Pedodontic treatment triangle

PEDODONTIC TRIANGLE

1. SRI AUROBINDO COLLEGE OF DENTISTRY DEPARTMENT OF PEDODONTICS AND PREVENTIVE DENTISTRY

2. PEDODONTIC TREATMENT TRIANGLE GUIDED BY : SUBMITTED BY : POOJA PATEL DR. BHARATH BHUSHAN SIR BATCH – 2017-18 DR. KHUSHBOO BARJATYA MA’AM ROLL NO. - 47 DR. BINTI CHAND MA’AM DR. ABHILASHA M. TRIPATHI MA’AM DR. PREENE JUNEJA MA’AM DR. HARIOM MEENA SIR

3. CONTENTS Introduction Objective Definition Modification Variations of pedodontics treatment triangle Parental influences on child’s behaviour References

4. INTRODUCTION Pediatric triangle is described by DR. GZ Wright in 1975. It shows the relationship between child , parent and dentist. The first dental visit of a child is always full of anxiety for both the parents and the child. As the pediatric dentist usually relies on the cooperation of the child for rendering effective treatment. The first appointment is very important for establishing rapport and gaining the trust of the child. Behaviour management is an integral part of the pediatric dental practice.

5. OBJECTIVES To effectively and efficiently perform treatment for the child. To instil a positive attitude.

6. DEFINITION Child is placed at the apex of triangle. Parents and dentist are at the base of triangle. Child is at the apex as he/she is the focus of the attention for both the dentist as well as the parents. All these three are interrelated; arrows denote that the communication is reciprocal. It is defined as the triangle which shows the relationship between dentist ,patient and parent.

7. MODIFICATIONS Modification was given by McDonald in 2004. SOCIETY has been added to this treatment triangle as it also has a strong influence on overall development of the child. It came into central of triangle indicating that manage methods acceptable to society and litigiousness of society are important factors influencing treatment modalities.

8. Variations of Pedodontics Treatment Triangle Isosceles triangle – An authoritative or overindulgent parent always tries to interfere in the conversation between the dentist and the child by answering on behalf of the child. As a consequences , there is more interaction between parent and the dentist hence the equilateral triangle is replaced by isosceles triangle. Right angle triangle- on the contrary ,if the parent is negligent , then the conversation between the parent and the dentist may not be reciprocal effectively; hence, right angle triangle replaces the normal equilateral triangle.

9. Isosceles triangle Authoritative parent Right angle triangle Neglecting parent

10. PARENTAL INFLUENCES ON CHILD’S BEHAVIOUR Maternal influences is more important because mother - child relationship is more intimate. 1. Effects of parental attitudes: (a) Overprotection (b) Overindulgence (c) Under affection (d) Rejection (e) Authoritarianism (f) Identification

11. 2. Effects of parental anxiety : - Children respond with tension and fear primarily because of the way dental experiences have been described to them. - The behaviour of child is found to be directly proportional to the level of maternal anxiety. - Children of mothers with high anxiety levels exhibit more negative and uncooperative behaviour.

12. 3. Effects of parent’s presence in operatory - If the child is uncooperative , parent’s presence may support his/ her behaviour and limit the range of behaviour control techniques of the dentistry. -In some cases ,parent’s presence may be desirable i.e. i ) Children of 1-3 years of age. ii) Children during their first dental visit. iii) Handicapped children.

13. REFERENCES Shobha Tandon S.G. Damle Nikhil Marwah

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