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Slide 1Dental Care for Individualswith AutismBeverly King, M. Ed.Slide 2Objectives Learn ways to teach children proper oralhygiene. Discuss a variety of ways to support andfacilitate good oral hygiene practices at home. Learn positive behavioral strategies toimplement for dental office visits.Slide 3First Visits First tooth or first birthday Old guidelines suggested age 3– Behavior management– Damage has already occurred
Slide 4Nutrition and Dental CareCarbsSugarStarchesSlide 5Thumb Sucking/Pacifier Normal and healthy for infants Gives children a sense of emotionalsecurity and comfort. After age of 5 dental problems can occur Can cause speech problems. Jaws can become misaligned Roof of the mouth can become malformedSlide 6Positions 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 cheekCourtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA
Slide 7Knee 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 downCourtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CASlide 8Brushing Technique Most important areas-Gum line-Chewing surfaces Use free hand to lift lip, for upper area have childclose 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, CASlide 9Teaching Child to Brush While you brush have child watchNext have child brush your teethNext help child brush (hand over hand)Next have child brush and you watch
Slide 10When should parents stopbrushing their child’s teeth? Fine Motor skills Writing name 6-8 years old Flouride/Spit effectivelySlide 11Visual Supports andSchedules Visual schedules break down large tasksinto separate steps, allowing the child toperform each task before going on to thenext Can teach specific tooth-brushing steps. Reinforce with verbal praise after eachstep or multiple steps are completed Use social story or visual schedule tobefore visit for familiarizationSlide 12
Slide 13Practice Dental Visit at Home Putting their hands on their stomachPutting their feet out straightOpening wideHolding their mouth openCounting their teethCleaning with a power brushSpitting into the sinkTaking X-raysSlide 14Slide 15Provide Visual Exampleshttp://www.youtube.com/ Search dentist visithttps://www.google.com Search dental visit visual
Slide 16Social Stories Describes the social situation Provides descriptive, perspective,or directive statements Considers the perspective of thechild Teaches routines for new eventsThe Gray Center : www.thegraycenter.orgSlide 17ExampleSlide 18Preparing For The First Visit Check to see if your dentist has materialsavailable for families to access via websiteor prior to visit. Paperwork Task Analysis Social Scripts Fun activities Schedule preferred appointment time Discuss insurance/payment options
Slide 19First Visit Greeting Introduction to staff Interview Tour of facility Familiarize with equipment (model)Slide 20Dental Exam Use clear simple languageGive direct requestExplain each procedureBreak down each task into smaller stepsReward individual stepsAllow use of personal items for calmingUse a timer or count downsSlide 21Sensory ProcessingAuditoryHigh-speed Handpiece, Ultrasonic ScalerGustatoryGloves, cotton rolls, gauze, alginate, metal,medicaments, fluoride, pasteOlfactoryCleaning products, medicaments, fluoride, paste,perfumeVisionFlorescent, Operatory, and Curing LightsTactileTouch (over/under reactive), Proximity to people,water, lead apron, cotton rolls, gauze, napkin
Slide 22Sensory Processing(continued)*VestibularOperatory chair, Panoramic X-ray*ThermoceptionWater, Slow-speed Handpiece*ProprioceptionPositioning mouth, tongue, or body*NociceptionPain sensorSlide 23Video Example cleaning-with-hygienist/Slide 24Questions
Slide 25Recommended books “I Know Why I Brush My Teeth” By KateRowan “The Tooth Book” By Dr. Seuss “Little Bear Brushes His Teeth” By JuttaLangreuter/Vera Sobat “The Berenstain Bears Visit the Dentist”By Stan and Jan BerenstainSlide 26References American Academy of Pediatric Dentistry Clinical AffairsCommittee-Behavior, American Academy of PediatricDentistry Council of Clinical Affairs. Guideline onbehavior guidance for the pediatric dental patient.PediatrDent 2008-2009;30(7 Suppl):125-33. [63references] PubMed Elliott-Smith S. Special Products for Patients withSpecial Needs. Available at: www.adha.org. AccessedFebruary 2010. Folse G., Glassman P., Miller C. Serving the Patient withSpecial Needs. Available at: www.adha.org. AccessedFebruary 2010.Slide 27References The National Autism Society, Patients with AutismSpectrum Disorders: Information for Health Professionals.Available at: www.autism.org . Accessed February 2010. The National Autism Society, Dentist: preparing for a Visit.Available at: www.autism.org . Accessed February 2010. The National Institute of Dental and Craniofacial Research,Practical Oral Care for People with Autism. Available m.htm . AccessedFebruary 2010. The Academy of Dental Therapeutics and Stomatology,Building Bridges: Dental Care for Patients with Autism,Available at http://www.ineedce.com . Accessed February2010.
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 2008 -2009;30(7 Suppl):125 -33. [63 references] PubMed Elliott -Smith S. Special Products for Patients with Special Needs.
