FIRST DENTAL

VISIT
BY,
GOPIKA G KUMAR
4TH YEAR PART 2
CONTENTS
 Parents role in preparation of child for first dental visit
 Preappointment behaviour modification
 Preappointment mailing
 Preappointment modelling
 Recommended procedure to be carried out on first visit
 Examination of infant and toddler
 Tips to prepare child for first dental visit
INTRODUCTION
 1st dental visit-traditionally 3yrs
 Nowak-no later than12 months
 AAPD-before 6months after 1st tooth eruption
LECHNER HYPOTHESIS-
DISRUPTIVE DENTAL BEHAVIOUR
 Behaviour contagion
 Threatening the child with dentist as a punishment
 Well intentioned but improper preparation of child
 Discussing dentistry within hearing of a child
 Children’s anxieties generated both externally and internally with respect to behaviour
contagion
PARENTS ROLE
 IMPORTANT ROLE
 ASK THE DENTIST ABOUT PROCEDURE
 PLAN A COURSE OF ACTION
 TALK TO CHILD WHAT TO EXPECT
 BRING APPOINTMENTS RECORDS OF CHIL COMPLETE MEDICAL HISTORY
PREAPPOINTMENT MAIL
 Some parents-Do more harm than good
 Provide directions for preparing child
 Prepare child-bribe the child
 Suggest to be casual-Inform in morning,dentist counts the teeth
 Avoid conversation of unfavourable reference to dentistry
 Informed about procedure in same mail
PREAPPOINTMENT
MODELLING
 Type of behaviour modification
 Reported-improvement
 Supports Bandura’s theory-it’s a learning theory based on ideas that people learn by watching
what others do,and that human thought processes are central to understanding personality.Its
based on observation,imitation and modelling.Four parts of this theory are
attention,retention,reproduction and motivation.
LIVE MODELLING
 Siblings or other children
 Parents recall visit-excellent
 Siblings better
 If not non related children
COMMON PROCEDURES
Common procedures
HISTORY TAKING
SOCIAL
DENTAL
MEDICAL
CLINICAL EXAMINATION
EXTRAORAL
INTRAORAL
EXPLAIN THE AIMS OF TREATMENT
EMPHASIZE NEED OF PREVENTION
CHILDHOOD BRUSH TO BE BROUGHT AT NEXT VISIT
FINANCIAL ASPECTS

TAKING RADIOGRAPHS IF REQUIRED

SIMPLE PROCEDURE
ATTEND ANY EMERGENCY PROCEDURES
PROPHYLAXIS
TOPICAL FLUORIDE
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 child in dental chair
 Effort to make enjoyable and comfortable as possible
 EXAMINATION OF INFANT
AND TODDLER
INTRODUCTION TO DENTISTRY
RISK ASSESSMENT AND ORAL EXAMINATION
PREVENTION
AGE PREFFERED EXAMINATION TELL-SHOW- TREAT
RESTRAINTS
POSITION DO MENT
APPOINTMENT
OF TIME
PATIE
NT
ess than MORNING TIME KNEE TO KNEE POSITION REQUIRED NOT REQUIRED PLAN
BY PARENTS TREATME
years NT AND
DEFER
TILL NEXT
VISIT
-5 years MORNING TIME ON THE DENTAL AVOIDED SHOULD BE PLAN AND
CHAIR IN SITTING POSITION UNLESS DONE DEFER
NEGATIVE PROPERLY TILL NEXT
VISIT
BEHAVIOUR

ess than ANYTIME BUT CHILD SHOULD NOT ON DENTAL CHAIR IN NOT BE USED SHOULD BE CAN BE
BE TIRED OR SLEEPY RECLINED POSITION DONE MODELING STARTED
years IF PATIENT
REQUIRED
NOT
ANXIOUS
STEPS IN INFANT
EXAMINATION
PREAPPOINTMENT ASSESSMENT
 Obtain information using questionnaire
 Prenatal natal and neonatal history
 Development history
 Medical history
 Dental history
 Feeding history

INTERVIEW AND COUNSELLING

 Best before examination
 Concerns of parents identified
 Occupied with toys before examination
EXAMINATION PROCEDURE
1. Parents assistance and non threatening environment
2. Dental chair not necessary
3. Knee to knee position
4. Does not interfere with examination
5. Start with warm and gentle touch
6. Head and neck evaluations
7. Examination of mouth
8. Check for pathologies
RECALL VISIT
APPOINTMENT –INDIVIDUALIZED
EVALUATES PARENT TOOTH CLEARING EFFORTS
FEEDING AND SNACKING PATTERNS
INVESTIGATES THE DEGREE WHICH PARENTS FOLLOW
RECOMMENDATIONS
TIPS TO PREPARE THE CHILD
 Read a story book/watch movie about going to dentist
 Apt when child is at rest and at good times
 Play a dentist with child
 Let dentist know any psychological mental and physical disabilities
 Do not be afraid to talk to dentist
 Do not convey anxiety to child
 Watch what is said to child
 Its okay if child cries on first visit
 Allow sometime for child and dentist
 Toy support
THANK YOU