1st dental visit

pedogogy on 1st dental visit

1. FIRST DENTAL VISIT

2. CONTENTS Parents role in preparation of child for first dental visit Preappointment behavior modification Preappointment mailing Preappointment modelling Recommended procedure to be carried out on first visit Examination of infant and toddler Tips to prepare the child for first dental visit

3. INTRODUCTION 1 st dental visit- traditionally 3yrs Nowak-no later than 12 months AAPD-before 6 months after 1 st tooth eruption

4. LENCHNER HYPOTHESIS disruptive dental behaviour Behavior contagion Threatening the child with the dentist as a punishment Well intentioned but improper preparation of the child Discussing dentistry within hearing of the child Children's anxieties generated both externally and internally with respect to behavior contagion

5. PARENTS ROLE Important role Ask the dentist about the procedure Plan a course of action Talk to child what to expect Bring the appointments records of child complete medical history

6. PREAPPOINTMENT MAIL Some parents -Do more harm than good Provide direction for preparing the child-success Prepare the child- Bribe the child Suggest to be casual-Inform in the morning, dentist counts the teeth Avoid conversation of unfavourable reference to dentistry Informed about procedure in same mail

7. PREAPPOINTMENT MODELING Type of behavior modification Reported-improvement Supports bandura theory Audiovisual modelling Live modelling

8. AUDIOVISUAL MODELLING Video tapes or film On the day of appointment (+) prerecorder , no negativity (_)special equipment, space for presentation

9. LIVE MODELLING Siblings or other children Parents recall visit –excellent Siblings better If not non related children (_) Model shows disruptive behaviour

10. COMMON PROCEDURES Common procedures History taking Social Dental medical Clinical examination Extra oral Intraoral Explain the aims of the treatment Emphazise need of prevention Childtooth brush to be brought at next visit Financial aspects taking radiograh if required Simple procedure Attend any emergency procedures Prophylaxis Topical flouride

11. RECOMMENDED PROCEDURES Introductory Reschedule-frightened, uncomfortable, stressful child Parents-patience and calmness Short successive visits-trust Appointments-earlier in a day, child is alert and fresh Under 2yrs-sit and hold the child in dental chair Effort to make enjoyable and comfortable as possible Invasive stressful painful traumatic procedure Can polish teeth radiographs

12. EXAMINATION OF INFANT AND TODDLER Objectives f infant examination

13. Steps in infant examination

14. Examination procedure Parents assistance nonthreatening environment Dental chair not necessary Knee to knee position Does not interfere with examination start with Warm and gentle touch Head and neck evaluations Possibility of child abuse Examination of the mouth Check for pathologies

15. Recall visit Appointment- individualized Evaluates parents tooth cleaning efforts Feeding and snacking patterns Investigates the degree which parents follow recommendations

16. TIPS TO PREPARE THE CHILD Read story book/watch movie about going to dentist App when the child is well rested and good at times

17. Play a dentist with your child Let the dentist know any pscycological mental physical disabilities Donot be afraid to talk to your dentist

18. Donot covey your anxiety to the child Watch what you say to your child Its okay if your child cries in 1 st visit

19. Allow sometime for child and dentist Toy support