Children with Special Needs Flashcards
How do children with ASD communicate most?
Facial expression and body language
What are common likes in the surgery for children with ASD?
Computer
Water taps
Dental unit controls
What are common dislikes in the surgery for children with ASD?
Touch
Dental light
Noise
Smells
Textures
Tastes
How can you prepare to treat children with ASD?
Obtain a profile of likes and dislikes from the parent or school
Send out social story explaining dental journey using PECS
Send out a plastic mirror
Be ready and on time
De-clutter
What dental features are commonly seen in children with Down Syndrome?
Maxillary hypoplasia
Class III occlusion
Macro gloss is
Anterior open bite
Hypodontia/microdontia
Predisposition to periodontal disease
What medical issues are commonly seen in children with Down Syndrome?
Cardiac defect
Leukaemia
Epilepsy
Alzheimer’s/dementia
What are examination options for some children with special needs?
Knee to knee
On parent’s lap
In wheelchair
Standing up
Sitting or lying on floor, whilst brushing teeth
Restraint - ensure informed consent gained
What are some recommended toothpastes for children with special needs?
OraNurse Toothpaste - contains fluoride, no flavour, no foaming
For high caries risk children, supervised age 10+ - Duraphat 2800ppm
When should conscious sedation be avoided?
In children undergoing Bleomycin therapy (High O2)
In children with músculo-skeletal disorders
When and how is conscious sedation used?
IV sedation with midazolam for anxious children
It is also protective in those with epilepsy
What are the aims of general anaesthesia?
Atraumatic anaesthetic induction
Complete comprehensive dental treatment
Eliminate pain and infection
Establish a basis for continues preventive care
Short, uncomplicated recovery
What are the indications for GA?
No cooperation
Extensive treatment
What are special considerations for GA?
Joint cases
Medical pre assessment
ASA III and IV will require specialist anaesthesia
What staff are needed for a GA?
Consultant paediatric dentist
Dental nurse
Medical preassessment nurses
Day surgery/ward doctors and nurses
Play specialists
Anaesthetists
Medical consultants
Anaesthetic assistants
Theatre nurses
Recovery staff
