1. Behavioural management in children
MJDF Tutorial 1- PC
Partial dentures
Behavioural management in children
Medical emergencies

2. There is marked wear on palatal surfaces of the upper anterior teeth of a 65 year old patient. How would you restore these teeth?
A Palatal veneers
B Direct composite
C Full porcelain crowns
D Resin bonded crowns
E Metal ceramic crowns

3. Behaviour Management
A Association B Behaviour shaping C Desensitisation D Disassociation E Modelling F Reinforcement G Sensitisation H Show, tell, do I Tell, Show, do

4. 1. The process of influencing behaviour towards a desired ideal. 2
1. The process of influencing behaviour towards a desired ideal. 2. Describing the treatment which is going to be performed, then visually demonstrating it, followed by performing on the child. 3. The strengthening of a pattern of behaviour which increases the probability that the behaviour will be displayed in future. 4. A three-stage process: first training the patient to relax; second, constructing a hierarchy of fear-producing stimuli related to the patient’s principal fear; and third, introducing the stimulus in the relaxed patient until it causes no fear. 5. Letting a child watch another child have dental treatment to show that there is nothing for them to fear.

5. Partial dentures With respect to RPDs, what is meant by
Retention resistance to removal from the tissues or teeth
Stability resistance to movement in a horizontal direction ( AP or medio-laterally)
Support resistance to movement TOWARDS the tissues or teeth
Kennedy Classification Definitions
Class I bilateral free end saddle
ClassII unilateral free end saddle
Class III unilateral bounded saddle
Class IV anterior, single but bilateral ( crossing the midline) saddle area
Note the most posterior saddle area determines the classification
Edentulous areas other than those determining classification are called modification spaces

6. Medical emergencies
What are the indications for each drug?

7. GTN 400micrograms per actuation
Salbutamol 2-4 puffs ( 100microgram per puff)
Adrenaline mg ( 0.5ml of 1:1000 adr)
Midazolam 10mg or 5mg
Glucagon mg

8. Patient who has long standing fit
Patient has tetracycline placed for perio, suddenly face flushes and stridor
Pt walks into surgery 10 minutes late, chest pain and breathing problems

9. PMH- Drugs Depression Amitryptaline ( most common TCA)
Citalopram ( SSRI)
ADHD
Clonidine (also hypertension)
Antipsychotic/schizophrenia
Haloperidol

10. PMH- Hypertension Bendroflumethiazide ( diuretic)
Amlodipine ( calcium channel blocker)
Perindopril ( ACE inhibitor)
Candesartan ( ARB)
Atenolol CCB, under 40 year olds
NICE Guidelines October 2013

11. Review
Medical history ( updated every exam and before any course of treatment)
Emergency drugs and dosages
GDC Standards for the dental team
Minimum 2 registrants on site to treat patients
CPR annual training
LIFESAVER APP