5. Will they return for next visit willingly????
Age below 18 months Age above 6 years
6. Making
Friend First
• Observe
- General health of the patient
- Interaction with parents
- Cognitive understanding
- Temperament
• Introducee yourself in an age
appropriate way
• Medical History
• Dental History
• Social history
7. Rating 1
Definitely Negative
Refusal of treatment;
crying forcefully,
fearful, or any other
evidence of extreme
negativism
Frankl Scale for
Behaviors
Pediatric Dentistry Module
8. Rating 2
Negative
Reluctance to accept
treatment;
uncooperative; some
evidence of negative
attitude but not
pronounced
Frankl Scale for
Behaviors
Pediatric Dentistry Module
9. Rating 3
Positive
Acceptance of
treatment; at time of
cautious; willingness
to comply with the
dentist, at time with
reservation, but
patient follows the
dentist’s directions
cooperatively
Frankl Scale for
Behaviors
Pediatric Dentistry Module
10. Rating 4
Definitely Positive
Good rapport with
dentist; interested in
the dental
procedures; laughing
and enjoying the
situation
Frankl Scale for
Behaviors
Pediatric Dentistry Module
11. Introduce Yourself In An Age Appropriate Way
Young patient
(Infant/Toddler)
Teenage patient
13. In 2017 Kids love to watch!!!
Doremon My little Pony Oggy & the cockroaches
14. Substitute of Dental Terminology
• Tooth counterExplorer
• Tooth picture/CameraX-ray or Radiograph
• Sleepy juiceShot /Injection
• Bumpy ToothbrushLow speed Hand piece
• Tooth washerHigh Speed Hand piece
• White Chocolate/Chewing GumFilling
• Mr. ThirstySlow Speed Suction
15. Making
Friend First
• Observe
- General health of the patient
- Interaction with parents
- Cognitive understanding
- Temperament
• Introducee yourself in an age
appropriate way
• Medical History
• Dental History
• Social history
16. General Guideline for Treatment
Disregard minor appropriate behavior
Behavior Modification
Explain the Procedure according to Child’s level of understanding
Explain the necessity for the procedure
State General Goal
17. Tell, Show, Do
Voice Control
Non-verbal
Communication
Positive
Reinforcement
Distraction
Parental
Presence /
Absence
HOME
Desensitization
Protective
Stabilization
Sedation
General
Anaesthesia
Behaviour Management
Techniques
20. Tell, Show, Do
Voice Control
Non-verbal
Communication
Positive
Reinforcement
Distraction
Parental
Presence /
Absence
HOME
Desensitization
Protective
Stabilization
Sedation
General
Anaesthesia
Behaviour Management
Techniques
23. Behaviour Shaping Based on
The Exposure Technique
1. Enter The Dental Operatory
2. Mirror In the Mouth
3. Probe on the fingernail and then in the mouth
4. Air blow on hand and then in the mouth
5. Lie in the dental chair
6. Clinical Examination
7. Prophylaxis and Varnish
In the Dental chair alone
Or in parent’s lap
Before Entering
The Dental Chair