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Abstract

Dentists who work with children can appreciate the difficulties encountered when attempting to provide high quality restorative care within a confined space. In this presentation, I will address the issue of how to maximize space available in the mouth whilst minimizing patient discomfort and maintaining a working position that does not cripple the operator! Topics covered include: Instruments which take up less space in the mouth Behavioural techniques and aids to maximize mouth opening Adaptation of dental equipment for use in the child patient Techniques to obtain radiographs with minimal discomfort Methods for administering local anaesthetic with less fuss Novel methods of rubber dam placement. Space within the dental surgery is also limited. A further issue to be addressed is the management of the whanau/family to optimize their presence in supporting the patient, yet minimize distractions within the confines of the surgery.