pedo clinic set-up · pedodontic clinic designing • children behave, expect and relate to the...

PEDO CLINIC SET-UP

BDS FINAL YEAR 17-04-2020

• INTRODUCTION

• PEDODONTIC CLINIC DESIGNING

• TEAM APPROACH

• DESIGN OF EQUIPMENTS

• ADDITIONAL CONSIDERATION

• CONCLUSION

• REFERENCES

CONTENTS

Marwah N. Pedodontic clinic. Textbook of Pediatric Dentistry. 3rd ed. Jaypee Brothers Medical Publishers. New Delhi, 2014: 21-26.

• Dentistry for children is not difficult but

different from that for adults.

• The environmental needs of children are

different and it is preferable to plan a dental

office that encourages feeling of care and

familiarity.

INTRODUCTION

INTRODUCTION

• According to Braham and Morris,” The

environment should encourage children

to have the parents side and well facilitate

separation when child is transferred to

the dental operation”.

INTRODUCTION

Children constitute about 40% of the nation’s population, so the

dental clinics must be “child friendly”.

It is important for dentists to know various aspects of dental

experience that can have positive or negative impact on child

behaviour.


PEDODONTIC CLINIC DESIGNING

• Children behave, expect and relate to the surroundings

much differently so must be design of clinic & functioning.

• Pleasant visit to dental office promotes trust and

confidence in a child.

• The dentists goal, along with the staff, must be to help all

children feel good about visiting the clinic.

1. Space provision

2. Reception at front desk

3. Waiting area

4. Attire & presentation of clinic staff

5. Colors, smells & sound


To make clinics child friendly

6. Instructions for children/parents

7. Readiness to accept children as they are

8. Gifts and rewards

9. Audio-visual aids for entertainment

10. Team approach

To make clinics child friendly

FRONT DESK

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• Provision of some empty spaces is necessary.

• Children require free, empty spaces. They don’t sit

in one place. Stand near a window, move around reception

or table or keep looking for interesting things around.

• Empty spaces for keeping interesting things like fish tank

or a slide is better way to engage them and relive their

anxiety of dental check-up or treatment.

Space provision/play area

• Use of creative children’s designs and bright and cheerful

colors in interior decoration of dental clinic takes the child’s

mind out of atmosphere of the dental space.

• Cartoon images and characters, in the form of posters on the

walls; or have a shelf of full of toys to play.

• Children will be away from the noisy environment and adults’

complaints; and will be more comfortable with peers in the

room.

• Installing DVDs or TVs to play animations is another

important thing that can entertain children.

• If the waiting room is large enough, considering a

playground is a very interesting and tempting idea to

attract children.


Reception area:

• A friendly welcome, cheerful conversation and playful

atmosphere will make a child be comfortable and relaxed.

• So receptionist should possess communication skills to deal

with children effectively.

• He/She must call every child by his/her name and converse

about the topics of their interests and engage them in

conversation.

• The reception should be adjoining the play area so that not

only can the receptionist keep a watch on behaviour of

child but also is able to engage them in conversation

thereby alleviating their dental anxiety.

• Admission section should convey a sense of inviting and

welcoming. For office clerk, who is responsible for accepting

patients & archiving file an appropriate place must be

considered for her.

• Admissions section should be such that the patients sit on one

side and office staffs stay on the other side.

• And visitors can talk to staff at the reception desk and fill in

necessary forms.


Waiting Area:

• It is necessary that the waiting time of a child in the dental

clinic is made pleasant. Children having to wait for long time

become bored.

• This area is especially useful for children, who are big

enough for the play area and would like to show their

intellect and engage in smarter games.

• Books and games for elder children and waiting parents.

• For parents, dental clinics be equipped with a

laptop and mobile phone charging stations at the

coffee shop, which can be taken advantage of during their

children’s treatment.

• The installation of special shelf for a variety of

magazines, books can give parents entertainment. It is

better to have separate bathrooms for children and

adults in the corner of the hall.

Management room

Mohammad K. A Standard Pediatric Dental Clinic. Modern Approaches in Dentistry and Oral Health care, 2018: 3(1): 219-222.

• Design of management room, the goals are determined

by types of decorations and designs.

• Should represent personality, authority, ability of a good

manager.

• When entering the room, the patient must understand

that it can be trusted by the manager, regardless of the

type of contact, the appearance of the manager, the

arrangement of the furniture and any details about it.


• Along with office arrangement, one should also be sensitive to

the colors used. Never use fancy colors for interior design.

• Colors with a cream range and a combination of cream colors

with white and light brown are the most suitable colors for

the interior design of office chairs.

• The interior lighting of the room is also very important. It’s

better to use modern lighting to make the management room

decorations more attractive.

Dentist’s private office:


• It is important for the dentist to have “private” areas

to rest there during the day for mental breaks.

• It is better to have a comfortable sofa, recliner chair.

• Large windows always give a psychological break.

• A private closet and bathroom to accompany the

office.

Examination room:It is designed for initial patient

examinations. This room has

been integrated into the

treatment room due to lack of

space. The separation of such a room is

essential for children, because for the

initial examination it is not necessary

for the child to go to the treatment

room and have too much anxiety.

It should be noted that this is

the first place a child gets

familiar with dentist.


• Walls of examination room should be in bright colors and

decorated with special posters for kids.

• Near dental chair, oral hygiene kits including baby doll

toothbrush, children’s toothpaste, and a dent form.

• On dental chair, kid’s dental turbines, kid’s handpieces with a

rubber tip and small monitors be installed.

• By doing this, you can prepare a good background for

children to familiar with the environment and some of the

dental instruments.

Treatment room:

• Next space includes patient treatment ward.

• Dental chair is a device that patient undergoes for the

duration of treatment, at the same time tolerates dental

panic & anxiety.

• For a pediatric dental clinic, room is one of the most

important parts of the clinic. A child should not get anxious

and stressed when arriving. Designed and installed in such

a way that patient feels calm & comfortable.


• The atmosphere inside the treatment room should be

cheerful. Dental units with pediatric designs should not be

replaced by conventional units.

• The color of the room and the units should be cheerful and

relaxing. In the decoration and design of this room, there

must be a special creativity that upon the arrival, the child

does not have the feeling to be taken to the dentist’s office.

Mental relaxation to treatment room by following these principles:

One can use full-glass windows & plant all kinds of

greens, flowers in garden opposite these windows.

If the room is on floor of building with its window

opening to the leaves of trees, you can give a

stunning and tranquil view to patient’s eyes in dental

unit.

If your office is in basement of a building and room

where unit is installed does not have a window; then

you can hang a beautiful, relaxing painting in front of

dental chair.

• Headphones on your unit for the patient, and play light

and relaxed music; or children’s music be spread through

the speakers with a gentle tone of voice.

• Installation of a television in front of the unit can also be

effective because the patient’s mind focuses on other

programs and images.

• And their minds divert the issue of pain and fear from the

dental environment to other issues.

Radiography room:

• Regardless on which wall the x-ray machines are, the

equipment and chair be positioned to allow ease of access

to both left and right sides of the mouth.

• Installation of a suitable air suction device in the

radiographic room is mandatory.

• The radiograph door must have a lead of 2 millimeters and

be fitted with appropriate grips and hinges for the door.

• Many dental offices make use of digital radiography.

• Patient safety instruction in dental curricula.

• Routine inspection of physical facility in regards to patient

safety. Periodic review of office emergency and fire safety

protocols and routine inspection and maintenance of clinical

equipment.

• Minimizing radiation exposure through adherence to as low

as reasonably achievable (ALARA) principle, equipment

inspection and maintenance, and patient selection criteria.

Council on Clinical Affairs. Policy on Patient Safety. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, 2018; 135-138.

Policy on patient safety

• Minimizing exposure to nitrous oxide by maintaining the

lowest practical levels in dental environment.

• Comprehensive review and documentation of indication

for medication order/administration.

• Promoting a culture where staff members are empowered

and encouraged to speak up or intervene in matters of

patient safety.

Council on Clinical Affairs. Policy on Patient Safety. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, 2018; 135-138.

Policy on infection control

• Acknowledges the Centers for Disease Control and

Prevention’s Guidelines for Infection Control in the Dental

Health-Care Setting-2003.

• Encourages providers to follow CDC recommendations to

heat sterilize all dental handpieces, including low-speed

motors and removable prophylaxis angles, between

patients.

Council on Clinical Affairs. Policy on Infection Control. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, 2019; 1-2.

Policy on infection control

CENTRAL STERILIZATION ROOM (CSR)

• To control the infection, provides facilities for washing

clothes in same environment so that employees do not have

to carry clothes with them to wash them home or out of the

health environment.

• This is also a special room to sterilize all instruments used

daily.

• This section includes a washing room, an ultrasonic machine,

an oil machine, a pack unit, an autoclave unit and other

necessary pieces of equipment.

DENTAL LABORATORY

• Lab to be outside the range and in the hallway or separate.

• If laboratory space is included in clinic design, it is better to

place this room at the very end of the clinic space away from

the treatment room and playroom.

• This will reduce sound emission from lab, which is a factor in

exacerbating stress in children and parents.

• Some dentists prefer to use a lab in the city.

TIPS FOR CHOOSING COLOR AND LIGHT FOR A DENTAL CLINIC

• Each color has a special physical and emotional effect on

viewer, and people have different reactions to different colors.

• Color, light, and water can help create a clear and vivid

environment in the office.

• The use of happy colors is very important for designing the

baby’s waiting room.

• The use of bright colors like light blue or cream makes the

office space wider.


TIPS FOR CHOOSING COLOR AND LIGHT FOR A DENTAL CLINIC

• Use of mirrors can also help to make the office larger. Mild

colors can also affect the patient’s inner peace.

• Use a colorful background for the waiting room and the

treatment room, and only consider the degree of darkness

and brightness of the color in these two rooms.

• It is better to use the same color for waiting room &

treatment room.


Attire & Presentation of Clinic Staff

• Children have mostly white coat anxiety so avoid of

the a typical attire of dental staff.

• Make an attempt to meet a child casually in

consulting room, take a brief history and assesses the

behavior.

• Finally the child to dental chair after showing around

the clinic and meeting staff.

COLORS, SMELLS AND SOUNDS

• Children imagine and accept bold, bright fresh color like

yellow, red, blue, green, orange, pink and dislike such as

grey, black, white and brown etc

• Smells of spirit, eugenol, acrylic and waxes are may be

irritated to children.

• The voice of the air-rotor handpiece, ultrasonic cleaner

can be disturbing too.Hence it is best to mask these

sound by use of light instrumental music.

INSTRUCTIONS FOR CHILDREN & PARENTS

• Do not tell your child about pain, injections etc in the first

place.

• Do not tell your child something like you don’t brush properly,

doctor will give you an injections or teeth will be removed.

• Dont voice your own fears about pain blood etc.

• Dont promise him/her in advance about the time the doctor

would take to treat, the pain he/she might get etc.

• Give your doctor enough time to talk to your child.

• Report to the doctor any past negative experience.

GIFTS AND REWARDS

• Give a child a token of apprecition for good work with a small

gifts such as pencil, dolls, cars etc.

• Gifts means it is freely given and is not earned by the

recipient.

• Reward means it is not a prize, its compensation for the effort

somebody has made.

• Even calling a child a Good boy or a Good girl or a drawing a

star on his/her hand can work like reward.

• Never bribe the child before treatment.

TEAM APPROACH

• The team should work with a flexible approach , learn

communication skills to deal with children effectively and be

positive.

• The initial visits are sufficient for ascertaining the child the

cooperation and diagnosis and treatment planning.

• The whole team should work with a plan for each visit of a

child like plan for subsequent visit if an uncooperative child.

ADDITIONAL CONSIDERATIONS IN PEDODONTIC CLINIC

• Ground or first floor location if possible.

• Designated play area for young children in reception rooms.

• Horseshoe traffic pattern in which children are called to

operation from one door and exit by other.

• At least 1 (preferably 2) quiet operatory for performing

lengthy procedures with sound proofing.

• Wallpapers to take wear and tear of small hands better than

painted walls.

• A TV/VCP mounted on a wall.

CONCLUSION• A child’s environment including his/her clothes, toys, and

home accessories convey many psychological messages

through colors.

• The child’s dental anxiety and his perception of the dental

environment is a barrier to dental care.

• The changing expectations of children encourage pediatric

dentists to develop a more child-friendly atmosphere in their

dental clinics. Environmental elements that produce positive

feelings can reduce anxiety.

REFERENCES

• Mohammad K. A Standard Pediatric Dental Clinic. Modern Approaches in Dentistry and Oral Health care, 2018: 3(1): 219-222.

• Maha AlSarheed. Children’s Perception of Their Dentists. European Journal of Dentistry, 2011; 5: 186-190.

• Umamaheshwari N, Asokan S, Kumaran TS. Child friendly colors in a pediatricdental practice. Journal of Indian Society of Pedodontics and Preventive Dentistry, 2013; 31: 225-228.

• Marwah N. Pedodontic clinic. Textbook of Pediatric Dentistry. 3rd ed. JaypeeBrothers Medical Publishers. New Delhi, 2014: 21-26.

• Tendon S. First dental visit for a child. Paediatric Dentistry. 3rd ed. Paras medical publisher. New Delhi, 2018: 16-19.

• Council on Clinical Affairs. Policy on Patient Safety. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, 2018; 135-138.

• Council on Clinical Affairs. Policy on Infection Control. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, 2019; 1-2.

pedo clinic set-up · pedodontic clinic designing • children behave, expect and relate to the...

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