Management The first step in diagnosis of disorder is to interview parents and then teachers although psychologists, psychiatrists, pediatricians or teachers of child can diagnose disorder. Generally parents are not first to notice. The best person to manage child in this context is a psychiatrist. There are basically two sets of management and both are to be given simultaneously in order to manage child. The disorder might run forever. Nutrition and child psychotherapy do not seem to help in treatment.

Medical Although there are different medications available in market but most effective ones are adderal, Ritalin and strattera. Like all other CNS medicines, these are not without any side effects. For e.g. adderal has side effects of nervousness, irritability, dry mouth, sleeplessness and stomach upset. Similarly Ritalin causes above symptoms and decreased appetite. Strattera comes with side effects of insomnia and anorexia. Counseling In a recent study long term combination therapy with both medical and counseling were far better than either of them alone.

When you go to dentist, you get more than cleaning. If cleaning is all you can get from dentist as dental care, your dentist might be getting more than your money's worth. When you visit dentist, you actually get a full spectrum of dental care. The full spectrum includes diagnostic, preventive, and educational services specifically and individually designed to help you keep best possible smile.

The diagnostic part of dental care spectrum includes:

1. A review and update of your medical history 2. A recording of any changes in your prescribed medications and physical condition 3. X-rays for detecting decay, bone loss, and oral diseases 4. An examination of your teeth to detect decay 5. Evaluation of your gum tissues 6. Checking your biting patterns 7. Evaluation of possible cosmetic alterations which may help improve your smile

The preventive service of spectrum of dental care includes:

1. blood pressure screening 2. Head and neck oral cancer screening 3. Scaling of teeth to remove all plaque and tartar 4. Polishing of teeth to remove all stains 5. Polishing of silver crowns 6. Polishing all silver restorations 7. Flossing 8. Application of fluoride if necessary 9. Referral to a specialist for specific treatment if necessary

The educational service of spectrum of dental care includes:

1. A tour of mouth and discussion of findings 2. Tooth brushing and flossing instructions 3. Dietary discussion 4. Presentation of prescribed dental treatment 5. Updates on what is new in home care products and latest advances in dentistry

Dental care is more than brushing teeth as you have learned as you read this article. Good oral hygiene is a habit we all should get into to keep that smile a killer that will make you attractive and not scary.

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