Lecture 5

Question 1

The key to successful outcomes is an appropriate assessment of ____ to prepare them to participate actively in a positive manner in the child’s oral health care.

Answer 1

Child and family (two patients)

Question 2

What are the two primary goals during the functional inquiry?

Answer 2

Learn about patient and parental concerns

Gather information to enable a reliable estimate of the cooperative ability of the child

Question 3

What is toxic stress?

Answer 3

Stress that continues over a prolonged period and has life-long effects

Question 4

What is positive pre-visit imagery?

Answer 4

Pts are shown positive photos of dentistry in waiting area before the appointment

Question 5

True or false.. sometimes its best to use an assertive voice to pedo pts.

Answer 5

False. It may be considered aversive.

If you have to have an assertive voice with a pt, you should discuss it prior to prevent misunderstanding

Question 6

Behavior guidance approaches for each pt who is unable to cooperate should be customized to the individual needs of the ___ and desires of the ___, and may include __, ___, ___ or ___.

Answer 6

Child

Parent

Sedation, general anesthesia, protective stabilization, referral to another dentist

Question 7

Define protective stabilization.

Define active immobilization

Answer 7

Protective stabilization: any manual method, physical, or mechanical device, material, or equipment that immobilizes or reduces the ability of a pt to move his or her arms, legs, body, or head freely

Active immobilization: restraint by another person such as the parent, dentist, or dental auxiliary. Passive immobilization utilizes a restraining device

Question 8

In order to use protective stabilization, the doc must have what?

Answer 8

Graduated from an accredited post-doc program or pedo residency

Extensive CE course of no less than 8 hours

Question 9

In order to use protective stabilization, what is required?

Answer 9

Informed consent, written and signed.

Although the minor does not have the statutory right to give or refuse consent for treatment, the child’s wishes and feelings should be considered when addressing the issue

Question 10

True or false.. a parent has the right to terminate use of restraint and the procedure at any time.

Answer 10

True. The practitioner should immediately complete the necessary steps to bring the procedure to a safe conclusion before ending the appt.

Question 11

When is protective stabilization indicated?

Answer 11

Pt requires immediate diagnosis and/or urgent limited treatment and cannot cooperate due to emotional and cognitive developmental levels

Emergent care is needed and uncontrolled movements risk the safety of pt and others.

A previously cooperative pt quickly becomes uncooperative during the apt, in order to protect the pts. Safety and help expedite completion of treatment

Question 12

True or false… protective stabilization can be used in non-emergent situations

Answer 12

False

Question 13

What are the objectives of NO2 sedation?

Answer 13

Reduce or eliminate anxiety

Reduce untoward movement

Enhance cooperation

Raise pain threshold

Increase tolerance for longer apts

Reduce gagging

Potentiates the effects of sedatives

Aiding in the treatment of a pt with mental or physical disabilities

Question 14

__% nitrous oxide delivered is equivalent to __ of morphine

Answer 14

10-15mg

Question 15

A subcutaneous dose of morphine for pediactric shouldnt exceed ___mg. What about for IV?

Answer 15

15 mg for subcutaneous

10 mg for IV

Question 16

The concentration of nitrous shouldnt routinely exceed __%

Answer 16

50%

Question 17

What is the most efficient type of scavenger for NO2?

Answer 17

Double-mask

Question 18

There is a normal range of ages at which motor and language skills are acquired; a general principle is that the earlier a skill emerges, the ___ the range

Answer 18

Narrower.

Question 19

Whole tends to exhibit more dental anxiety, girls or boys?

Answer 19

Girls

Question 20

The anxiety of the mother can be transferred to children, especially those under age ___

Answer 20

4

Question 21

Weighs clinical classification places children in one of three categories. What are they?

Answer 21

Cooperative

Lacking in cooperative ability

Potentially cooperative

Question 22

The frankl behavior rating scale has what four ratings of cooperativeness?

Answer 22

Rating 1 = definitely negative (refusal of treatment, forceful crying)

Rating 2 = negative (reluctant to accept treatment, incooperativeness)

Rating 3 = positive (acceptance of treatment; cautious behavior at times. Willingness to comply.

Rating 4 = definitely positive. (Good rapport with dentist, interest, laughter, enjoyment)

Question 23

How are functional inquiries usually performed?

Answer 23

By paper and pencil questionnaires

By direct interview of child and parent

Question 24

What is behavior guidance?

Answer 24

The means by which the dental health team effectively and effeciently performs treatment for a child and at the same time instill a positive dental attitude

Question 25

True or false… in the pediatric setting, how it is said is more important than what is said

Answer 25

True