Reference no: EM133537644

It has been a quiet morning at the Smiles Are Us pediatric dental practice. Your new patient, Tommy Tuff, has finally shown up 15 minutes late for his appointment. He is 6 years old and this is his first visit to the dentist, ever. Ms. Tuff completes his new patient forms and health history while Tommy is playing a video game in the reception area. Ms. Tuff states that Tommy is in quite a bit of pain and must be seated and seen by the dentist immediately. As you escort Tommy and his mother back to the treatment room, he begins to cry and tell his mother he is afraid it is going to hurt and he does not want to sit in the chair. Tommy's mother immediately says it will not hurt at all and it is going to be a fun visit. She also promises Tommy a new toy if he sits in the chair and opens his mouth so you can take an x-ray.

1. How should you intervene in a positive way to encourage Tommy's cooperation?

2. Mrs. Tuff is now insistent that Tommy sits in her lap and as she speaks to Tommy he begins to cry more and refuses to open his mouth. Mrs. Tuff continues to tell Tommy that it won't hurt and if he only opens his mouth, he will get a toy. What steps can you take now to get Tommy to cooperate?

3. Tommy is cooperative with having his x-ray taken but unfortunately the x-ray reveals a significant infection and his tooth will need to be extracted. His jaw is swollen and an abscess has developed. The dentist has explained to Mrs. Tuff that treatment is necessary as soon as possible. As Mrs. Tuff leaves the treatment room, Tommy begins to cry and throw a tantrum. He refuses to open his mouth. What is the best course of action to ensure Tommy can be treated today and that the procedure will go smoothly?

4. Explain what steps should be taken if and when Tommy returns for future appointments. Considering Tommy's age, what if any choices can he be given due to his need for autonomy? Provide examples of ways to "include" Tommy in dental procedures. Why is this important?