Parents often feel helpless when a son or
daughter is fearful or apprehensive regarding a trip to the dentist. Talk with
your dentist about your concerns. A partnership must exist between the parent
and the dentist. Your own attitudes and understanding of what will occur during
each visit will greatly influence the outcome of your child's visit. The
following information will assist you in helping your child toward a comfortable
and successful visit to the dentist.
Schedule a morning appointment. Children are more rested in the morning, and
morning appointments usually have less waiting time. If your child is in school,
he or she may worry all day about the appointment and will be tired after
school.
Do not promise an expensive present if your child is well-behaved. Your
little one may assume that he is about to do something very difficult. A
surprise waiting to be given just after the visit may be more appropriate. Do
not tell your child to be brave or that nothing will hurt. The idea that seeing
the dentist requires being brave or that something might hurt may have never
occurred to the child.
During any waiting time, sit close beside your child and read him a story.
This not only provides distraction, but also places a child in a more relaxed
frame of mind. Free play should be avoided.
If your child is scheduled for restorations (fillings), say as little as
possible regarding the events of the visit. Your tone of voice and body language
could accidentally create a sense of fear or apprehension in an unsuspecting
child. The parent who is more comfortable with dental treatment should do the
talking. Allow your dentist to use his or her experience to determine how much
your child should be told just prior to the procedure.
If local anesthesia (a shot to numb the teeth) is to be used, do not discuss
this issue with your child before the visit. The most feared part of the visit
is usually the injection. In some cases, the use of local anesthesia may not be
necessary. Do not attempt to predict what your dentist will do. If your child
asks about the need for a shot, answer saying that you do not know. Most
injections are performed painlessly with the child unaware of the occurrence. A
child who comes to the office already intensely worried about the shot is much
more difficult to calm.
Your expectations of your child's ability to cooperate for a dental
procedure must be age-appropriate. By four years of age, an emotionally and
physically healthy child should be able to separate from his parent for an
examination and possibly treatment. Dentists have varying opinions as to whether
or not a parent should be present for treatment. Some parents are reluctant to
separate from the child, and others prefer not to accompany the child for
treatment. Parents should agree with the philosophy of their kid's dentist.
Only one parent should accompany the child for the visit. The parent who is
more comfortable with dental visits should be the choice. Consistency is very
important. The dentist, child, and parent function as a team. The rules must
stay the same. If the visit went well with Dad, he should be the parent who
accompanies the child for every visit. Apprehensive or fearful children
generally do better with Dad. Mom may be a little more emotional and more
anxious regarding the treatment. However, this is not always the case. You are
the expert for your child's emotional well-being. You should decide who would
be the better choice for this particular experience.
If you are present for treatment, you should be the
kid's dentist silent
partner. You may pat your child or offer some words of support or praise, but
remain calm and quiet. Do not repeat the dentist's requests of your child and
do not raise your voice at any time. The dentist will manage the behavior. The
dentist's attention should not be divided between you and your child, and your
child's attention should not be divided between you and the dentist. A minor
operation is being performed. The kid's dentist must concentrate not only on the
procedure but also on managing your child's behavior. Try not to distract him
or her.
Some children will attempt to manipulate their parents during treatment. If
your child is crying, listen to the sound of the crying. Compensatory crying
often occurs. The child is not in discomfort, but is just coping by crying.
Parents may become the court of appeals. The child constantly attempts to delay
treatment by reaching out for a hug. If both you and your dentist believe your
child is capable of undergoing treatment, you must provide tough love at this
time. If your child will not cooperate with you present, your dentist may ask
you to leave the treatment room. Leave your car keys with your little one, so he
knows you are not leaving the office. Assure him that you will be close by.
If you do not plan to be present during treatment, separate from your child
in the reception room and not after she is seated in the dental chair.
Parental love must permit children to move toward independence. A parent's
permitting his or her child, age four or older, to undergo treatment without the
parent present sends two messages. First, "It is ok. I really do not need
to be right beside you for this." Secondly, "You can do it! I have
confidence in you." This child has been given a sense of empowerment.
The limitations and strengths of each child must be recognized. By sharing
with your dentist in the proper preparation and guidance, both you and your
child can begin to look forward to that next dental visit!
