Slide 1 ___________________________________ Dental Care for - PDF document

Slide 1 ___________________________________ Dental Care for Individuals ___________________________________ with Autism Beverly King, M. Ed. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 2 ___________________________________ 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. ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 3 ___________________________________ First Visits • First tooth or first birthday ___________________________________ • Old guidelines suggested age 3 – Behavior management – Damage has already occurred ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 4 ___________________________________ Nutrition and Dental Care Carbs ___________________________________ Sugar ___________________________________ Starches ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 5 ___________________________________ 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 ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 6 ___________________________________ Positions for Brushing ___________________________________ • 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 ___________________________________ Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA ___________________________________ ___________________________________ ___________________________________

Slide 7 ___________________________________ Knee to knee position ___________________________________ • 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 ___________________________________ Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA ___________________________________ ___________________________________ ___________________________________ Slide 8 ___________________________________ Brushing Technique • 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) ___________________________________ Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA ___________________________________ ___________________________________ ___________________________________ Slide 9 ___________________________________ 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 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 10 ___________________________________ When should parents stop brushing their child’s teeth? ___________________________________ • Fine Motor skills • Writing name • 6-8 years old ___________________________________ • Flouride/Spit effectively ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 11 ___________________________________ 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 ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 12 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 13 ___________________________________ 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 ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 14 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 15 ___________________________________ Provide Visual Examples ___________________________________ http://www.youtube.com/ Search dentist visit ___________________________________ https://www.google.com Search dental visit visual ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 16 ___________________________________ Social Stories • Describes the social situation ___________________________________ • Provides descriptive, perspective, or directive statements • Considers the perspective of the ___________________________________ child • Teaches routines for new events ___________________________________ The Gray Center : www.thegraycenter.org ___________________________________ ___________________________________ ___________________________________ Slide 17 ___________________________________ Example ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 18 ___________________________________ Preparing For The First Visit • Check to see if your dentist has materials available for families to access via website ___________________________________ or prior to visit.  Paperwork  Task Analysis ___________________________________  Social Scripts  Fun activities • Schedule preferred appointment time • Discuss insurance/payment options ___________________________________ ___________________________________ ___________________________________ ___________________________________

Slide 19 ___________________________________ First Visit • Greeting ___________________________________ • Introduction to staff • Interview ___________________________________ • Tour of facility • Familiarize with equipment (model) ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 20 ___________________________________ 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 ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 21 ___________________________________ 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 ___________________________________ ___________________________________ ___________________________________ ___________________________________