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Child Management in Clinical Dentistry
Ashwin Jawdekar
CHAPTER 1:
At the Beginning.…
WHAT IS THE PURPOSE OF THIS BOOK?
CHAPTER 2:
Are Children Difficult Dental Patients?
CHAPTER 3:
Fundamentals of Child Management in Dentistry
PREPAREDNESS TO DEAL WITH CHILDREN
KNOWING CHILDREN BETTER
UNDERSTANDING PARENTS OF CHILDREN REQUIRING DENTAL TREATMENTS
Parents
Dentist
PROTOCOL-MAKING
POSITIVE, PATIENT AND FLEXIBLE APPROACH
ACTIVE LEARNING AND LEARNING THROUGH EXPERIENCE
STRIKING A BALANCE
CHAPTER 4:
Assessment of Child Behavior in the Dental Clinic
FACTORS SOMEWHAT CONTROLLED BY THE PARENTS
FACTORS SOMEWHAT CONTROLLED BY THE DENTIST/DENTAL CLINIC TEAM
FACTORS CONTROLLED NEITHER BY THE PARENTS NOR BY THE DENTAL OFFICE TEAM
CHAPTER 5:
Techniques of Behavior Modification Revisited
TSD (TELL-SHOW-DO)
CONTINGENCY MANAGEMENT
DISTRACTION
MODELING
PARENTAL SEPARATION
VOICE INTONATION
AVERSIVE CONDITIONING
PHYSICAL RESTRAINTS
CHAPTER 6:
First Dental Visit of a Child
CHAPTER 7:
Should Parents Remain with Children During their Dental Treatment?
CHAPTER 8:
Designing a Dental Clinic for Children
COMPARTMENTALIZATION
SPACE PROVISION
RECEPTION AT THE FRONT DESK
THE WAITING AREA
ATTIRE AND PRESENTATION OF THE CLINIC STAFF
COLORS, SMELLS AND SOUNDS
INSTRUCTIONS FOR CHILDREN/PARENTS
READINESS TO ACCEPT CHILDREN AS THEY ARE
GIFTS AND REWARDS
AUDIO-VISUAL AIDS FOR ENTERTAINMENT
TEAM APPROACH
CHAPTER 9:
“Needle Phobia”—No More!
WHY ARE CHILDREN SCARED OF INJECTIONS?
PREPARATION OF PARENTS PRIOR TO LOCAL ANESTHESIA FOR CHILDREN
Difficult Situations
Remember
CHAPTER 10:
Pain Management in Pediatric Dentistry
PAIN Vs DISCOMFORT
IS DENTAL TREATMENT PAINFUL FOR CHILDREN?
Pain Perception of Children
Pain Tolerance of Children
Fears of Children and Pain
Use of Anesthesia and Analgesia in Pain Management
Successful Behavior Modification of the Child
The Dentist's Approach to the Child's Pain
CONSEQUENCES OF PAIN EXPERIENCE
CHAPTER 11:
Management of Children with Extremely Disruptive Child Behavior in Dental Clinic
CHARACTERISTICS OF A DISRUPTIVE BEHAVIOR
MANAGING THE PARENTS DURING DISRUPTIVE BEHAVIOR OF A CHILD
PROTOCOL FOR MANAGING THE CHILD DURING HIS/HER DISRUPTIVE BEHAVIOR
CHAPTER 12:
How to Take Good Intra-oral Radiographs in Children
CHAPTER 13:
Dental Management of Children with Hypersensitive Gagging Reflex
CHAPTER 14:
Need for the Pharmacological Management
LIMITATIONS OF BEHAVIOR MODIFICATIONS
INDICATIONS FOR PHARMACOLOGICAL MANAGEMENT
ADVANTAGES OF PHARMACOLOGICAL METHODS
ARE THE PHARMACOLOGICAL METHODS EASILY ACCEPTED BY PARENTS?
CHAPTER 15:
Child Management Considerations for Children with Special Care Needs
WHAT IS SPECIAL CARE DENTISTRY?
WHERE DO I BEGIN?
Access to the Building
Access to the Dental Clinic
Access to the Dental Chair
Working on the Patient in the Wheelchair
Transferring the Patient from the Wheelchair to the Dental Chair
Access to the Oral Cavity
Establishing Communication
Precise Understanding of the Medical/Handicapping Condition
Discussion with Parents
Changes in Appointment System and Work Pattern
Use of Physical Restraints
Working with the Patient in the Parent's Lap (Figure 15.1)
Use of Physical Restraints
Legal and Ethical Issues in the Care of Children with SCN
Informed Consent
Disability Acts
Understanding the Limitations of Care
CHAPTER 16:
Follow-up Visits of Previously Treated Children
CHAPTER 17:
Child Management from Practice Management Perspective
IS IT REWARDING TO PRACTICE PEDIATRIC DENTISTRY?
Effective Time Management
Focus on Patient Satisfaction
Practice-building through Relation-building
Optimal Clinical Outcome (The ‘Quality’ Perspective)
APPENDIX:
Case Study: Treatment and Behavior Details of a Three and a Half Year-old Boy on Completion of Multi-visit Full Mouth Rehabilitation Program for Severe Early Childhood Caries
INDEX
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