Synopsis This course provides insight into the failure of some patients to seek dental treatment or perform adequate self-care and the relationship to mental health issues caused by childhood abuse. The incidence and the reasons for underreporting of childhood violent abuse and sexual abuse is discussed. Common triggers that are likely to cause flashbacks and anxiety are discussed, as well as the principles of "sensitive practice," which can foster a patient's feelings of safety during dental appointments and facilitate compliance. We also discuss why sensitive practice should be a standard of care for all patients. Educational objectives After completing this course, the participant should be able to: 1 Discuss the relationship between childhood sexual abuse and dental phobia. 2 Describe the factors that contribute to underreporting of childhood sexual abuse. 3 Be aware of the possible triggers that could cause flashbacks and anxiety during a dental appointment and how to minimize them during treatment. 4 Discuss survivor issues that could impede self-care or attendance for dental care. 5 Describe strategies to allay abuse-related fear during treatment and facilitate compliance. 6 Describe and implement the principles of "sensitive practice" and motivational interviewing. by Linda M. Douglas Disclosure: The author declares that neither she nor any member of her family has a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this continuing dental education program. Hygienetown Clinical Director Linda M. Douglas graduated as a dental hygienist from the Royal Dental Hospital in London in 1982. After graduation she worked in periodontology before moving to Toronto, where she has worked in private practice since 1990. Her desire to support patients with dental phobia has instigated an indepth study of sensitive practice. dentaltown.com \\ JUNE 2017 89http://www.dentaltown.com