management child in dental practice

8/16/2019 Management Child in Dental Practice

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Drg SANDY CHRISTIONO Sp.KGA

Pediatric Dentistry

Fakulty Of Dentistry

Universitas Islam Sultan Agung15 Oktober 2015

Management Child In Dental

Practice


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OverView

All undergraduate and postgraduate dental training shouldinclude a thorough understanding of how children relate toan adult world, how the dental visit should be structured,and what strategies are available to help children cope

with their apprehension about dental procedures. Behavior guidance is a continuum of interaction in-volving

the dentist and dental team, the patient, and theparent directed toward communication andeducation. Its goal is to decrease fear and anxiety whilepromoting an understanding of the need for good oral healthand the process by which that

is achieved.


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A dentist who treats children should have a variety ofbehavior guidance approaches and, in most

situations, should be able to assess accurately the

child’s developmental level, dental attitudes, and

temperament and to predict the child‟s reaction totreatment.


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PAIN MANAGEMENT

Pain management during dental procedures is crucial forsuccessful behavior guidance. Prevention of pain can nurture

the relationship between the dentist and the patient, build

trust, allay fear and anxiety, and enhance positive dental

attitudes for future visits.

Children perceive and react to painful stimuli differently

from each other. Children under age four are more

sensitive to painful stimuli and are not able to communicate

as well as older children and teens.


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DENTAL TEAM BEHAVIOR

The pediatric dental staff can play an important role in behavior guidance. The scheduling coordinator or

receptionist will have the first contact with a

prospective parent, usually through a telephone conversation.

the receptionist is usually the first staff member the child

meets. The manner in which the child is welcomed into the

practice may in-fluence future patient behavior


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DENTIST BEHAVIOR

The dentist‟s communication skills play an importantrole in behavior guidance.

Dentist behaviors of vocalizing, directing,

empathizing, persuading, giving the patient a

feeling of control, and operant conditioning have been

reported as efficacious responses to uncooperative patient

behaviors.


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Communication

Communication (ie, imparting or interchange of thoughts,opinions, or information) may be accomplished by a number

of means but, in the dental setting, it is affected primarily

through dialogue, tone of voice, facial expression, and body

language.

The four „essential ingredients‟ of communication are:

1. The sender.

2. The message, including the facial expression and bodylanguage of the sender.

3. The context or setting in which the message is sent.

4. The receiver.


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Communicating with children poses special challenges forthe dentist and the dental team.

The dental office may be made “child friendly” by the use

of themes in its decoration, age-appropriate toys and games

in the reception room or treatment areas, and smaller scale

furniture.


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the dentist should become a teacher. The dentist‟smethods should include active listening and ob-servation of

the child‟s body language.


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HELPING ANXIOUS PATIENTS TO COPE WITH DENTALCARE

(1) reducing uncertainty;

(2) modelling;

(3) cognitive approaches;

(4) relaxation; and(5) systematic desensitization.

(6) hand over mouth exercise (HOME).


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Reducing uncertainty


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Treatment

When a child‟s behavior prevents routine delivery of oralhealth care using communicative guidance techniques, the

dentist must consider the urgency of dental need when

determining a plan of treatment.

Rapidly advancing disease, trauma, pain, orinfection usually dictates prompt treatment.


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The dentist must explain the risks and bene-fits of deferredor alternative treatments clearly, and informed consent

must be obtained from the parent


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TERIMA KASIHSEMOGA BERMANFAAT

management child in dental practice

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