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Pediatric Dentistry · single question

A Frank score 4 (definitively uncooperative) child is with a parent who is interrupting rudely during treatment. What is the MOST appropriate action?

  1. Continue treating the child while ignoring the parent
  2. Stop treatment without any plan
  3. Confront the parent and tell them not to interrupt
  4. Refer the child to a pediatric dentist
Show answer and explanation

Correct answer: D. Refer the child to a pediatric dentist

Frank 4 = definitively negative child + disruptive parent = beyond typical general dentist's behavior management scope. Best action: refer to a pediatric dentist who has specialized training (TSD, nitrous, moderate sedation). Source notes the student was between A and D but A was 'un poco rude.'
  • A. Ignoring a disruptive parent while treating a Frank 4 child is inappropriate and unsafe.
  • B. Stopping without a plan does not serve the child's dental needs.
  • C. Confronting the parent may escalate the situation — too aggressive, unprofessional.
  • D. CORRECT. Refer to a pediatric dentist — Frank 4 child with disruptive parent needs specialist behavior management.

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