1 - An introduction to special care dentistry Flashcards
1
Q
What is special care dentistry?
A
- preventative and restorative treatment to those unable to accept routine dental care due to an impairment
- specialist holistic approach
2
Q
List examples of SCD groups.
A
- learning disability
- physical disability
- mental health problems
- homeless / refugees / asylum seekers
- medically compromised
- older people
- patients who require behavioural management techniques
3
Q
Define impairment.
A
- any loss or abnormality of psychological, physiological or anatomical structure or function
- considered to occur at the level of organs or system function
4
Q
Define disability.
A
- any restriction or lack of ability to perform an activity (within the range considered normal)
- concerned with functional performance
- activity restricted by impairment
5
Q
Define handicap.
A
- a disadvantage for an individual, resulting from impairment or disability
- limited in fulfilment of a role that “was” normal that individual
6
Q
What is the prevalence of disability in Scotland?
A
Overall - 1 in 5
7
Q
What are characteristics of SCD service use?
A
- fewer visits, with longer intervals
- limited access to buildings
- difficulty communicating pain
- financial
- emergency care more common than planned
- Hx of extractions
- treatment under GA
8
Q
What legislation is involved in SCD?
A
- the human rights act 2000
- disability discrimination act 2005
- equality act 2010
- adults with incapacity act (Scotland)
- NHS terms of service
- GDC
9
Q
Give examples of physical disability affecting SCD.
A
- spina bifida
- cerebral palsy
- arthritis
- spinal injury
10
Q
Give examples of intellectual impairment affecting SCD.
A
- down syndrome
- fragile X syndrome
- autism
11
Q
Give examples of mental disability affecting SCD.
A
- schizophrenia
- dementia
- alzheimers
12
Q
Give examples of sensory disability affecting SCD.
A
- visual
- hearing
13
Q
Give examples of emotional disability affecting SCD.
A
- anxiety
- depression
- bipolar affective disorder
- personality disorder
- eating disorder
14
Q
Give examples of social disability affecting SCD.
A
- illegal drug user
- alcohol abuse
- homelessness
- obesity
- poverty
15
Q
What are common presentations in SCD?
A
- late presentation and severe level of disease
- xerostomia
- infections
- mucosal disease
- malignancy
- infected osteoradionecrosis