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SET UP OF PEDIATRIC DENTAL CLINIC

DR DHANESH N

READER AND HEAD

DEPT OF PEADIATRIC AND PREVENTIVE DENTISTRY

MES DENTAL COLLEGE AND HOSPITAL, PRTINHALMANNA

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CONTENTS

Introduction
Definition
Primary goal
Pedodontic clinic designing:-

SPACE PROVISION
ROLE OF PLAY AREA
RECEPTION AT TtfE FRONT DESK d)WAITING AREA

e)tfEALTtf EDUCATION ROOM

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ATTIRE AND PRESENTATION OF TtfE CLINIC STAFF
COLORS , SMELLS, SOUNDS
AUDIO VISUAL AIDS FOR ENTERTIANMENT

i)AQUARIUM

ADDITIONAL FEATURES OF PEDIATRIC DENTAL CLINIC a)LOCATION

b)DESIGN OF EQUIPMENT

CONCLUSION
REFERENCES

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INTRODUCTION

Dentistry for children is not different but difficult from what practiced from adults because of a known fact that children are not just miniature adults.

Dentistry for children is perhaps the most needed and yet the most neglected of all services provided by the dentist.

Most needed because of the inadequate /unsatisfactory treatment provided during the childhood may damage permanently the entire masticatory apparatus leaving the individual with many of the dental problems which are so common in adult population.

Most neglected because of the unawareness & indifference to newer concepts of present days of Pedodontics.

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Children do have a good place memory which has advantages & disadvantages.

Advantage: - children like to be in places & catch-up with people which are fun for them.

Disadvantage:-don’t like to be in places where he/she previously experienced discomfort.

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Medical set up and stereotype which are designed to suit doctors requirements are disliked by the children.

So, a child friendly dental set up has to be separate from routine dental clinic.

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Clinic : A place or hospital department where out patients are given medical treatment or advice.

Definition

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Primary goal

The dental office should not look like a hospital .’’

Fears

Colors of dental office should be bright and child friendly.

Child friendly toys, games and paintings

First goal is to create a ‘non- hospital’ environment

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PEDODONTIC CLINIC DESIGNING

Designing the set-up of the clinic such that

-Children can feel safe ,loved and well cared.

-Parents can be educated about their children.

-Staff know that they are an integral part of the practice.

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Before designing the clinic set –up consider

- Area’s social & economic status

-Transportation & Parking facilities

-Easy access to schools and residential areas.

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To make our dental clinic child friendly the following aspects must be considered :-

Space provision
Role of play area
Waiting area
Reception at the front desk
Attire and presentation of the clinic staff
Health education room
Colors, smells and sounds
Audio -visual aids for entertainment
Aquarium

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PLAY AREA

WAITING AREA

ASSISTANT AREA

STERILIZATION

DENTAL OPERATORY

CONSULTING ROOM

ENTRY

RECEPTION AREA

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Space provision

Free empty spaces

Children - Do not sit in one place

Necessary to provide some empty space for them to move around.

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Role of play area

Engage in recreation or have fun

Spacious play area with drawing boards, bean bag & electronic games make the environment -child friendly.

Wall of play area can be painted with their favorite cartoons, animals, fishes etc.

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Reception at the front desk

Communication skills

She/he must call each and every child by his/her

name.

Solid bright colors establish for the child a cheerful feeling of belonging.

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Waiting area

It is of utmost important that a waiting time of a child in the dental clinic is made pleasant.

Often, children having to wait for long & get bored by the time they are taken for treatment.

Notice boards in the waiting area

Cartoon or comic books

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Health education room

Space should be allocated in the dental office

Instructions to oral hygiene procedures are given

Demonstration about tooth brushing &

flossing should be given.

Slides , filmstrips , pamphlets , charts & models should be available for proper education.

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Attire and presentation of the clinic staff

Attire of dental staff comprising cap, apron, mask & gloves is certainly not child friendly.

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Meet the child casually and preferably not around dental chair.If possible, the consulting room.��Child is directed to dental chair after showing around clinic & meeting other staff

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Colors smells and sounds

Children accept bold and bright colors

Smell of spirit, eugenol, acrylic may not

really go well with children.

Noise of air-rotor hand piece, suction, compressor, ultrasonic cleaner can be disturbing too.

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Audio visual aids for entertainment

Used in dentistry

Cartoons & other entertainment programs

Camera attached to a TV displaying the child on the chair.

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Aquarium

Source of entertainment and may placed either in reception room or in treatment room

Monitoring the aquarium & maintaining the aquarium cleanliness should be done.

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Additional features

1.Location

Designed to minimize potential negative visual stimuli

Fear provoking instruments should be located in inconspicuous positions

Location & size of the equipment must permit the dentist & the patient to remain comfortable for long periods

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Sinks should be at graduated height
Dental chair should be narrower & thin backed
A sufficient number of instruments, mouth props should be available

Foot controlled or automatic faneets for operatory sinks

Trash container

Very accessible sterilization

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Special office for special child

Definition :-

_the“ A handicapped person, as defined by section 503 & 504 of

Rehabilitation Act of 1973, refers to any person who “has a physical or mental impairment which substantially limits one or more major life activities such as caring of one's self, performing such normal tasks as walking, seeing, hearing, speaking, learning & working.”

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Reasons for not treating handicapped persons in private practice

Too much time is required
Patient may have a life threatening medical emergency
Procedures are too difficult
Dentist has not received special training
Dentist fears dealing with handicapped person
Patients usually require hospitalization

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OFFICE LOCATION

- Ground floor

Stairways or an elevator –presents problems

Selection of surrounding area

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parking

- Reserved space should be provided

- Designed for easy loading & unloading of wheelchairs

- Specific requirements for parking spaces

standard space - 96 to 108 inches

extra width space – 144 inches

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doorways

Minimum opening of 32 inches

Adjacent areas on either side of door

Mechanism of the door operated

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Floor surface

Nonskid surfaces

Interior office floors covered with nonskid materials

Use of thick carpets and rugs should be avoided

Audible signals used for blind persons

Raised –letter visual signs for deaf persons

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Rest room

Toilet seats – approximate height of wheel

chair

Handrails must be sturdy & properly located

Space provision

Wash basins not higher than 34 inches from floor

Provide a storage shelf, towel dispenser, lowered or tilt mirror

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Telephones

Telephone accessible to handicapped
Located no more than 32 inches above floor

Reception room

- Adequate space in reception

Chairs of varying heights should be available
Communication with the receptionist

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Treatment room

Key word - FLEXIBILITY

Newer dental chairs are extremely maneuverable for transfer of patient from wheelchair to dental chair

Complete mobility of equipment

Analgesia machine, unit, suctions, cabinets, stools, and work surfaces are stored away from the center of the room until they are to be used.

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Specialized equipment

Wheelchair Headrest

Adjustable headrest attaches to the handgrips on back of wheelchair

Provides secure, comfortable, head support for

Patient.

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- Used in general anesthesia cases

Molt mouth prop

Used in conscious patient who has

compromised muscle strength

Used in cerebral palsy, multiple sclerosis,

Parkinson's disease

Caution :- Temporomandibular joint

dislocation

Rest for every 10 to 15 minutes

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Radiographic techniques

Most of the handicapped individuals – intraoral radiography

Conditions like neuromuscular diseases, mental retardation, & spinal injuries

Techniques like

anterior occlusal projection

lateral jaw projection

buccal bitewing projection

Snap-A-Ray