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PREVENTION VII

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Title: PREVENTION VII


1
PREVENTION VII
  • Parent and Child Education and Motivation

2
Dentists Are Teachers...
  • As teachers, dentists have a responsibility to
    ensure that their patients have information
    necessary to enable them to gain and maintain
    oral health.
  • However, the dentists role goes beyond merely
    providing information. S/he must persuade
    patients to adopt appropriate behaviors that will
    lead to oral health, that is, to appropriate the
    knowledge they have.
  • Dentists are educators, motivators and persuaders.

3
The Prevention Discussion
  • In our clinical protocol, and one that is
    reasonable for all practitioners to follow, time
    is set aside at the second, that is,
    Consultation Appointment, to discuss preventive
    dentistry with the child and parent.
  • This is accomplished after the case consultation
    with the parent.
  • In actual practice, the prevention discussion
    with the child can/should be occurring by the
    hygienist or prevention assistant while the case
    consultation with the parent by the dentist is
    occurring.

4
The Prevention Discussion
  • The child and parent should understand, at their
    level of comprehension, the etiology of dental
    caries and periodontal disease.
  • They should also be aware of the various measures
    which are available and can be directed at each
    of the etiologic factors in order to prevent the
    disease.

5
The Prevention Discussion
  • You can use a sheet of paper and sketch the
    mechanism of the disease process or employ a
    picture already prepared
  • Refined Carbohydrates Bacteria Plaque Acid
  • Acid Tooth Dental Caries (Tooth Decay)
  • Refined Carbohydrates Bacteria Plaque
    (Irritant)
  • Irritant Gums Periodontal Disease

6
The Prevention Discussion
  • It is helpful to demonstrate the existence of the
    major etiologic factor, plaque, in the childs
    mouth.
  • Removing plaque with an explorer and showing it
    to the child/parent and explaining that the mass
    represents colonies of bacteria growing on the
    teeth is motivational.
  • Disclosing the teeth and demonstrating the extent
    of the existence of the plaque in the mouth
    should also be accomplished.

7
The Prevention Discussion
  • The continuing discussion should include ways
    to intervene in the interaction of the etiologic
    variables and break the chain of dental
    disease.
  • Bacteria (Plaque)
  • flossing
  • brushing
  • Teeth
  • communal Water Fluoridation
  • supplemental Dietary Fluorides
  • fluoride dentifrices
  • professionally applied topical fluoride
  • dental Sealants
  • Fermentable Carbohydrates
  • significant reduction in consumption
  • eaten with meals as desserts
  • elimination as snacks
  • substitution of non-cariogenic snacks

8
The Prevention Discussion
  • In addition to the dentist, or auxiliaries,
    explaining the etiology and prevention of dental
    disease, the effective prevention discussion will
    also employ and be supplemented by a variety of
    educational/motivational resources
  • videos
  • informational brochures
  • demonstration models, and
  • motivational materials, such as activity and
    coloring books.

9
Educational/Motivational Resources Available
from the American Dental Association
  • Toll Free 1.800.947.4746
  • Fax (24 hours)
  • 1.888.476.1880
  • Address
  • ADABox 776St. Charles, IL 60174-0776

10
ADAs Dudley the DinosaurCartoon Character
  • Dudley the Dinosaur, and his little sis Dee Dee,
    are the ADAs star cartoon characters with dental
    health messages for children.
  • The ADA has several videos and educational
    pamphlets and motivational aids featuring on
    Dudley and Dee.

11
DUDLEY VISITS THE DENTIST
  • This seven minute video takes Dudley, a young
    dinosaur, through his dental appointment.
  • He visits Dr. Benchley, a dinosaur dentist.
  • Dudley has his teeth cleaned and receives a
    fluoride treatment.
  • Young viewers will discover why the dentist and
    dental team wear masks and gloves, the names and
    uses of some basic dental equipment and why
    healthy teeth are important.

12
BRUSHING MAGIC
  • This five minute video finds Dudley the Dinosaur
    and his friend, Sam the Sabre Tooth Tiger,
    performing magic tricks for Dudleys little
    sister DeeDee.
  • Dudley uses magic tricks to teach Dee Dee about
    the importance of brushing and flossing.

13
DUDLEY AND DEE IN NURTITION LAND
  • This six minute video finds Dudley the Dinosaur
    and his friends taking a magical trip through
    Nutrition Land on the Nutrition Express with
    their dentist, Dr. Myasaurus.
  • The five food groups are displayed on the food
    pyramid
  • Emphasis on sound eating habits to avoid tooth
    decay.

14
DUDLEY THE DINOSAUR
  • These Dudley videos each come with a teaching
    guide which can be employed to develop and
    present a 30-60 minute classroom presentation.
  • Frequently dentists are asked to do such,
    particularly during National Childrens Dental
    Health Month, celebrated February of each year.
  • You will use these videos in clinic during the
    Diagnosis and Consultation Appointments.
  • These three Dudley videos, with teaching guides
    are available from the ADA for 59/each.

15
DUDLEY THE DINOSAUR
  • The ADA also has available other Dudley the
    Dinosaur resources
  • Brushing With Dudley and Dee Coloring Book.
  • Dudley and Friends Activity Book
  • Dudley and DeeDee in Nutrition Land Coloring Book
  • Dudley Visits the Dentist Coloring and Story Book
  • Dudleys Healthy Teeth Certificate.
  • Dudley and Dee Dee Muppets

16
DUDLEY THE (SPANISH) DINOSAUR
  • Dudley Visits the Dentist video and teaching
    guide is also available in Spanish, as are the
    two brochures shown here.

17
DENTAL HEALTH ACTIVITY BOOK
  • We use this ADA Dental Health Activity Book in
    the Clinic.
  • It is given to each child at their first dental
    visit.

18
YOUR CHILDS TEETH
  • This ADA publication is a valuable resource for
    parents.
  • We employ it in the clinic and provide it to all
    parents at the childs initial, or Diagnostic
    Appointment.

19
OTHER EDUCATIONAL BROCHURES IN OUR CLINIC
20
VIDEOS AVAILABLE IN THE CLINIC
  • For Children
  • Dudley Visits the Dentist
  • Dudley Visit the Dentist (Spanish)
  • Brushing with Dudley and DeeDee
  • Dudley and Dee Dee in Nutrition Land
  • Its Dental Flossophy Charlie Brown (older)
  • Merlins Magic Message (older)
  • The Barnyard Snacker (older)

21
VIDEOS AVAILABLE IN THE CLINIC
  • For Parents
  • Prevention Patient Education (Ages 1-5)
  • Prevention Patient Education (Ages 6-18
  • Baby Bottle Decay
  • Orthodontics

22
The Adventures of Timmy the Tooth(videos
available from Practicon Practice Services)
  • Secret Birthday Surprise
  • Lost My Brush
  • Molar Island
  • Timmy in Space
  • A Spooky Tooth
  • Brush in the Stone
  • Rainy Day Adventure
  • An Eye for a Tooth
  • Malibu Timmy
  • Big Mouth Gulch
  • ____________________________
  • Set of ten videos sells for 109.50/set

23
Two Additional Videos Sold By Practicon
  • Arthurs Tooth (12.95)
  • and
  • Franklin and the Tooth Fairy (12.95)

24
Childrens Dental Health Library (Books
available from Practicon Practice Services)
  • Barney Visits The Dentist
  • The Tooth Book
  • My tooth Is About To Fall Out
  • Going To The Dentist
  • Martin and the Tooth Fairy
  • Alley Alligators Awesome Smile
  • Doctor DeSoto
  • Little Rabbits Loose Tooth
  • Berenstain Bears Visit The Dentist_______________
    ____________
  • This series is sold as Library A and sell for
    39.25/set

25
BARNEY VISITS THE DENTIST
26
Childrens Dental Health Library(Books
available from Practicon Practice Services)
  • The Story of the Tooth Fairy
  • My Little Friend Goes To The Dentist
  • The Lost Tooth Club
  • Arthur Tricks the Tooth Fairy
  • Brush Your Teeth Please
  • Just Going To The Dentist
  • Franklin and The Tooth Fairy
  • Clark The Toothless Shark
  • What Do Fairies Do With All Those
    Teeth?_________________________
  • This series is sold as Library B and sells for
    84.95/set

27
Kid-Size Book Rackfor Library (125.)
28
Practicon Practice Services
  • 1112 Sugg Parkway
  • Greenville, North Carolina 27834
  • Toll Free 1.800.959.9595
  • 24 Hour Fax 1.800.278.0885

29
THE CHAIRSIDE INSTRUCTOR
30
DEMONSTRATION MODELS
31
Six Steps To Behavioral Change
  • Education is behavioral change. If behaviors do
    not change, it can be said that education did not
    occur.
  • Identifying the Nature of the Problem
  • Does the child/parent have the necessary
    knowledge they need to effectively manage their
    oral health.
  • Is the child too young to understand issues in
    etiology and prevention of oral disease or too
    young to effectively comply with the required
    regimen.
  • Does the child or parent lack the motivation
    required?

32
Six Steps To Behavioral Change
  • Determine the Baseline
  • Know where to start
  • Learn what the child/parent knows or does not
    know about preventive dentistry.
  • Assess what the child/parent is currently doing
    or not doing, and how well they are doing it.
    For example, the OHI-S serves as a baseline for
    discussing oral hygiene with a child and parent.

33
Six Steps To Behavioral Change
  • Set Realistic Goals
  • What can be expected of the child and parent with
    regard to oral physiotherapy or dietary change.
  • Can intermediate objectives be set that will help
    reach ultimate goals?
  • Achieving an OHI-S score of 90 is a tangible and
    reasonable goal.

34
Six Steps To Behavioral Change
  • Plan and Implement An Intervention Method
  • Help the child and parent decide what they will
    do to change their behavior into patterns that
    will be more effective in achieving oral health.
  • Determine with them the step by step procedures
    they will follow.

35
Six Steps To Behavioral Change
  • Review Progress and Modify Plan as Necessary
  • Review progress on plan at each appointment.
  • Ask about changes that are occurring, if any.
  • Identify continuing impediments to change.
  • Conduct OHI-S at each appointment and use to
    determine progress.

36
Six Steps To Behavioral Change
  • Plan for Self-Maintenance and Follow-Up
  • At the appointment at which you complete your
    treatment, or at a Post-Treatment Appointment,
    review the plan you have agreed on, and review
    progress to date.
  • Identify a recall appointment time, and indicate
    an evaluation of progress will be made at that
    time.
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