pedogogy on 1st dental visit

2. FIRST DENTAL VISIT

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

13. EXAMINATION OF INFANT AND TODDLER
 Objectives f infant examination

14. Steps in infant examination

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

20. Allow sometime for child and dentist
Toy support