SDCEP

• gaining rapport with child/parent/carer?

  • agree nurse or operator is welcoming child into surgery
  • welcome child: eye contact, greet with name, introducing your name
  • parent/carer: discuss how they can support/encorage child in surgery
  • involve child as much as possible, don't talk over them
• assessing parent/carer motivation?

  • keep up to date with additional support contacts
  • full MH, DH, SH
  • ensure parent/carer full understands information given, translator?
  • tailor prevention to suit
  • concerns over compliance and attendance? considers contacting other professionals
  • dental neglect
  • immediate safety concerns = child protection referral
• history taking:

  • reason for attendance - motivation normally assessed
  • full MH
  • DH: previous tx, LA? GA? Anxiety - anxiety questionaire?
  • SH: which adult provides care, days/times easiest to bring child to appointments, GP, nursery school
  • caries in parent and siblings
  • tb habits - who brushes, fluoride in tp, supervised? spit not rinse
  • diet - bottle to bed (what is in it?) sugary drinks regularly, sugar added to drinks, sugar-containing medication, snacking, lunch as school, 5 a day
  • any difficulties bringing children to appointments
  • parent/carer attitude to oral health/motivation
• clinical assessment:

  • plaque levels, toothbrushing - discuss with parent/carer
  • caries? in primary teeth assess caires, pain, infection
• Tips for exam with young child:

  • relaxed smilling manner
  • knee to knee exam
  • holding pt hand
  • allow parent/carer to look in mouth with mirror
  • encourage pt/carer to give child a cuddle