Slide 1 ___________________________________ Dental Care for - - PDF document

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Dental Care for Individuals with Autism

Beverly King, M. Ed.

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Objectives

• Learn ways to teach children proper oral

hygiene.

• Discuss a variety of ways to support and

facilitate good oral hygiene practices at home.

• Learn positive behavioral strategies to

implement for dental office visits.

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First Visits

• First tooth or first birthday
• Old guidelines suggested age 3

– Behavior management – Damage has already occurred

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Nutrition and Dental Care

Carbs Sugar Starches

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Thumb Sucking/Pacifier

• Normal and healthy for infants
• Gives children a sense of emotional

security and comfort.

• After age of 5 dental problems can occur
• Can cause speech problems.
• Jaws can become misaligned
• Roof of the mouth can become malformed

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Positions for Brushing

Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA

• Position yourself behind your child
• Tilt child’s head up
• Cradle child’s head in your arm
• Use your free hand to pull back cheek

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Knee to knee position

Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA

• Used for those that are uncooperative
• Sit facing another adult, knee to knee
• Sit child on your lap facing you
• Wrap legs around your waist, hold arms down

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Brushing Technique

Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA

• Most important areas
• Gum line
• Chewing surfaces
• Use free hand to lift lip, for upper area have child

close mouth

• Use circular stokes pointed at gum line
• Two minutes (sing ABC song, use a timer)

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Teaching Child to Brush

• While you brush have child watch
• Next have child brush your teeth
• Next help child brush (hand over hand)
• Next have child brush and you watch

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When should parents stop brushing their child’s teeth?

• Fine Motor skills
• Writing name
• 6-8 years old
• Flouride/Spit effectively

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Visual Supports and Schedules

• Visual schedules break down large tasks

into separate steps, allowing the child to perform each task before going on to the next

• Can teach specific tooth-brushing steps.
• Reinforce with verbal praise after each

step or multiple steps are completed

• Use social story or visual schedule to

before visit for familiarization

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Practice Dental Visit at Home

• Putting their hands on their stomach
• Putting their feet out straight
• Opening wide
• Holding their mouth open
• Counting their teeth
• Cleaning with a power brush
• Spitting into the sink
• Taking X-rays

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Provide Visual Examples

http://www.youtube.com/ Search dentist visit Search dental visit visual https://www.google.com

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Social Stories

• Describes the social situation
• Provides descriptive, perspective,
• r directive statements
• Considers the perspective of the

child

• Teaches routines for new events

The Gray Center : www.thegraycenter.org

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Example

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Preparing For The First Visit

• Check to see if your dentist has materials

available for families to access via website

• r prior to visit.
• Paperwork
• Task Analysis
• Social Scripts
• Fun activities
• Schedule preferred appointment time
• Discuss insurance/payment options

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First Visit

• Greeting
• Introduction to staff
• Interview
• Tour of facility
• Familiarize with equipment (model)

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Dental Exam

• Use clear simple language
• Give direct request
• Explain each procedure
• Break down each task into smaller steps
• Reward individual steps
• Allow use of personal items for calming
• Use a timer or count downs

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Sensory Processing

Auditory High-speed Handpiece, Ultrasonic Scaler Gustatory Gloves, cotton rolls, gauze, alginate, metal, medicaments, fluoride, paste Olfactory Cleaning products, medicaments, fluoride, paste, perfume Vision Florescent, Operatory, and Curing Lights Tactile Touch (over/under reactive), Proximity to people, water, lead apron, cotton rolls, gauze, napkin

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Sensory Processing (continued)

*Vestibular Operatory chair, Panoramic X-ray *Thermoception Water, Slow-speed Handpiece *Proprioception Positioning mouth, tongue, or body *Nociception Pain sensor

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Video Example

• http://www.whiteoakspediatricdentistry.co

m/videos/cleaning-with-hygienist/

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Questions

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Recommended books

• “I Know Why I Brush My Teeth” By Kate

Rowan

• “The Tooth Book” By Dr. Seuss
• “Little Bear Brushes His Teeth” By Jutta

Langreuter/Vera Sobat

• “The Berenstain Bears Visit the Dentist”

By Stan and Jan Berenstain

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References

• American Academy of Pediatric Dentistry Clinical Affairs

Committee-Behavior, American Academy of Pediatric Dentistry Council of Clinical Affairs. Guideline on behavior guidance for the pediatric dental patient. PediatrDent 2008-2009;30(7 Suppl):125-33. [63 references] PubMed

• Elliott-Smith S. Special Products for Patients with

Special Needs. Available at: www.adha.org. Accessed February 2010.

• Folse G., Glassman P., Miller C. Serving the Patient with

Special Needs. Available at: www.adha.org. Accessed February 2010.

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References

• The National Autism Society, Patients with Autism

Spectrum Disorders: Information for Health Professionals. Available at: www.autism.org . Accessed February 2010.

• The National Autism Society, Dentist: preparing for a Visit.

Available at: www.autism.org . Accessed February 2010.

• The National Institute of Dental and Craniofacial Research,

Practical Oral Care for People with Autism. Available at: http://www.nidcr.nih.gov/OralHealth/Topics/DevelopmentalD isabilities/PracticalOralCarePeopleAutism.htm . Accessed February 2010.

• The Academy of Dental Therapeutics and Stomatology,

Building Bridges: Dental Care for Patients with Autism, Available at http://www.ineedce.com . Accessed February 2010.

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