W12 - Child Behaviour Management - Mistry

Question 1

Why is it important to shape children’s (parent’s) behaviour

Answer 1

• Alleviate fear and anxiety
• Communication
• Build relationship / Rapport
• Educate
• Allows them positive experience and attitude

Question 2

Why may children vary in their responses to dentistry

Answer 2

• Age
• Parenting styles
• General Health
• Culture
• Social expectation
• Temper/personality
• Anxiety and parents’ anxiety
• Previous experience

Question 3

Trick for getting kids to sit still while you do work

Answer 3

Ask if they can sit still until you count to 10

• then make it longer →15
• can you beat the other kids? 30

Question 4

How should the dental environment present itself to peds

Answer 4

Child friendly

Welcoming

Good attitude, empathy, body language

Initial contact through to tx → working collectively

Question 5

Behavious management techniques

Answer 5

• non-verbal (smile)
• Densensitisation appt
• Tell show do
• modelling / role play
• positive reinforcement
• distraction
• Reframe questions and statements

Question 6

When should parents be present?

Answer 6

If pt is <5 yo

Question 7

How should appts be set up for paeds pts

Answer 7

short appts

order of procedures - simple first

Question 8

Childrens age related to cooperation

Answer 8

<3: pre cooperative

3-5: borderline co op

>5: co op

But every child different

Question 9

How can the operator help manage children

Answer 9

• Inform what’s to be expected
• No surprises
• Clear instructions and expectations
• Acknowledge fears
• Be empathetic and supportive

Question 10

Types of discolouration and what they mean (3)

Answer 10

Grey - transient or pulpal necrosis

Yellow - Pulp obliteration

Pink - internal resorption

Question 11

When to do followups for PDL vs pulpal involvement

Answer 11

PDL involvement - 3-4 weeks

Pulpal - 6-8 weeks

then both after 6 months, 1 year

Question 12

When can an MTA plug be placed

Answer 12

If everything is stable → 2-3 months time

Question 13

What is a cvek pulpotomy

Answer 13

removal of the infected portion of the pulp

• commonly done for anterior teeth with complicated fracture

Question 14

How to differentiate surface inflammatory resorption and inflammatory resorption

Answer 14

Surface resorption - no bony radiolucency Only root surface (can be very subtle), tooth is vital

Inflammatory resorption - bone radiolucency, pulp is necrotic, PDL damage