1. .

4. Cerebral palsy (C.P.)

10. 50-75%
, 25%
(nystagmus)
(strabismus)
50%
1/3
25 %

11. Delayed growth and development. failure to thrive
C.P. spastic quadriparesis.
Spinal deformities.
Speech and language disorders.
Drooling
Incontinence
Stereognosia

12. C.P.

13. C.P.
Bruxism:
mouth guard

14. C.P.
Rumination:
( demineralization)

15. C.P.
Pouching:

16. C.P.
Pica:
1
(Pica Diseases)

17. C.P.
gastroesophageal reflux
Gingival overgrowth

19. C.P.
enamel hypoplasia
Bruxism and tooth clenching
( )
Fracture and avulsion of the anterior teeth (fall)

20. C.P.
Many clinicians :
Higher DMF rate than normal
Higher score of decay
Higher score of missing
Fewer score of filling

21. C.P.
Malocclusion : Weyman 1971
Spastic C.P. more prone to Class II division2 and
unilateral crossbite
Athetosis C.P. more Class II division1 with high narrow
palate, tongue thrust, and anterior open bite
Ataxic C.P. exhibits Class II division1

23. :

24. :

25. :
* *

26. (Tender, love and care)
:
Behavior shaping management technique
- - (Tell - show do)

27. :

28. :
Diet counseling
Fluoride
; routine oral exam.,
topical fluoride application, sealant

29. :

35. preset

37. mouth prop
Papoose board

38. clamp
.
short acting anesthetics

40. * *

45. / - .
(emergency)

47. IQ = M.A. x 100
C.A.
M.A. (Mental age)
C.A. (Chronological age)
100
IQ 70

48. (Tender love and
care)
.

50. Tell- show-do
(Distraction)
(Reinforcement)
(Immobilization in cases with hyperactive)

51. Mild sedative + immobilization
Mouth prop

52. Ultra short acting anesthetics

53. (Down s syndrome)
Trisomy 21
John Langdon Down 1865

56. -
Cataract 5%
Brush-field spots

57. 30-40%
sleep apnea
5-10%

58. 70 mild-moderate M.R.

59. IQ
tell-show-do

77. ( )

86. Ornitz & Ritvo (1976) 2/3 3/4
Young (1989) 75-80 %
2/3
1/3
1-2 %

87. 70-80 %
40-60 %
/ 44 %
25-40 %
25-40 %
10-30 %

88. 10 %

90. 1 : 2,000
Green D, Flanagan D (2006) 1: 150
: =4:1

92. 5

101. :
:

105. . /

106. Tell-show-do ( )

107. . explorer

108. Hyperactive child
:

109. Hyperactive child
:

113. Visual pedagogy in dentistry for children with autism
Visual pedagogy
Backman B,Pilebro C.
Visual pedagogy in dentistry for children with autism.
ASDC J Dent Child.1999.

114. Visual pedagogy in dentistry for children with autism
The front door The waiting room

115. Visual pedagogy in dentistry for children with autism
The dentist
The operating room
The lamp

116. Visual pedagogy in dentistry for children with autism
Mouth wide
open
Instrument and
objects to be
used.

117. Visual pedagogy in dentistry for children with autism
Visual pedagogy
is a way of
introducing dentistry
to children with autism.

118. Visual pedagogy

119. Visual pedagogy

120. Visual pedagogy

121. Visual pedagogy

122. Visual pedagogy

123. Visual pedagogy

124. Visual pedagogy

125. Visual pedagogy

126. Visual pedagogy
2

127. /
/

128. /

129. /

133. Preventive management
High caries risks
Oral hygiene instruction
o
o Scrub technique
o
o
o
o
o

134. Preventive management
Diet counseling
6

135. Preventive management
Fluoride
Professional topical fluoride [Fluoride varnish]
Fluoride supplement
Fluoride toothpaste
Pit & fissure sealant
Injuries prevention counseling
Regular professional supervision recall

137. Mouth protector
:

143. .

146. :

149. 26-90 dB
> 90 dB

150. Oral method of communication
Manual method of communication
Total communication

151. Manual method

152. Finger spelling of Thai alphabets

154. /

155. Lip reading
2-3
(Not emphatic words)

156. Body language & feeling
(Facial expression)
(Posture)
(Movement)

157. Thank you for your attention
Dtmak @ mahidol.ac.th