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Drg SANDY CHRISTIONO

FKG UNISSULA

SEMARANG

MANAGEMENT CHILD IN

DENTAL PRACTICE

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2

BUKU ACUAN

Clinical Pedodontic - Finn,SB, 1973 Paediatric Dentistry Welbury 2005 Fundamental of Pediatric Dentistry

Mathewson,R.J, 1995

Handbook of Pedodontics Widmer, 2003 Dentistry for the Child and Adolescent

McDonald, Avery, Dean, 2004

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All undergraduate and postgraduate dentaltraining should understanding of how childrenrelate to an adult world, how the dental visitshould be

structured, and what strategies are available to

help children cope with their apprehension

about dental procedures

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BEING GOOD WITH PATIENTS IS NOT NECESSARILY AN INBORN ART!

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ORAL EXAMINATION OF A VERY YOUNG CHILD IN THE DENTAL OPERATORY

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PSYCHOLOGY OF CHILD DEVELOPMENTMotor development Cognitive development Language development Social development Adolescence

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MOTOR DEVELOPMENT A newborn child does not have an extensive

range of movements

The environment can influence motor

development.

Children of 6-7 years of age usually have

sufficient co-ordination to brush their teeth

reasonably well.

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COGNITIVE DEVELOPMENT

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PERCEPTUAL DEVELOPMENT very difficult to discover what babies and

infants are experiencing perceptually, so much

research has concentrated on eye movements.

necessity to spend time explaining aspects of

dental care to new child patients

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PARENTS AND THEIR INFLUENCE ON DENTAL TREATMENT

Children learn the basic aspects of everyday life

from their parents, this process is termed

socialization and is an ongoing and gradual

process.

For example, fear of dental treatment andwhen we first begin to clean our teeth can oftenbe traced back to family influence.

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POSITIVE REINFORCEMENT IS IMPORTANT.

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SHOULD WE ALLOW PARENTS INTO THE SURGERY?

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WRIGHT ET AL. (1987) IN THEIR COMPREHENSIVE BOOK ON CHILD MANAGEMENT SUMMARIZE

THE ADVANTAGES OF KEEPING PARENTS OUT OF THE SURGERY AS.

1. the parent often repeats orders, creating an annoyance forboth dentist and child patient (Fig. 2.7);

2. the parents intercept orders, becoming a barrier to thedevelopment of rapport between the dentist and the child;

3. the dentist is unable to use voice intonation in thepresence of the parent because he or she is offended;

4. the child divides attention between the parent and thedentist;

5. the dentist divides attention between the parent and the

child;6. dentists are probably more relaxed and comfortable when

the parent remains in the reception area.

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DENTIST PATIENT RELATIONSHIP The way a dentist interacts with patients will

have a major influence on the success of any

clinical or preventive care

This is especially so in paediatric dentistry

where a clinician may have to treat a frightened

3-year-old child at one appointment and an

hour and a half later be faced with the problemof offering preventive advice on oral health

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Why mewhat factors did the parents take into

account before making an appointment at my

practice?

A major point to emphasize is that technical

skillis usually judged in terms of caring and

sympathy, a finding which adds further weight

to the importance of dentists developing agood 'chair- side manner'.

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STRUCTURE OF THE DENTAL CONSULTATION

Greeting. The dentist greets the child by name.

Avoid using generalized terms such as 'Hi sonny,

hello sunshine', which are general rather than

specific to the patient Preliminary chat. This phase has three objectives,

to assess whether the patient or parents have any

particular worries or concerns, to settle the patientinto the clinical environment, and to assess the

patient's emotional state.

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Preliminary explanation. In this stage the aim is toexplain what the clinical or preventive objectivesare in terms that parents and children willunderstand.

Business. The patient is now in danger ofbecoming a passive object who is worked on rCheck the patient is not in pain, discuss what youare doing, use the patient's name to show a

'personal' interest, and clarify anymisunderstandings.ather than being involved inthe treatment.

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Health education. Oral health is, to a large

extent, dependent upon personal behaviour

and as such it would be unethical for dentists

not to include advice on maintaining a healthymouth.

Dismissal. This is the final part of the visit and

should be clearly sign posted so that everyoneknows that the appointment is over.

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ALWAYS GREET YOUR PATIENT BY NAME.

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MAKE SURE YOU OFFER YOUR PATIENT A

DEFINITE FAREWELL.

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