Dental examination.

Bismillah..

First impression masa jumpa patient tu penting. Dentist boleh tengok reaksi patient bermula daripada first greeting lagi. Dentist boleh lihat physical appearance dgn cara:

-general health: dia nampak sihat ke tak
-overall physical/mental development: dia ni nampak normal tak dgn budak2 yang sebaya dgn dia
-weight: underweight/overweight
-coordination: dia ada abnormal gait atau motor impairment tak
-tgk dia punya rambut, kepala, muka, leher, tangan,
-cold, clammy hands(tangan berpeluh) or bitten fingernails: petanda awal abnormal anxiety
- unusual clean digit : persistent sucking habit.
-clubbing of fingers or bluish colour: congenital heart disease.
-variation in the size, shape,symmetry or function of head and neck structures sbb boleh indicate syndrome lain.

Dentist pun kena buat unofficial assesment dari segi cooperation of the patient itself.

Category of prospective young patients..

1) Happy and confident

2) A little anxious or shy but displaying some rapport with dental team.
-boleh je buat rawatan selepas dipujuk

3) A very frightened, crying, clutching their parent, avoiding eye contact or not responding to direct questions.
- susah untuk terima conventional treatment..kena pujuk lagi.

4) severe behavioural problem or learning disability
-kena guna sedation atau general anesthesia

Techniques of examination of children

 infant and toddlers ( less than 2 years)
- dentist and parent are seated face to face with their knees touching (knee-to-knee position)
-Their upper arms dijadikan examination table utk child
-the child's leg straddle the parents' body, which allow the parent to restrain the child legs and hands.

young children ( 2-6 years)
-parents sit in the dental chair and the child lies across her or his lap. The child's head positioned in the parents arm

older children ( >6 years)
-child sit on the dental chair