Pediatric Dentists and Dental Assistants
What additional training does a pediatric dentist receive after dental school?
Pediatric dentists undergo an additional 2-3 years of specialized training in treating children and patients with special needs.
What are the four ratings on the Frankl scale used to assess pediatric patient behavior?
1: Definitely negative, 2: Negative, 3: Positive, 4: Definitely positive.
How is dental care modified for patients with Down Syndrome or autism?
Patients with Down Syndrome may have delayed tooth eruption, malocclusion, and periodontal issues. Those with autism may have behavioral challenges and poor oral hygiene, requiring more patience and sedation options.
What signs might indicate suspected child abuse in a dental patient?
Signs include injuries in various stages of healing, chipped or injured teeth, scars on the lips or tongue, facial bruises, and inconsistencies in the parent’s explanation.
In what types of settings do pediatric dental assistants play an active role?
Pediatric dental assistants work in clinical environments where they assist in patient care, including performing preventive procedures (where legal).
How does the "tell, show, do" technique help in managing a child’s behavior during dental treatment?
It prepares the child by explaining the procedure, showing them how it will be done, and then performing it, helping to reduce anxiety and gain cooperation.
What are the common dental challenges associated with cerebral palsy?
Oral hygiene is often difficult due to muscle weakness and lack of coordination, leading to increased risk of cavities and gum disease. Adaptive equipment like electric toothbrushes may be recommended.
Who is responsible for reporting suspected child abuse in a dental office?
The dentist is legally required to report suspected child abuse. However, the dental assistant can be an important witness and should report concerns to the dentist.
What types of expanded functions may be performed by pediatric dental assistants?
Expanded functions may include coronal polishing, sealant application, and taking preliminary impressions, depending on state regulations.
Why is it important to develop rapport during the initial dental examination?
Building rapport helps create a positive dental experience, which can foster good dental habits and reduce fear or anxiety about future visits.
At what age should a child first visit the dentist, according to the American Academy of Pediatric Dentistry (AAPD)?
By the child’s first birthday or when their first tooth erupts.
Why is it important to maintain confidentiality when reporting suspected child abuse?
To protect the child and the integrity of the investigation, it is important that all reports are handled professionally and confidentially.
How might a dental assistant adjust their approach to children of different mental and emotional ages?
Dental assistants should adapt their communication and behavior management techniques to the child's intellectual capacity (mental age) and emotional maturity (emotional age).
What is the key focus of dental care for children in the play age (3-5 years)?
Children in the play age require autonomy and structure, and they begin to play an active role in their treatment by following simple instructions.
How is fluoride used in pediatric preventive care?
Children between 6 months and 16 years should consume fluoride daily through water, supplements, or toothpaste. Fluoride varnish may also be applied for high-risk patients.
What are the most frequently injured teeth in pediatric dental trauma?
Maxillary central incisors (upper front teeth) are the most commonly injured.
How should a dental assistant approach the treatment of a child with intellectual disabilities?
The assistant should tailor treatment to the child’s mental age, using simple, clear instructions, and being patient and understanding.
According to Erikson's stages, what developmental milestones are important in adolescence?
Adolescents (12-20 years old) seek to establish their self-identity, experiment with different roles, and develop a clear sense of who they are.
What role do sealants play in protecting children's teeth?
Sealants are applied to the pits and fissures of teeth to help prevent cavities.
How should a dentist handle a tooth avulsion in a child?
The avulsed tooth should be recovered, kept moist, and ideally replanted within 30 minutes to maximize the success of replantation.