I think one of the greatest tips I can give in regards to treating the pediatric population is that the dental assistant (if she's any good) can take on a greater role at reducing anxiety with these patients. As much as I try sometimes, I don't think I am as gifted at behavioral intervention with pedo patients as some assistants, also mothers, who have had 10 or more years of experience working with kids. I find that it is usually helpful to have the assistant bring the child into the room and explain the treatment to them before the child even meets the dentist. The assistant will then proceed to let the child see and feel the handpieces, the suctions, etc. By the time I enter the room, the child knows what to expect so that during the procedures, when I re-explain (show,tell,do) nothing will be as mysterious or novel. Last weekend, I had to perform a pulpotomy on a 6 year old girl who refused to stay still and keep her mouth open. She nearly bit one of my fingers off. I thought that using a mouth prop would help (it usually does to a certain extent) but the girl kept displacing it with her tongue. My assistant then took me by surprise when she told the patient, "Listen to me. We are going to sing a song together." I was thinking to myself, "What in the world?!" She then proceeded to singing scales and the child imitated her and ...this kept her mouth open long enough for me to work! It was also an efficient method at distracting the child's attention. I work with another assistant this weekend who jokingly said to me this evening, "Are we going to sing together this weekend?" Well, we were both disappointed we wouldn't be singing ! Some little phrases that have helped me: When you have an uncooperative child, tell them: "Your mama and I talked a bit before I saw you. She said that you are such a great helper at home. Can you help me too? " When a child behaves - my positive reinforcing words: " You were the best patient of the day today " (even if they exactly aren't ) Since you were so good, you get to pick more than one prize!" " Your mama is going to be so proud when I tell her how you behaved like a big boy/girl." I occasionally give high fives when the kid behaves. And of course there are all types of kiddie terms we use for dental equipment- one of my favorites is "Mr Thirsty" for the saliva ejector. Anyone else want to share the terms they coin for dental terminology when they work with kids? I can always increase my pedo "vocabulary" .