Smiles Across America Webinar Series
Why Won’t He Sit Still?…Because He Can’t!
Date: 03/29/2016
Connect with OHA! /Oral Health America
@Smile4Health
/Oral Health America
@Smile4Health
HOUSEKEEPING INFORMATION • •
Please remember to MUTE your phone. Questions are welcome! We’ll allow 10-15 minutes after the presentation for questions. •
•
• •
Questions will be accepted in writing through the control panel on the upper right hand of your screen. Submit questions at any time; we will address them at the end of the presentation.
Webinar is being recorded; for rebroadcast on OHA’s website – OralHealthAmerica.org Your feedback is important to us. Please take our brief webinar evaluation after this session; link will be sent via email.
CE Credit Available
OUR MISSION Oral Health America’s mission is to change lives by connecting communities with resources to drive access to care, increase health literacy, and advocate for policies that improve overall health through better oral health for all Americans, especially those most vulnerable.
OHA PRIORITIES OHA’s Programs and Campaigns are designed to improve access to care, oral health literacy and policies that prioritize the impact of oral health on the overall health of all Americans – particularly those most vulnerable.
ACCESS
HEALTH LITERACY
ADVOCACY
Campaigns for Oral Health Equity Educate the public, including policy makers, about the importance of oral health for overall health Emphasize the need to prioritize oral disease alongside other serious health conditions Advocate for policies that positively impact programs and stakeholders Current campaigns include:
toothwisdom.org
Advocacy
Health Education & Communications
Professional Symposia
Demonstration Projects
Grant Funding
Product Donation
Technical Assistance
Why Won’t He Won’t Sit Still? …… Because He Can’t! Working Effectively with AD/HD in the Dental Office
Lisa Dowst-Mayo, RDH, BSDH Pursuing Masters of Healthcare Administration Ohio University
Class Clown!
1. 2. 3. 4. 5.
FIVE PRIMARY PROBLEMS 1. 2. 3. 4. 5.
THREE TYPES 1.
1. 2.
1902
1970
1987
AD/HD PREVALENCE USA Japan China New Zealand
5-8% 7% 6-8% 7%
(2.5 million)
AD/HD COSTS Parents will spend 2x amount of money raising a
child with AD/HD If not graduate high school = Economist’s estimate cost to society = $370,000-$450,000
AD/HD UNTREATED/UNDIAGNOSED 30-50% 35% 60%
Repeat a grade @ least 1x Fail to graduate high school Failed social relationships
Defiant behavior leads to
Resentment by other siblings Turbulent family life Frequent school punishments ↑ Risk for early substance abuse
AD/HD Driving Stats
AD/HD TEENS 30% engaged in theft 40% substance use 20% set serious fires in their communities 25% expelled from high school ↑ Teen pregnancy rates
↑ STD rates
CHADD www.chadd.org
1. 2. 3.
1. HEREDITARY DISORDER
1. HEREDITARY DISORDER 2 Genes associated with AD/HD 1. D4RD Related to personality dimension known as novelty seeking 2. DAT1 Regulates dopamine activity in the brain Influences how quickly dopamine is removed from the synapse Dopamine affects emotion, perception, movement
2. Abnormal Brain Development Frontal-Orbital Responsible for inhibiting behavior, sustaining
attention, employing self-control, planning for the future Leads to deficient catecholamine's (dopamine, norepi) Why medications are effective
3. Dopamine Levels in Brain ANS catecholamine
Disturbances w/ dopamine signaling systems Spinal samples shown decreased levels
Source: www.drugabuse.gov
DSM-V
PROFESSIONALS WHO DIAGNOSE MD / Pediatrician
Psychiatrists Clinical Psychologists
Clinical Social Workers Neurologists
COMPREHENSIVE EVALUATION www.wordpress.com
Needs to take place before an official diagnosis is made Variety of sources Child needs to meet ALL DSM-5 criteria
MULTIMODAL APPROACH Recommended way to manage AD/HD
Involves parents, professionals, child educators,
management techniques, medication, school accommodations “Treatment should be tailored to the unique needs of each child and family.” (CHADD website)
MEDICATIONS NOT recommended as sole tx Best if parents are only going to utilize 1 tx
option 1/6-1/2 ADHD patients 2 classes 1. Stimulant 2. Non-Stimulant 70-90% show improvement
MEDICATIONS
Proprietary Name
Generic Name
Type
Adderall
Amphetamine/Dextroamphetamine
Stimulant
Concerta
Methylphenidate
Stimulant
Daytrana
Methylphenidate patch
Stimulant
Dexedrine
Dextroamphetamine
Stimulant
Dectrostat
Dextroamphetamine
Stimulant
Focalin
Dexmethylphenidate
Stimulant
Metadate
Methylphenidate
Stimulant
Methylin
Methylphenidate hydrochloride
Stimulant
Methylphenidate
Stimulant
Ritalin Straterra
Atomoxetine
Vyvanse
Lisdexamfetamine
Non-Stimulant Stimulant
www.sodahead.com
PRIOR TO APPT
GREETING
COMMUNICATION
β
ORAL HYGIENE
PAIN TOLERANCE
Question and Answer Session • Questions are welcome! This session may last for 10-15 minutes. • Write your questions in your control panel on the upper right hand of your screen. • Submit questions at any time.
CE Credit Available
Contact Information Lisa Dowst-Mayo http://www.lisamayordh.com/contact-us
Tyler Brown tyler.brown@oralhealthamerica.org