PREVENTION VII

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PREVENTION VII

• Parent and Child Education and Motivation

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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.

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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

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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.

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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

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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.

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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

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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.

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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.

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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.

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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.

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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.

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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

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DUDLEY THE (SPANISH) DINOSAUR

• Dudley Visits the Dentist video and teaching
  guide is also available in Spanish, as are the
  two brochures shown here.

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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.

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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.

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OTHER EDUCATIONAL BROCHURES IN OUR CLINIC
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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)

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VIDEOS AVAILABLE IN THE CLINIC

• For Parents
• Prevention Patient Education (Ages 1-5)
• Prevention Patient Education (Ages 6-18
• Baby Bottle Decay
• Orthodontics

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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

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Two Additional Videos Sold By Practicon

• Arthurs Tooth (12.95)
• and
• Franklin and the Tooth Fairy (12.95)

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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

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BARNEY VISITS THE DENTIST
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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

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Kid-Size Book Rackfor Library (125.)
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Practicon Practice Services

• 1112 Sugg Parkway
• Greenville, North Carolina 27834
• Toll Free 1.800.959.9595
• 24 Hour Fax [phone]

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THE CHAIRSIDE INSTRUCTOR
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DEMONSTRATION MODELS
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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?

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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.

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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.

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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.

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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.

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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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ASSIGNMENTFOR OCTOBER 12

• Develop a lesson plan for a prevention
  discussion with a six year old child, OR
• Develop a lesson plan for a prevention
  discussion with a parent regarding their six
  year old child.
• Your plan should include
• basic narrative you would use, or a fairly
  detailed outline of same.
• diagrams you would employ
• audio-visual aids you would use, including such
  things as videos, models, or dental instruments
  or equipment.
• educational brochures you would employ.
• Your lesson plans will be collected on the 12th
  of October.