Turn Fear Into Smiles (p.43)

By Dr. Jason Gladwell

A little information and relaxation goes a long way when trying to ease your child into orthodontic treatment. It's natural for children, and even adults, to be nervous about their first visit to the orthodontist. In life, fear usually stems from the unknown – that's why it is so important that your child's orthodontist not only presents a relaxing and welcoming environment, but also explains the orthodontic process, why treatment is sometimes needed, and what to expect at each step along the way.

I find a "tell, show, do" technique does exceptionally well at easing a child's concern about treatment. First, we tell the child what procedures will be done, in a language they will understand, using descriptions like "shampoo for teeth" for toothpaste. Then, we show them as much as we can before a procedure is actually performed (with the exception of needles, of course), so they will understand exactly what is happening and why. Lastly, we simply do the treatment. Often, this is enough to calm their nerves through the treatment, and enough to bring them back happy and willing for their next appointment.

Additionally, when we have patients with younger siblings, we love to let them see what's going on when possible, including watching the exam, involving them in discussions and explanations, and showing them that we are not hurting brother/sister. These experiences work to positively reinforce their experience.

Orthodontic offices may have various environmental elements and patient programs to help ease the patient's mind, shift their focus, and make them feel comfortable. For example, a game room in the waiting area helps keep patients preoccupied before their appointment starts and helps to set a fun, familiar tone, keeping them relaxed throughout the entire appointment. They may also offer rewards programs that acknowledge good dental practices and behavior, and contests with prizes that create excitement about treatment.

Parents might be surprised at how much they can influence their child's feelings about the orthodontist. It is important to realize that parents can ease a lot of their child's fear or anxiety by simply staying calm themselves and treating orthodontic treatment as a natural stepping-stone to a healthy smile. Ease your child into orthodontic treatment by following these simple steps:

– Don't make a big deal about your child's orthodontic appointments (especially their first), so he/she doesn't have the chance to get anxious about the upcoming visit.

– Avoid negative comments, such as "I don't like the dentist." These phrases will never make your child's visit more pleasurable, and will most likely cause a negative association with the orthodontist chair.

– Create a soothing environment as much as possible, even if that means leaving siblings with a babysitter. If anyone is creating a nervous or anxious environment, they will most likely become nervous themselves and have a negative experience.

Start your child's dental checkups early. Early checkups help to ensure proper home practices are being followed, minimizing the risk of future treatment. It also builds a history of positive visits a child can relate to later and not be afraid.

Dr. Jason Gladwell is a board certified specialist in orthodontics and a premier provider for Invisalign. To learn more about Dr. Gladwell and his staff, please visit www.gladwellorthodontics.com.