Understanding Motivation and Enhancing Cooperation of Children of Different Ages
How do we best manage children who cling and do not separate from parents, refuse to open their mouth, gag during radiographs or impressions, or otherwise resist or subvert our directions? Psychological principles, theories and research can guide the development and use of efficient management strategies. The following are principles that underlie practical child management strategies:
A therapeutic alliance with the child or teen (and parent) is essential for long-term success.
Directing behavior of the child is facilitated by shaping.
Play and playfulness is engaging and may be used to help establish a therapeutic alliance or direct behavior.
Trust is essential. While distrust is often a problem, enhancing the sense of control is the treatment of choice for this problem.
Age-appropriate fears are common. Fear is best treated with gradual exposure to what is feared.
Identify motivational variables important at various stages of childhood.
Specify strategies to maximize child cooperation in the dental and ortho office during specific procedures.
Describe the orientation and skills needed to utilize the above strategies effectively.
ADHD and Autism
The prevalence of attention deficient hyperactivity disorder and autism spectrum disorder has increased significantly over the last 10 years. Potentially about 10 percent of all orthodontic patients could be afflicted with ADHD while approximately one percent may have ASD. While there is no evidence to suggest any unique malocclusion associated with these disorders, the behavioral issues these children suffer from create an array of challenges for the treatment of their malocclusions. This session will review the specific behavioral issues associated with each of these disorders and their current behavioral and medical management. Techniques and modifications in appliance therapy and scheduling will be discussed to provide more successful outcomes of orthodontic therapy.
Understand the scope and nature of ADHD and autism.
Be able to set appropriate goals and modifications of orthodontic treatment for patients with these disorders.