口腔学习ppt-4儿童牙病（英文）.pptVIP

* Hospital Based Dentistry Behavioral Growth and Development Anne S. Aiello, D.M.D. April 7, 1999 Hospital Based Dentistry for Children What you should know ! To understand the concept of hospital based dentistry for children. To be able to discuss the indications for the use of general anesthetic for normal and special child dental patients. To be able to discuss the psychological effects of a surgical procedure on a child and their family. To be able to discuss what is involved in admitting, performing, and dismissing patients. Review of Management Techniques Desensitization tell-show-do modeling distraction Flooding Techniques voice control restraints HOME Management Techniques Pharmacologic inhalation analgesia premedication General Anesthesia Option of Last Resort “Drugs do nothing to help child become a good patient.” Dr. Kramer Behavioral Themes in Pediatric Dentistry: 1968-1994 “All is flux, nothing is stationary. There is nothing permanent except change.” -Heraclitius, Greek philosopher, 470 B.C. Paradigm Shift Postfigurative rear their children the way that they have been raised Configurative Looks at immediate past and and present to devise a strategy Prefigurative parents solve dilemmas of child rearing in a day to day basis Candidates for Hospital Dentistry Children with handicapping conditions Emotional or behavioral problems of any age The very young child needing a lot of work Candidates for Hospital Dentistry Very invasive procedures Patients who have sustained extensive orofacial and dental trauma Psychological Effects of Hospitalization on Children 75% of all children receiving a GA exhibited some behavioral change 42% positive less fuss about eating, fewer tantrums, better appetite 42% negative easily upset when left alone, avoidance of new things, needing more attention, fear of the dark Ways to Minimize Negative Changes Involve child on operating room tour Allow child to bring favorite d