Helping children to accept dentistry

Question 1

What factors outside the dental setting may influence a Childs behaviour to the dentist

Answer 1

1. Age and social development
2. previous dental experiences
3. Precioud medical experiences
4. Peer pressure
5. Media
6. Learning or communication difficulties
7. Parents opinion

Question 2

What factors within the dental setting may influence a Childs behaviour to the dentist

Answer 2

1. Appearance, smell and sounds
   2, Dental appearance
2. Dental teams mannerisms
3. Patental presence

Question 3

List the 3 broad categories behavioural management fall under

Answer 3

1. Psychology/ non pharmacological
2. Sedation
3. General anaesthesia

Question 4

Give examples of behavioural management techniques that fall under Psychology/ non pharmacological

Answer 4

1. Distraction
2. Modelling
3. Enhancing control
4. Time out

Question 5

What is distraction

Answer 5

Drawing attention to a totally different sensation or action to divert attention from a potentially stress producing procedure

Question 6

Give examples fo how we can use distraction in dentistry

Answer 6

1. Telling the child to breath through the nose or lift their leg during impression technique
2. Pulling the l ip during LA administration

Question 7

What is modelling

Answer 7

Observed behaviour in model will be adopted as new code of behaviour in observer

Question 8

Who can be a model during a dental procedure

Answer 8

1. Older siblings
2. Someone of similar age
3. Video vs live model

Question 9

What do we mean by enhancing control

Answer 9

Giving the patent a degree of control

Question 10

How can we adopt the enhancing control technique in practice

Answer 10

Having an agreed upon stop system EG rising hand

Question 11

When is using the time out method effective

Answer 11

Useful to break a cycle of negative behaviour

Question 12

What are the 3 “levels” of needle phobia

Answer 12

1. Fear
2. Anxiety
3. Phobia

Question 13

What do we mean by fear

Answer 13

Psychological and physiological response to something which poses a threat

Question 14

What fo we mean by anxiety

Answer 14

A vague unpleasant feeling accompanied by the premonition that something unpleasant is about to happen

Question 15

What do we mean by ] phobia

Answer 15

Where the fear response to something far exceeds that commensurate with the threat posed

Question 16

How can we help patients deal with their phobia

Answer 16

Desensitisation

Question 17

How do we carry out Desensitisation

Answer 17

1. Teach the patient to relax

2. Expose the patient to hierarchy of anxiety provoking stimuli from least anxiety proving to the most

Question 18

How can we teach patients to relax

Answer 18

1. Relaxation exercises
2. Pharmacology
3. Hypnosis

Question 19

List the different types of sedation

Answer 19

1. Inhalation sedation
2. orla sedation
3. Nasal sedation
4. Intravenous sedation
5. Rectal sedation

Question 20

How do we give sedation in dentistry

Answer 20

Inhalation sedation using nitrous oxide and oxygen

Question 21

If general anaesthesia is employed who must we ensure we have done

Answer 21

1. Explained the risks and alternatives to patients (RECORD)
2. Ensure all disease is accurately diagnosed
3. Ensure there is a practical plan for all caries to be treated
4. Get everything done in one go eg extract all carious teeth