- Joined
- Mar 4, 2007
- Messages
- 33
- Reaction score
- 0
- Points
- 0
- Pre-Dental
Advertisement - Members don't see this ad
not so nice pedo
- Thread starter ngozi85e
- Start date
- Joined
- Apr 14, 2005
- Messages
- 417
- Reaction score
- 10
- Points
- 4,571
thats odd when I've worked as an assistant for this GP before, having the parent in the same room is often times the case too make the small child feel more comfortable
The taco strap is used in a lot of pedo offices, but all the rest of that stuff is excessive. Children need care, but there are methods other than those employed there...and we all already know the problems with corporate managed dental clinics.
- Joined
- Jun 10, 2005
- Messages
- 1,367
- Reaction score
- 12
- Points
- 4,551
- Location
- Los Angeles, CA
- Resident [Any Field]
As a side note, I will never let family, friends, or whoever watch while I do a procedure/surgery. I think it's a bad idea. Doesn't matter how old the patient is.
- Joined
- Oct 31, 2004
- Messages
- 775
- Reaction score
- 3
- Points
- 4,531
- Dentist
That story is so biased and inflammatory it hardly qualifies as journalism.
I don't really see the harm in letting people watch a procedure given the patient doesn't mind and there aren't any HIPAA violations. It would seem odd if a dentist was so set on not letting parents, friends, etc. see what was happening...almost as if the dentist had something to hide. Besides...almost all of us watched dental procedures being done at a dental office before we got into dental school...sometimes the dentist didn't even know the pre-dent who came to watch.
The pedo clinic at UOP doesn't allow parents in the operatory during procedures unless the patient is very young, the patient is extremely difficult to manage and would benefit from having their parents there, or if we need the parents to help translate. The reason for this is not because we want to hide anything from the parents, but from a patient management standpoint, having the parent there is more often than not a negative influence on the patient's behavior. Fear of the dentist starts in the home and is not going to be dealt with easily when someone's mom or dad is in the corner making faces or covering their eyes everytime you give anesthesia.
The papoose board is also sometimes used at UOP, though I personally think it's extremely traumatizing for the patient. Only certain faculty and staff consider using it. I would think that if the patient was so difficult to manage, it may be time to consider some sort of sedation instead.
The papoose board is also sometimes used at UOP, though I personally think it's extremely traumatizing for the patient. Only certain faculty and staff consider using it. I would think that if the patient was so difficult to manage, it may be time to consider some sort of sedation instead.
- Joined
- Oct 31, 2004
- Messages
- 775
- Reaction score
- 3
- Points
- 4,531
- Dentist
That's because you've never had Mom hovering over a fearful child giving helpful instructions like "OK Johnny here comes the big needle we talked about. It will probably hurt but you have to be brave OK. You're such a good boy; I know it really, really hurts when they do that. Ohhhh you're soooo brave."
Or Mom is making faces and cringing every time a tiny drop of blood appears during a SSC prep. Kids pick up on those cues fast and get freaked out.
Fearful kids also act out when they think Mom will rescue them if they put on a big enough show. When Mom is not in the room, they resign themselves to what is going to happen and you can actually talk them into calmly cooperating. Almost impossible to do with Mom in the room giving competing instructions over you.
- Joined
- Jun 10, 2005
- Messages
- 1,367
- Reaction score
- 12
- Points
- 4,551
- Location
- Los Angeles, CA
- Resident [Any Field]
I have no problem with dental students, pre-dents, college students, hygiene students, whatever watching or assisting me. I don't allow people associated with the patient to watch. My reason is as follows:
1. I have to manage 2 people instead of one. Observers may become syncopal. They may become aggressive and impair my work.
2. They almost always end up 'babying' the patient (regardless of the patient's age), which is detrimental to behavior management. An example is: "Oh sweetie, don't cry, don't cry, stop crying! Stop crying sweetie!" I could care less if the patient cries, as long as he is immobile.
3. I will be thinking of how the observer is perceiving my treatment while I am doing it and it will affect what I do, how fast I do it, negatively for both.
There you have it. Relatives or friends in the treatment room almost never do anything good, and almost always make your work harder. Why make it harder on yourself? I was taking out impacted 3rds today on a 22 y/o girl and her mom was adamant about staying in the room. She explained, "I'm a nurse!" I told her it didn't matter and gave her a less inflammatory version of the above reasons. She still didn't accept it, but it didn't matter. It's my clinic. I run the show, and it's my way or the highway. She waited in the lobby. I encourage everyone to control your environment as much as possible and not be afraid to lay down the law. It's your clinic!
Would a physician/nurse have a problem with family watching him/her put in a Foley (urinary catheter) or a PICC line (long term venous access)? Of course! No difference with dentistry. It's not appropriate to have observers in the room. Here's my disclaimer: if your a pedodontist you do whatever you want. They're experts in behavior management and know how to use parents to their advantage.
OK, that's my long opinion. You can see I feel adamantly about this. 🙂
1. I have to manage 2 people instead of one. Observers may become syncopal. They may become aggressive and impair my work.
2. They almost always end up 'babying' the patient (regardless of the patient's age), which is detrimental to behavior management. An example is: "Oh sweetie, don't cry, don't cry, stop crying! Stop crying sweetie!" I could care less if the patient cries, as long as he is immobile.
3. I will be thinking of how the observer is perceiving my treatment while I am doing it and it will affect what I do, how fast I do it, negatively for both.
There you have it. Relatives or friends in the treatment room almost never do anything good, and almost always make your work harder. Why make it harder on yourself? I was taking out impacted 3rds today on a 22 y/o girl and her mom was adamant about staying in the room. She explained, "I'm a nurse!" I told her it didn't matter and gave her a less inflammatory version of the above reasons. She still didn't accept it, but it didn't matter. It's my clinic. I run the show, and it's my way or the highway. She waited in the lobby. I encourage everyone to control your environment as much as possible and not be afraid to lay down the law. It's your clinic!
Would a physician/nurse have a problem with family watching him/her put in a Foley (urinary catheter) or a PICC line (long term venous access)? Of course! No difference with dentistry. It's not appropriate to have observers in the room. Here's my disclaimer: if your a pedodontist you do whatever you want. They're experts in behavior management and know how to use parents to their advantage.
OK, that's my long opinion. You can see I feel adamantly about this. 🙂
- Joined
- Jul 22, 2006
- Messages
- 615
- Reaction score
- 1
- Points
- 4,571
- Dentist
I'd prefer parents see how hard I work with their children to patiently walk them through treatment.
Also, kids have very vivid imaginations. In the rare cases I papoose or use voice control, I want parents to witness how and why they are used. Unfortunately, you can't trust a 5 year-old's rendition of what happened to be accurate.
Also, kids have very vivid imaginations. In the rare cases I papoose or use voice control, I want parents to witness how and why they are used. Unfortunately, you can't trust a 5 year-old's rendition of what happened to be accurate.
- Joined
- Dec 6, 2006
- Messages
- 3
- Reaction score
- 0
- Points
- 0
i am a practicing pediatric dentist and this video was upsetting to say the least.
first of all, the dentist sounded like an idiot! (creative editing?)
If you treat small or handicapped children, the papoose board is sometimes, i repeat sometimes absolutely necessary if no other methods are available (if you are truly practicing dentistry on children, you know what i'm talking about)
as far as the parents being in the room, i prefer not to have their presence because of reasons well stated above by dr hobie
the hovering mothers can say some not so smart things and act in foolish ways sometimes. also, just the other day, i had a dad pass out and hit the floor during a surgical mesiodens extraction.
as far as the "conversions", dentistry is healthcare but also a form of business, and it's true about medicaid, you may only get one shot at treating these children's oral diseases, and in this case, aggressive tx is the right tx!
now, if you are treating teeth that does not need tx, that is another story and it's totally wrong.
the lay public has little idea about pediatric dentistry, and producing this kind of video does no help, it only helped the tv station and the reporter who were looking for a dramatic & sensational story.
pediatric dentistry can be hard work sometimes, believe me, not a lot of people are willing to do it, and this kind of biased exposure is hurtful to the profession
first of all, the dentist sounded like an idiot! (creative editing?)
If you treat small or handicapped children, the papoose board is sometimes, i repeat sometimes absolutely necessary if no other methods are available (if you are truly practicing dentistry on children, you know what i'm talking about)
as far as the parents being in the room, i prefer not to have their presence because of reasons well stated above by dr hobie
the hovering mothers can say some not so smart things and act in foolish ways sometimes. also, just the other day, i had a dad pass out and hit the floor during a surgical mesiodens extraction.
as far as the "conversions", dentistry is healthcare but also a form of business, and it's true about medicaid, you may only get one shot at treating these children's oral diseases, and in this case, aggressive tx is the right tx!
now, if you are treating teeth that does not need tx, that is another story and it's totally wrong.
the lay public has little idea about pediatric dentistry, and producing this kind of video does no help, it only helped the tv station and the reporter who were looking for a dramatic & sensational story.
pediatric dentistry can be hard work sometimes, believe me, not a lot of people are willing to do it, and this kind of biased exposure is hurtful to the profession
- Joined
- Nov 27, 2007
- Messages
- 1
- Reaction score
- 0
- Points
- 0
- Non-Student
Hello guys am a practising pediatric dentist based in India , i always allow parents to stay in the operatory as it gives the patients a moral support that mommy and daddy is there so nothing bad will happen. This situation helps in the first or second visits to the clinic, until the patient completly trust the dentist.
About the restrains , i never use them i mostly pacify them through verbal control.
The use of restrains depends mainly on the skill of the pediatric dentist
I beleive in Behaviour Modifacation, it does wonders.
About the restrains , i never use them i mostly pacify them through verbal control.
The use of restrains depends mainly on the skill of the pediatric dentist
I beleive in Behaviour Modifacation, it does wonders.
