Dentistry for Kids. Ulrike Uhlmann

Dentistry for Kids - Ulrike Uhlmann


Скачать книгу
Tooth Eruption times
Primary
Central incisor 6–8 months
Lateral incisor 8–12 months
First molar 12–16 months
Canine 16–20 months
Second molar 20–30 months
Permanent
First molar (6-year molar) 5–7 years
Central incisor 6–8 years
Lateral incisor 7–9 years
Canines and premolars 9–12 years
Second molar (12-year molar) 11–14 years
Third molar (wisdom tooth) 16+ years

      CARIES AS A MULTIFACTORIAL DISEASE

      Fig 1-4 Multifactorial etiology model of the development of caries.

      REFERENCES

      “The use of humor in pediatric dentistry is highly recommended. It may be used to facilitate communications with patients and parents, alleviate patient anxiety, and assist the dentist in coping with stress associated with the practice of dentistry.”

      IMPORTANCE OF CHILD-APPROPRIATE ENVIRONMENT

      Children need to be engaged to feel comfortable in any public space. General dentistry practices without a specialization in pediatric treatment can create a child-friendly environment with just a few resources. To do this, it is helpful and necessary to visualize the viewpoint of a child; they first see what is at their eye level or below it. Pictures, wall stickers, or even toys in the waiting room should be placed at a height where children can see and reach. A coloring table, some well-chosen books, and a set of building blocks are sufficient to create an engaging environment for children. If space is a concern, there are also some brilliant space-saving play alternatives, such as wall-mounted drawing boards, magnetic boards, jigsaw puzzles, or games. Wooden toys are often a more robust and durable choice. In the interests of other patients and the practice team, toys that emit sounds are inadvisable. When selecting toys for a common space, consider the cleansability; toys that are hard to sanitize may prove poor choices during flu season. In addition, wall decals are a useful and variable design feature for the waiting room or a treatment room because they are easy to remove without leaving a mark.

      Not every dentist has the facility to mount a monitor above the treatment chair; as a more convenient alternative, a photo or painting on the ceiling will not only fascinate young children but will also help to distract older, anxious patients. Finally, the reception counter often seems enormous to children, so a small stool can make it a little more manageable for curious children to sneak a peek. Air freshener spray should be kept on hand as well to eliminate the typical smells of the dental practice, which can unsettle or frighten some children.

      NONVERBAL COMMUNICATION, INDIVIDUAL PERSONAL SPACE, AND PROXIMITY

      “You cannot not communicate.”

      PAUL WATZLAWICK

      One of the greatest challenges in the practice of pediatric dentistry is controlling the often-unconscious nonverbal signals we send out so that the young patient gets a positive impression. Especially when beginning with pediatric treatment, self-reflection and analysis of these nonverbal


Скачать книгу