Slide 1. Slide 2. Slide 3. Dental Care for Individuals with Autism. Objectives. First Visits. Beverly King, M. Ed. First tooth or first birthday

Transcription

1 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

2 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

3 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

4 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

5 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 Search dentist visit Search dental visit visual

6 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 : 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

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

8 Slide 22 *Vestibular Sensory Processing (continued) Operatory chair, Panoramic X-ray *Thermoception *Proprioception *Nociception Water, Slow-speed Handpiece Positioning mouth, tongue, or body Pain sensor Slide 23 Video Example m/videos/cleaning-with-hygienist/ Slide 24 Questions

9 Slide 25 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 Slide 26 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 ;30(7 Suppl): [63 references] PubMed Elliott-Smith S. Special Products for Patients with Special Needs. Available at: Accessed February Folse G., Glassman P., Miller C. Serving the Patient with Special Needs. Available at: Accessed February Slide 27 References The National Autism Society, Patients with Autism Spectrum Disorders: Information for Health Professionals. Available at: Accessed February The National Autism Society, Dentist: preparing for a Visit. Available at: Accessed February The National Institute of Dental and Craniofacial Research, Practical Oral Care for People with Autism. Available at: isabilities/practicaloralcarepeopleautism.htm. Accessed February The Academy of Dental Therapeutics and Stomatology, Building Bridges: Dental Care for Patients with Autism, Available at Accessed February 2010.