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Clinical Practice of the Dental Hygienist (Twelfth Edition)
Lesson Plans
Chapter 50 — The Pediatric Patient
Goals of the Lesson:
Cognitive: Students will identify considerations and techniques of pediatric oral hygiene and care, including preventative
care and parental education.
Motor: Students will practice proper care habits as well as the social and professional considerations involved in caring for
young patients and effectively instructing their parents.
Affective: Students will understand the importance of oral health for young patients and the role they personally play in
establishing proper routines and achieving efficient and regular dental appointments.
Learning Objectives:
The lesson plan for each objective starts on the page shown below.
50-1
Describe the specialty of pediatric dentistry ................................................................................................................ 2
50-2
Discuss the use of a caries risk assessment tool to identify an individual patient’s risk and prevention
factors .......................................................................................................................................................................... 4
50-3
Identify age-appropriate anticipatory guidance/counseling factors to educate parents/caregivers of toddlers,
schoolaged children, and adolescents .......................................................................................................................... 6
50-4
Identify preventive and therapeutic oral healthcare interventions based on age and caries risk assessment. .............. 9
50-5
Discuss oral health home care needs, adjunct aids, and contin;uing care recommendations for children ................... 11
You Will Need:
Gather the following materials and teaching aids for the following lessons:
50-1
Computer with internet
50-3
Provide a case study for the students and include pertinent information about the home environment, health
history of the child, and current home care and feeding patterns.
Legend: SG: Study Guide (Wyche, Active Learning Workbook for Clinical Practice of the Dental Hygienist, 12e);
PPt: PowerPoint; SR: student resource, available online; NA: not applicable; Note: Electronic ancillary assets can be
found on the book’s companion website at thePoint.lww.com/Wilkins12e.
Page 1
Copyright © 2017 Wolters Kluwer
Selected Key Terms
Adolescent
Anticipatory guidance
CAMBRA
Dental home
Grazing
Infant
Interim therapeutic
restoration (ITR)
Main caregiver
Nonnutritive sucking
Preschooler
PSR
School-age
Sippy cup
Tooth germination
Toddler
Wean
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
Objective 50-1
Describe the specialty of pediatric dentistry.
Date:
Lecture Outline
Content
 Pediatric health care

Primarily dependent on
parental intervention

Parents largely informed
by healthcare providers
 Key terms

See Box 50-1: Key
words: Pediatric oral health
care
 Pediatric dentistry
♦ The specialty
♦ American Academy of
Pediatric Dentistry
 The child as a patient
♦ Age classifications
♦ The dental home: first visit
no later than 12 months of
age
♦ Referral as necessary
♦ Early intervention
 Barriers to dental care

Lack of knowledge about
prevention

Language

Cost

Fear

No dental home

Dentist does not see
children under age 3 years
Page 2
Copyright © 2017 Wolters Kluwer
Text
page
856857
PPt
slide
1-4
Figures, Tables, and
Features
Boxes
50-1: Key words: Pediatric
oral health care
p. 856
Resources and
In-Class Activities
In-Class Activities
Web exercise: Have
students research for
pediatric dentists in their
hometown. Discuss if one
is available, their office
hours, and the
recommended age for the
patient’s first visit.
Outside Assignments
Evaluation
Outside Assignments
SR: Have students review
the audio pronunciations
and definitions for Chapter
50.
Knowledge Exercises, SG,
pp. 295-297
Competency Exercises,
SG, p. 297
Instructor’s Notes
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient

Dentist’s hours

Insurance

Transporation
 Child dental visits
♦ Purposes
♦ Frequency of continuing
care
♦ Scheduling
Legend: SG: Study Guide (Wyche, Active Learning Workbook for Clinical Practice of the Dental Hygienist, 12e); PPt:
PowerPoint; SR: student resource, available online; NA: not applicable; Note: Electronic ancillary assets can be found on the
book’s companion website at thePoint.lww.com/Wilkins12e.
Page 3
Copyright © 2017 Wolters Kluwer
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
Objective 50-2
Discuss the use of a caries risk assessment tool to identify an individual patient’s
risk and preventive factors.
Date:
Lecture Outline
Content
 Caries risk assessment

CAMBRA: caries
management by risk
assessment
o Purpose
o Principles
o Steps
o Classification by caries
risk
o ECC
Prevalence

Microbiology

Risk factors

Predisposing factors

Effects

Recognition

Text
page
PPt
slide
865870
10-14
Figures, Tables, and
Features
Tables
50-5: Caries risks and
protective factors to assess
at each dental visit
p. 866
50-6: Caries management
based on risk levels for
patients up to age 5 years
old
p. 868
Figures
50-4: Visualize the caries
balance
p. 867, PPt 11
50-5: Progession of ECC
p. 870, PPt 12
50-6: White spot lesions
p. 870, PPt 13
50-7: Cavitation of white
spot lesions
p. 870, PPt 14
Boxes
50-4: Caries risk levels
p. 867, PPt 8
Page 4
Copyright © 2017 Wolters Kluwer
Resources and
In-Class Activities
In-Class Activities
Have students review and
discuss Factors to teach the
parents in textbook p. 875.
Outside Assignments
Evaluation
Outside Assignments
Knowledge Exercises, SG,
pp. 295-297
Competency Exercises,
SG, p. 297
Instructor’s Notes
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
Legend: SG: Study Guide (Wyche, Active Learning Workbook for Clinical Practice of the Dental Hygienist, 12e); PPt:
PowerPoint; SR: student resource, available online; NA: not applicable; Note: Electronic ancillary assets can be found on the
book’s companion website at thePoint.lww.com/Wilkins12e.
Page 5
Copyright © 2017 Wolters Kluwer
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
Objective 50-3
Identify age-appropriate anticipatory guidance/counseling factors to educate
parents/caregivers of toddlers, schoolaged children, and adolescents.
Date:
Lecture Outline
Content
 Anticipatory guidance

For parents, caregivers,
and providers

Expectations during
stages of development

Individualized
information on child’s needs

Verbal

Written
 Dietary and feeding pattern
recommendations

Toddlers and
preschoolers

School aged

Adolescent
 Oral health considerations
toddlers/preschools
♦ Gaining cooperation
♦ Brushing and flossing
♦ Parental involvement
♦ Toothpaste
♦ Instructions for parents
 Speech and language
development
 Digit habits
 Accident and injury prevention
♦ School aged children
♦ Adolescents
 Oral malodor
Page 6
Copyright © 2017 Wolters Kluwer
Text
page
870875
PPt
slide
15-16
Figures, Tables, and
Features
Tables
50-7: Anticipatory
guidance: 12 months to 6
years of age
p. 869
50-8: Anticipatory
guidance: Age 6 to
Adolescence
p. 871
Figures
50-8: Dentifrice for a child
p. 873
50-9: Effects of prolonged
thumb sucking on teeth
p. 873
Resources and
In-Class Activities
In-Class Activities
Students who will provide
dental hygiene care for
mothers and their young
children will need to know
how to interview the
mother in order to gain
necessary information to
establish an effective
dental hygiene treatment
plan for the child.
Provide a case study for
the students and include
pertinent information
about the home
environment, health
history of the child, and
current home care and
feeding patterns.
(Suggested case study: A
child of three years and 2
months is seen for the
initial dental visit. Health
history reveals frequent ear
infections and placement
of two sets of tubes. The
child currently is taking no
medications. Oral
examination reveals
Outside Assignments
Evaluation
Outside Assignments
Knowledge Exercises, SG,
pp. 295-297
Competency Exercises,
SG, p. 297
Instructor’s Notes
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
♦ Causes
♦ What to teach parents
 Oral health considerations for
adolescents
 Tobacco/piercings/substance
abuse
 Referral
multiple caries, five
mandibular anterior teeth
with one tooth wider than
usual, and cervical plaque
throughout. Family and
feeding history indicates
late weaning and frequent
snacking on fermentable
carbohydrates. Mother
began brushing teeth at 2
years and currently brushes
her child's teeth in the
morning with fluoride
toothpaste.)
Divide class into pairs.
Provide the case study to
the students. One student
will role-play the dental
hygienist and one the
parent. The dental
hygienist will interview
the parent in front of the
class and use anticipatory
guidance as part of the
discussion with the
treatment plan. Before the
role playing moves to the
treatment plan discussion,
the class will be asked to
identify the pertinent
information derived from
the interview and how the
facts will be used to
determine an effective
dental hygiene treatment
plan, for the parent and
child. After that, students
will peer evaluate the
interviewing techniques
used by the dental
Page 7
Copyright © 2017 Wolters Kluwer
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
hygienist in the interview
session. They will be
asked to provide
suggestions and rationale
for how questions could be
better formulated to obtain
information.
Additionally: Wrap up:
Have students describe the
proper office environment
for conducting interviews
with parents, examining the
infant, and providing
demonstrations, using
anticipatory guidance for
the parent in proper
preventive oral health
techniques.
Legend: SG: Study Guide (Wyche, Active Learning Workbook for Clinical Practice of the Dental Hygienist, 12e); PPt:
PowerPoint; SR: student resource, available online; NA: not applicable; Note: Electronic ancillary assets can be found on the
book’s companion website at thePoint.lww.com/Wilkins12e.
Page 8
Copyright © 2017 Wolters Kluwer
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
Objective 50-4
Identify preventive and therapeutic oral healthcare inteventions based on age and
caries risk assessment.
Date:
Lecture Outline
Content
 Patient management
considerations
♦
nonverbal communication
 Toddlers (1 to 2 years of age)
♦
Primary teeth vunerable to
tooth decay
♦
Use child friendly terms
♦
Oral examination
♦
Examination sequence
 Preschoolers (3 to 5 years of age)
♦
Preparing for the dental visit
♦
Positioning
♦
Parental involvement
 School age children (6 to 11)
 Adolescents (12 to 18)
 Components of the dental
hygiene visit
♦
Initial interview/new patient
♦
Child and family
medical/dental history
o
Family configuration
o
Medical history of the
child
Page 9
Copyright © 2017 Wolters Kluwer
Text
page
857865
PPt
slide
5-9
Figures, Tables, and
Features
Tables
50-1: Oral and soft tissue
conditions/pathology in
children approximately 6
months to 5 years
p. 858
50-2: Milestones in child
development: 12 months to
5 years
p. 859
50-3: Psychosocial
development of
adolescents
p. 861
Resources and
In-Class Activities
In-Class Activities
(Continued from obj. 503): Have students write an
appropriate dental hygiene
treatment plan for the case
and to provide the
rationale for their decisions
in writing. This exercise
will be followed by
presentations and class
discussion.
Have students describe the
proper office environment
for conducting interviews
with parents, examining the
50-4: Tooth development
infant, and providing
and eruption: primary teeth demonstrations for the
p. 862
parent in proper preventive
oral health techniques.
Boxes
50-2: Child friendly
substitution words for
dental terminology
p. 857
50-3: Use of xylitol:
AAPD recommendations
for children
p. 864
Outside Assignments
Evaluation
Outside Assignments
Knowledge Exercises, SG,
pp. 295-297
Competency Exercises,
SG, p. 297
Instructor’s Notes
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
♦
Intra-extra oral examination
♦
Developing dentition,
occlusion, TMJ
♦
♦
o
Evaluation
o
Referral
♦
50-3: Premature loss of
second primary molar
p. 863
Radiographic assessment
o
Radiographic needs
o
Cooperation
Dietary assessment
o
♦
Figures
Diet instruction
suggestions
Dental hygiene treatment
o
Purpose
o
Types of dental hygiene
treatment
o
Instrumentation
Prevention
o
Fluoride
o
Dental sealants
o
Xylitol
o
Antibacterial agents
 Periodontal risk assessment
♦
Gingival and periodontal
evaluation
♦
Periodontal infections
o
Biofilm induced
gingivitis
o
Risk factors for
periodontitits
Legend: SG: Study Guide (Wyche, Active Learning Workbook for Clinical Practice of the Dental Hygienist, 12e); PPt:
PowerPoint; SR: student resource, available online; NA: not applicable; Note: Electronic ancillary assets can be found on the
book’s companion website at thePoint.lww.com/Wilkins12e.
Page 10
Copyright © 2017 Wolters Kluwer
Clinical Practice of the Dental Hygienist (Twelfth Edition)
Chapter 50—The Pediatric Patient
Objective 50-5
Discuss oral health home care needs, adjunct aids, and continuing care
recommendations for children.
Date:
Lecture Outline
Content
Text
page
872876
 Oral health considerations
toddlers/preschools
♦ Gaining cooperation
♦ Brushing and flossing
♦ Parental involvement
♦ Toothpaste
♦ Instructions for parents
 Speech and language
development
 Digit habits
 Accident and injury prevention
♦ School aged children
♦ Adolescents
 Oral malodor
♦ Causes
♦ What to teach parents
 Oral health considerations for
adolescents
 Tobacco/piercings/substance
abuse
 Referral
PPt
slide
15-21
Figures, Tables, and
Features
Boxes
50-5: Example
documentation: preventive
dental hygiene visit by
child patient
p. 875
Features
Factors to teach the parents
p. 875, SG, p. 298
Everyday Ethics
p. 874, SG, p. 297
Resources and
In-Class Activities
In-Class Activities
Have students form groups
and conduct Internet
searches for pacifiers and
other teething products.
Ask the group to select an
ideal pacifier and one they
feel is problematic. Next,
have them explain their
choices to the class.
Outside Assignments
Evaluation
Outside Assignments
SR: Have students take the
quiz for Chapter 50.
Knowledge Exercises, SG,
pp. 295-297
Competency Exercises,
SG, p. 297
Evaluation
Create an exam for
Chapter 50 using Test
Generator.
 Treatment planning and consent
 Documentation
Legend: SG: Study Guide (Wyche, Active Learning Workbook for Clinical Practice of the Dental Hygienist, 12e); PPt:
PowerPoint; SR: student resource, available online; NA: not applicable; Note: Electronic ancillary assets can be found on the
book’s companion website at thePoint.lww.com/Wilkins12e.
Page 11
Copyright © 2017 Wolters Kluwer
Instructor’s Notes