why won’t he sit still?…because he can’t! - a study on adhd

Smiles Across America Webinar Series

Date: 03/29/2016

Why Won’t He Sit

Still?…Because He Can’t!

/Oral Health America @Smile4Health

Connect with OHA!

/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

ADVOCACYHEALTH

LITERACYACCESS

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.

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 Demonstration

Projects

Professional

Symposia

Advocacy Health Education &

Communications

Technical Assistance

Product Donation

Grant Funding

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

USA 5-8% (2.5 million)

Japan 7%

China 6-8%

New Zealand 7%

AD/HD PREVALENCE

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 COSTS

Defiant behavior leads to Resentment by other siblingsTurbulent family life Frequent school punishments ↑ Risk for early substance abuse

AD/HD UNTREATED/UNDIAGNOSED

30-50% Repeat a grade @ least 1x

35% Fail to graduate high school

60% Failed social relationships

AD/HD Driving Stats

30% engaged in theft

40% substance use

20% set serious fires in their communities

25% expelled from high school

↑ Teen pregnancy rates

↑ STD rates

AD/HD TEENS

www.chadd.org

CHADD

1.

2.

3.

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

1. HEREDITARY DISORDER

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

2. Abnormal Brain Development

ANS catecholamine

Disturbances w/ dopamine signaling systems

Spinal samples shown decreased levels

3. Dopamine Levels in Brain

Source: www.drugabuse.gov

DSM-V

MD / Pediatrician

Psychiatrists

Clinical Psychologists

Clinical Social Workers

Neurologists

PROFESSIONALS WHO DIAGNOSE

COMPREHENSIVE EVALUATION

Needs to take place before an official diagnosis is made

Variety of sources Child needs to meet ALL DSM-5 criteria

www.wordpress.com

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)

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. Stimulant2. Non-Stimulant

70-90% show improvement

MEDICATIONS

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

Ritalin Methylphenidate Stimulant

Straterra Atomoxetine Non-Stimulant

Vyvanse Lisdexamfetamine 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 Browntyler.brown@oralhealthamerica.org