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Biomedical subjects

J R Pinkham

Publications and source records attributed to J R Pinkham.

At least 19 recordsLinked to original sources

Personality development. Managing behavior of the cooperative preschool child.

Because communication is so important to the management of child behavior by the dentist, it must be remembered that the development of the child mentally, emotionally, socially, and cognitively is very important. The importance of the dentist's behavior management skills cannot be overemphasized as a determinant to the successful dental experience for the preschool child. This article provides an overview of behavior management domains for the preschool child, discusses the origin of misbehavior for seemingly "normal" children, and reviews the parental dimension of contemporary pediatric dentistry, and the dentist's role as an ontological coach.

Behavior Therapy

Ontological coaching and the "rules of the game".

For most misbehaving pediatric patients, their fear is linguistic (established and reinforced through internal dialogue anticipating the event) rather than biological (triggered involuntarily by a specific stimulus). This paper discusses ontological coaching, a means of addressing and reversing this negative perception. Setting appointment ground rules with the parents in advance also is addressed.

Behavior Therapy

Epidemiology and prediction of sports-related traumatic injuries.

All sports injuries, and this is certainly true of dentally related sports injuries, occur for predictable reasons. In some instances, these predictors have been well studied and are recognized by participants as well as coaches, dentists, and other responsible parties. In other instances, there is much to be learned about these predictors. There is no question that predictors have direct influence upon the incidence and prevalence data for dental injuries related to each sport. Because of the variability of these predictors from one sport to another, from one sports participant to another, from one age group to another, and even from on playground, field, or court to another, the importance and validity and usefulness of much of the data available currently is debatable. The importance of sports dentistry is not based solely on the urgency afforded by a given number of injuries among a specified number of participants over a certain amount of time. It is the predictable nature of these injuries and the need for the profession to take responsible action in their prevention and treatment that provides the strongest imperative for a sports dentistry movement.

Adolescent

Dental health examination and the pediatrician: an orientation to dental health according to developmental age groups.

There are a variety of oral/dental findings presented in the oral cavities of children that are of interest to the examining pediatrician. There are oral pathologic conditions and soft tissues anomalies. These include developmental anomalies and variations of the soft tissue, benign mucosal lesions, benign mesenchymal lesions, cysts and pseudocysts, odontogenic cysts and neoplasms of the jaws, benign nonodontogenic neoplasms of the jaws, and inflammatory lesions in bone. There are anomalies in the developing dentitions of children that a pediatrician needs to be aware of also. These include anomalies of number, size, shape, structure, and color. Certain childhood and systemic diseases also have oral manifestations which may aid in the diagnosis of a medical condition and which may need to be managed by the pediatrician as a part of comprehensive care. The pediatrician should appreciate that dental health of children can be divided into four age groups to aid in the understanding, diagnosis, prevention, and treatment of oral dental phenomena and concerns. These age groups are conception to age 3, 3-6 (the primary dentition years), 6-12 (the transitional dentition years), and adolescence.

Adolescent

Stress reactions of various judging groups to the child dental patient.

Dental personnel representing various levels of clinical experience and education in pedodontics were shown slides of potentially stressing situations within the field of pedodontics. Stress was identified through voice analysis by the Psychological Stress Evaluator (PSE-101). Clinical experience and education in pedodontics does not decrease either absolute or relative amounts of stress. Visual stimuli are capable of eliciting a stressful response. Trained raters can interpret voice prints with a satisfactory degree of inter-rater reliability. The PSE-101 is a valid indicator of stress.

Acoustics

Undergraduate clinical pedodontic education: an overview of two teaching systems.

This paper compares and contrasts two clinical teaching systems in undergraduate pedodontics: the block system and the total patient care system (TPC). Descriptions and rationales are given for specific block and TPC systems at two universities. Theoretical advantages and disadvantages are reviewed. Clinical data are presented that represent experiences of the graduating classes of 1978 at The University of Iowa (block) and the University of North Carolina (TPC). From this limited sample there appears to be little quantitative evidence that one system is better than the other when examining clinical experiences in the two schools studied.

Clinical Competence

Dental care for the homebound--assessment and hygiene.

A general categorization of homebound patients is presented to aid the dentist in assessing their treatment needs and requirements. The importance of oral hygiene is shown, and modifications of oral hygiene appliances are presented. The role of the general dentist in the care of these patients is stressed.

Dental Care

Inflammatory subluxation of the atlantoaxial joint.

A case of atlantoaxial subluxation accompanying pharyngitis is reported in a 4-year-old child. Diagnosis was made by examination and roentgenograms of the lateral cervical spine. Treatment consisted of halter traction and bracing. The patient responded well to treatment and is normal in all respects one year later. Atlantoaxial subluxation should be considered when treating pharyngitis, especially if the patient presents with torticollis.

Axis, Cervical Vertebra