1 - An introduction to special care dentistry Flashcards
What is special care dentistry?
- preventative and restorative treatment to those unable to accept routine dental care due to an impairment
- specialist holistic approach
List examples of SCD groups.
- learning disability
- physical disability
- mental health problems
- homeless / refugees / asylum seekers
- medically compromised
- older people
- patients who require behavioural management techniques
Define impairment.
- any loss or abnormality of psychological, physiological or anatomical structure or function
- considered to occur at the level of organs or system function
Define disability.
- any restriction or lack of ability to perform an activity (within the range considered normal)
- concerned with functional performance
- activity restricted by impairment
Define handicap.
- a disadvantage for an individual, resulting from impairment or disability
- limited in fulfilment of a role that “was” normal that individual
What is the prevalence of disability in Scotland?
Overall - 1 in 5
What are characteristics of SCD service use?
- 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
What legislation is involved in SCD?
- the human rights act 2000
- disability discrimination act 2005
- equality act 2010
- adults with incapacity act (Scotland)
- NHS terms of service
- GDC
Give examples of physical disability affecting SCD.
- spina bifida
- cerebral palsy
- arthritis
- spinal injury
Give examples of intellectual impairment affecting SCD.
- down syndrome
- fragile X syndrome
- autism
Give examples of mental disability affecting SCD.
- schizophrenia
- dementia
- alzheimers
Give examples of sensory disability affecting SCD.
- visual
- hearing
Give examples of emotional disability affecting SCD.
- anxiety
- depression
- bipolar affective disorder
- personality disorder
- eating disorder
Give examples of social disability affecting SCD.
- illegal drug user
- alcohol abuse
- homelessness
- obesity
- poverty
What are common presentations in SCD?
- late presentation and severe level of disease
- xerostomia
- infections
- mucosal disease
- malignancy
- infected osteoradionecrosis
What is MRONJ?
- medication related osteonecrosis of the jaw
- bisphosphonates are a common cause
- some cancer medications
What is clinical holding?
When patients can be held or tied down to receive treatment they require, but may not have the capacity to consent to
