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Dental Care For People With Autism PowerPoint Presentation

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Slide 1-

Dental Care for Individuals with Autism Beverly King, M. Ed.
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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.
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First tooth or first birthday Old guidelines suggested age 3 Behavior management Damage has already occurred First Visits
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Nutrition and Dental Care
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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 Thumb Sucking/Pacifier
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Positions for Brushing Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA 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
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Knee to knee position Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA 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
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Brushing Technique Courtesy of Dr. Simon Morris, White Oaks Pediatric Dentistry, Los Gatos, CA 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)
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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 Teaching Child to Brush
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Fine Motor skills Writing name 6-8 years old Flouride/Spit effectively When should parents stop brushing their child’s teeth?
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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 Visual Supports and Schedules
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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 Practice Dental Visit at Home
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Provide Visual Examples http://www.youtube.com/ Search dentist visit Search dental visit visual https://www.google.com
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Describes the social situation Provides descriptive, perspective, or directive statements Considers the perspective of the child Teaches routines for new events Social Stories The Gray Center : www.thegraycenter.org
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Example
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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 Preparing For The First Visit
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Greeting Introduction to staff Interview Tour of facility Familiarize with equipment (model) First Visit
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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 Dental Exam
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Sensory Processing
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Sensory Processing (continued)
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http://www.whiteoakspediatricdentistry.com/videos/cleaning-with-hygienist/ Video Example
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Questions
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“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 Recommended books
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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. Available at: www.adha.org. Accessed February 2010. Folse G., Glassman P., Miller C. Serving the Patient with Special Needs. Available at: www.adha.org. Accessed February 2010. References
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The National Autism Society, Patients with Autism Spectrum 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 at: http://www.nidcr.nih.gov/OralHealth/Topics/DevelopmentalDisabilities/PracticalOralCarePeopleAutism.htm . Accessed February 2010. The Academy of Dental Therapeutics and Stomatology, Building Bridges: Dental Care for Patients with Autism, Available at http://www.ineedce.com . Accessed February 2010. References