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Meu filho precisa visitar o dentista… E agora?

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Lavando a gengiva com gaze e aguinha com bicarbonato… Tudo certo, passando a escovinha de silicone, nascem os primeiros dentinhos aja mordidas nos dedos e até aí só alegria… Mas a criança passa alimentação sólida e com muitos resíduos e mais dentes e precisa de creme dental e escova… Eis que surge a necessidade de ajuda profissional: um dentista- muito bem vindo – porém, no caso de uma criança com autismo outro desafio. Na primeira visita de João Pedro ao dentista não tínhamos sequer desconfiança dele estar no espectro e acreditem foi um escândalo… Gritou, chorou não queria abrir a boca e nem olhar para o profissional… Pensei: é normal! Segunda visita seguia o ritual e com direito a jatos de vômito para a plateia… hahah tragicômico!

Eis que surge uma luz acesa por outra mãezona azul minha amiga Rose que indica uma odontopediatra com um talento ímpar para atender e cativar crianças especiais ou não, da cidade de Chapecó Santa Catarina: Dra. Elissa Santin Costella.

Entretanto, para termos sucesso no processo final passamos a utilizar outras ferramentas para promover e acostumar nosso pequeno as frequentes idas ao dentista… Com ajuda dos terapeutas e de uma Pedagoga acima da média a Professora Alice que confeccionou um álbum do dentista com fotos do consultório, sala de espera, cadeiras, dos utensílios e tudo que envolvia o universo e por fim uma foto dela mesma deitada na cadeira para que ele pudesse acompanhar todo o processo e saber o que iria acontecer. Também passamos um bom tempo brincando com um brinquedo que imitava a boca de um paciente, até com broca a pilhas com som e tudo mais… Trabalho multidisciplinar envolvendo excelentes profissionais: Odontopediatra, Fonoaudióloga, Pedagoga, Terapeuta Ocupacional, Acompanhante Terapêutica e família… Foram muitos momentos e passos da dessensibilizarão dos sentidos até a apresentação de todos os materiais a serem utilizados…

Sempre pensava: meu filho está crescendo… Como vamos fazer para segurá-lo, um adulto, durante um procedimento clínico ou cirúrgico no consultório odontológico?

Vamos agir… Depois de ele entender o que iria acontecer e que iríamos ao consultório de duas em duas semanas mesmo sendo em outra cidade, foi gradativamente ficando rotineiro…

Mesmo escovando os dentes em casa… Mordendo a escova, aprendendo a cuspir, lavar a boca e sim comendo creme dental, ir para outro ambiente era assustador não só para ele para a gente também… As experiências anteriores eram nada animadoras.  Quando chegávamos perto do consultório começava a recusa… não queria descer do carro, e quando aceitava entrar era como se a sala de espera não existisse entrava direto, sendo durante ou não outro atendimento… Mesmo com explicação, rotina visual o aguardar para quem tem autismo é muito abstrato e a noção de tempo quase incompreensível. Então meu caro pode ter toda e qualquer graduação… Tornar-se referência em autismo, mas fazer um autista dependendo do nível e idade esperar… Reveja seus conceitos… Está equivocado! Secretárias: liguem e avisem se vai ou não atrasar! Pais entrem em contato prévio para saber se vai ou não haver imprevistos…

Isso pode custar à consulta e atrapalhar todo trabalho de uma equipe, da família e principalmente desorganizar seu paciente naquele dia… Meu filho surtou em público! Todo autista é agressivo? Porque será que entram em padrão de comportamento? A ingenuidade, desconhecimento ou ego inflado causa isso e mais… Este recado é para todos que atendem indivíduos com Autismo.

O processo é longo… Até aceitar sentar na cadeira… Quase ou praticamente deitado com toda aquela indumentária… Nas primeiras consultas João Pedro só queria brincar com os brinquedos, tomar água e ir ao banheiro. Depois sentava na cadeira, comigo junto claro! E com muita conversa da Dra. Elissa e sua auxiliar… Então, eu modelava: abra boca, mostra o dente, a língua… A Doutora antes de levar qualquer objeto à boca mostrava, fazia com que ele tocasse… Uma paciência e profissionalismo incrível. Ir de encontro ao paciente, respeitar seu desenvolvimento e tempo. Muito amor e empatia envolvidos!

 Estamos colhendo os resultados, atualmente, com dez anos João Pedro vai uma vez ao mês, entra, aguarda na sala de espera… Por vezes ainda tenta abrir a porta… Mas aguarda sua vez, entra sozinho e ficamos todos orgulhosos conversando e olhando revistas na recepção enquanto está no atendimento sozinho com a Dra. Elissa e sua auxiliar…

Conversamos apenas no final dos atendimentos e João Pedro normalmente recebe os parabéns por permitir até uso de flúor, pastas profiláticas e verniz…

Autismo não é sentença de fracasso, desanimo ou infelicidade é uma nova chance de recomeçar! Em todos os espaços e ambientes, tempo, organização, foco, empatia e amor.

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