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Goals Behavior Guidance:1)communication-2) Alleviate fear and anxiety-3) Promote awareness-4)Promote positive attitude-5)build trusting relationship-6)Provide quality oral health care/Value of Fear:Fear primary emotion acquired soon after birth,great value and shouldn't be eradicated but channeled correct direction protection child against danger/True fear:1)Objective fear:sense Organs-2) Subjective fear:Suggested feelings(Imaginary fear-3)Needle pain fear/Untrue fear:1)Fear of unknown-2)Fear of strangers (dentist or his assistant)-3)Fear of separation from parents/abnormal parent behavior:1)Over affection(over love): Only child,Only boy or girl,youngest-2)Over protection:Previous accident,present difficulty-3)Over-indulgence-4)Over-anxiety:Previous illness,Previous accident-5)Over-authority-6)Under-affection:Social,economical reasons-7)Rejection:Immature parents/Timid or Shy: hide behind his mother,looks down floorManagement:1)Let patient feel home-2)Showing interest hobbies-3)Make conservation break shyness-4)reached through mother/Defiant child"resistant": defies dentist to do anythingManagement:1)firm tone-2)HOM-3)kindness/Fearful child: apprehensive ,heart beat fast-Management:1)analyze fear-2)conversation to know cause fear

Behavior Management Techniques LA: Talk to child-Word substitute-Tell Do-Distraction-Positive reinforcement-Manage parents-Sedation/Types of LA:1)Amide group: lidocaine,Mepivicaine,Articane-2)Ester group:benzocaine,Tetracaine/complication LA:1)allergic reaction-2)parasthesia-3)toxicity-4)trismus-5)post op soft tissue injury/LA devices:1)CCDS wand-2)vibrajet-3)syringe sleeve

Define dental caries: multifactorial transmissible disease caused by complex interaction betw cariogenic oral bacteria & fermentable carbohydrates on tooth surface over time/Clinical pic incipient caries:White spot lesion near gingival margin affect contralateral tooth,wetting lesion disappear/Etiology rampant caries:1)Malnutrition(vitaminA&C)-2)Emotional disturbance-3)Familial tendency-4)Hormonal disturbance-5)Poor oral hygiene/Management early child caries ECC:a)Prevention:1)Community based-2)professional examination-3)Development appropriate dietary & self care habits/B)Treatment:1)Stop habit-2)Sealing caries-3)Fluoride app-4)Pulp therapy-5)GA

Local factors ass delayed tooth eruption:1)Supernumerary-2)Insufficient Space-3)Ankylosis-4)Ectopic Eruption-5)Mucosal Barrier-6)Trauma/genetic disorders ass delayed tooth erup:1)Down syndrome-2)cleidocranial dysplasia-3)Achondroplastic dwarfism-4)gardener’s synd/