Treatment planning for children

Question 1

List 5 differences between treating a child vs adult?

Answer 1

Child is growing - has developing dentition
Primary teeth vs permanent teeth
Behaviour management - children are anxious and inexperienced at dentists
When treating a child you need to develop good habits and attitudes to treatments and OH
There is a 3rd party at the examination (the parent) that needs to be involved

Question 2

History of presenting compliant can often be unreliable in children. Because of this you should focus on 2 things when taking HPC. What are they?

Answer 2

When the pain occurs

Does the pain effect sleep

Question 3

What additional part of the medical history is required when working with a paediatric patient?

Answer 3

Look into pregnancy and any problems around that

Question 4

List 5 things you should ask about during Childs dental history?

Answer 4

Past attendance pattern
Current GDP
Previous experience (Incl LA/GA)
Attitudes to treatment - cooperation and motivation
Home care - oral hygiene, diet (brief))

Question 5

What should be asked during social history?

Answer 5

Who they live with
Who has parental responsibility
At School? - year? age?
Teenage? - smoke? drink?
Social care involvement

Question 6

Describe parental responsibility of birth mother and father?

Answer 6

Birth mother = automatic

Birth father = only if married at birth or afterwards or if on birth certificate

Question 7

How can other adults such as ineligible father, adopters, local authorities, gain parental responsibility?

Answer 7

Parental responsibility agreement with mother
Parental responsibility order from court
Residence order from court
Become Childs guardian

Question 8

How can the examination differ for children?

Answer 8

May need to be brief, may be limited (miss EO)
Knee to knee exam = on mothers lap head on dentists lap
Care with charting (mike dentition)
Is wear (physiological or pathological)
Orthodontic considerations