upon stop system EG rising hand
When is using the time out method effective
Useful to break a cycle of negative behaviour
What are the 3 “levels” of needle phobia
- Fear
- Anxiety
- Phobia
What do we mean by fear
Psychological and physiological response to something which poses a threat
What fo we mean by anxiety
A vague unpleasant feeling accompanied by the premonition that something unpleasant is about to happen
What do we mean by ] phobia
Where the fear response to something far exceeds that commensurate with the threat posed
How can we help patients deal with their phobia
Desensitisation
How do we carry out Desensitisation
- Teach the patient to relax
2. Expose the patient to hierarchy of anxiety provoking stimuli from least anxiety proving to the most
How can we teach patients to relax
- Relaxation exercises
- Pharmacology
- Hypnosis
List the different types of sedation
- Inhalation sedation
- orla sedation
- Nasal sedation
- Intravenous sedation
- Rectal sedation
How do we give sedation in dentistry
Inhalation sedation using nitrous oxide and oxygen
If general anaesthesia is employed who must we ensure we have done
- Explained the risks and alternatives to patients (RECORD)
- Ensure all disease is accurately diagnosed
- Ensure there is a practical plan for all caries to be treated
- Get everything done in one go eg extract all carious teeth
