Abstract
In the present case of a pediatric maintenance patient, the refusal of an x-ray by the mother hampered a concise diagnosis. This made the maintenance care challenging, but in order to promote behavior change, information sharing was prioritized with the utmost attention. The continuous effort fruited in change of the mother's attitude towards x-ray taking; she requested an x-ray after some time. The take-home message of this case is not only the value of visual information for the concise diagnosis, but also the importance of understanding and respecting the patient's concern, finding alternatives—in this instance, intra-oral photography of the region at risk frequently taken—and providing the best possible maintenance care under the given circumstances.