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    Due to his behavior history I told the mother that I could only provide the care with safety stabilization of her child, given the urgent status of her son need for treatment.

    The authorization to do the dental work was expedited by Medicaid and we saw Ryan for treatment 3 days later. At the visit with us, Ryan did not object to the use of a papoose board immobilizer.It was the second dentist to try treating this fidgety patient. Wayne Grossman at Gold River Pediatric Dentistry restrained him, strapping him down to something called a papoose board. He gave the analogy explaining how patients are strapped down with water sprayed into their mouths. He claims that lack of ability to move can traumatize a patient for life.According to the American Academy of Pediatric Dentistry, a 2010 survey found 72% of pediatric dentists use restraints. Burhenne who was trained in dental school how to use a papoose board, to demonstrate how it works. He also says a patient who can’t move while a dentist works in their mouth, would have a tough time telling the dentist if he or she can’t breathe or if something hurts.“This child was chemically and physically suffocated,” said family attorney Jim Moriarty at a news conference earlier this year. Perlman says it’s important the dentist discusses the options with the parent before the procedure, and has them sign a basic consent form. Grossman did go over the papoose board ahead of time, and she did sign a waiver saying one may be used, however she says she asked his office staff to notify her before actually using the restraint on Ryan.“He could’ve come out to let me know what was going on; maybe try to have me calm him (Ryan) down,” she said.

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