3. 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
4. INTRODUCTION
1st dental visit- traditionally 3yrs
Nowak-no later than 12 months
AAPD-before 6 months after 1st tooth eruption
5. 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
6. 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
7. 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
8. PREAPPOINTMENT MODELING
Type of behavior modification
Reported-improvement
Supports bandura theory
Audiovisual modelling Live modelling
9. AUDIOVISUAL MODELLING
Video tapes or film
On the day of appointment
(+) prerecorder, no negativity
(_)special equipment, space for presentation
10. LIVE MODELLING
Siblings or other children
Parents recall visit –excellent
Siblings better
If not non related children
(_)
Model
shows
disruptive
behaviour
11. 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
12. 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
15. 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
16. Recall visit
Appointment- individualized
Evaluates parents tooth cleaning efforts
Feeding and snacking patterns
Investigates the degree which parents follow recommendations
17. 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
18. Play a dentist with your child
Let the dentist know any
pscycological mental physical
disabilities
Donot be afraid to talk to your dentist
19. Donot covey your anxiety to the child
Watch what you say to your child
Its okay if your child cries in 1st visit