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
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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
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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
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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
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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
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6
Q

What is the prevalence of disability in Scotland?

A

Overall - 1 in 5

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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
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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
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9
Q

Give examples of physical disability affecting SCD.

A
  • spina bifida
  • cerebral palsy
  • arthritis
  • spinal injury
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10
Q

Give examples of intellectual impairment affecting SCD.

A
  • down syndrome
  • fragile X syndrome
  • autism
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11
Q

Give examples of mental disability affecting SCD.

A
  • schizophrenia
  • dementia
  • alzheimers
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12
Q

Give examples of sensory disability affecting SCD.

A
  • visual
  • hearing
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13
Q

Give examples of emotional disability affecting SCD.

A
  • anxiety
  • depression
  • bipolar affective disorder
  • personality disorder
  • eating disorder
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14
Q

Give examples of social disability affecting SCD.

A
  • illegal drug user
  • alcohol abuse
  • homelessness
  • obesity
  • poverty
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15
Q

What are common presentations in SCD?

A
  • late presentation and severe level of disease
  • xerostomia
  • infections
  • mucosal disease
  • malignancy
  • infected osteoradionecrosis
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16
Q

What is MRONJ?

A
  • medication related osteonecrosis of the jaw
  • bisphosphonates are a common cause
  • some cancer medications
17
Q

What is clinical holding?

A

When patients can be held or tied down to receive treatment they require, but may not have the capacity to consent to