- Pediatric dentists receive special training in easing a child's fears about dental visits. They work hard to assure a child's comfort during dental procedures by providing a kid-friendly environment. A dentist usually begins by explaining how dental instruments will be used. The dentist then tells the child what procedures will be performed and how they will be performed. The dentist answers any questions the child might have. Body language is used to assure a child. Offering big, warm smiles and talking to the child in a slow, gentle voice can have a calming effect. A good dentist can handle frightened, uncooperative children in a patient and friendly manner.
- Some dentists ask parents to remain in the waiting room during a child's dental procedure. They think they can control a child's behavior better if the parent is not present. There are several techniques that pediatric dentists use to calm an anxious child. Offering positive reinforcement when a child cooperates by keeping his or her mouth open wide and following directions is one way to placate a child. Distraction is another method used by dentists and their assistants to soothe a child during a dental procedure. This also gives the child an opportunity to get to know the dentist. The dentist might talk about school friends, a favorite toy, the family pet or sports in which the child participates. Voice control is another technique to get a difficult child's attention. The dentist speaks to the child in a friendly yet firm tone of voice.
- While very young children might be afraid when they go to the dentist, most children cooperate for dental procedures. However, in some instances, a pediatric dentist might choose to use conscious sedation to minimize pain and discomfort associated with a dental procedure. According to the American Association of Nurse Anesthetists (AANA), conscious sedation is a safe option for patients undergoing minor procedures. This type of sedation is also considered safe for children when administered by a pediatric dentist who follows the sedation guidelines of the American Academy of Pediatric Dentistry. The technique allows a child to keep his or her eyes open and speak during dental treatment. In most cases, the drugs are administered orally. Sedatives are used to relax the child, causing drowsiness. Insurance companies often do not approve payment for dental procedures performed under general anesthesia. Therefore, the only way a dentist can treat an uncooperative or anxious child is to use conscious sedation. Evaluation prior to administering sedating drugs includes carefully reviewing a child's medical history and current medications and allergies. A child's heart rate, blood pressure and breathing are closely monitored while under sedation. Side effects can include nausea, vomiting and headache.
