Dental care for medically compromised child Flashcards

1
Q

Define health

A

A complete state of physical, mental and

social well-being, and not merely the absence of disease or infirmity

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2
Q

Define the medical model of disability

A

A problem of the person - medical care/treatment is seen as the main issue

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3
Q

Define the social model of disability

A

Society disables people with impairment by its failure to include them

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4
Q

What is the medical model’s impairment definition?

A

Loss or abnormality of physiology or anatomical structure or function

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5
Q

What is the social model’s definition of impairment?

A

the functional limitation within the individual

caused by physical, mental or sensory loss

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6
Q

What is the medical model’s and social model’s definitions of disability?

A

med = restriction of activity as a consequence of impairment

social = the loss or limitation of opportunities to take part in
the normal life of the community on an equal level with others due to physical or social barriers

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7
Q

Prevalence of disabilities?

A

mild/moderate learning disability = 20/1000

profound/multiple disability = 3-4/1000

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8
Q

Define challenging behaviour

A

Behaviour of such an intensity, frequency
or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour
that is likely to seriously limit or deny access to the use of ordinary community
facilities

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9
Q

How does disability impact dental care?

A

Treatment potentially dangerous

  • Cardiac lesion
  • Immunocompromised
  • Bleeding tendency

More at risk of dental disease

  • Cleft lip and palate
  • Down syndrome
  • Cerebral palsy

Compliance with personnel care

  • Autism
  • ADHD
  • Cerebral palsy

Compliance with treatment

  • Learning delay
  • ADHD
  • Cerebral palsy
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10
Q

What advise should be given to children aged up to 3?

A
Breastfeeding best
6months+ = drinking from cup
No added sugar
Parents brush/supervise
Smear of toothbrush - 1000ppmF max
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11
Q

What advise should be given to children aged 3 to 6?

A
Brush last thing at night and once again
Supervised brushing
Pea sized toothpaste 1350-1500ppm F
Spit do not rinse
F varnish x2 yrly
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12
Q

What advise should be given to children giving concern?

A

Smear or pea sized 1350-1500ppmF
Sugar free medication
Diet supplements

F varnish 3-4xyrly
F supplement - if over 10 2800ppmF, over 16 5000ppm F
Diet investigation
Sugar free meds

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13
Q

Evidence of fissure sealants?

A

48 months 60% caries reduction
Retention 52% at 48 months
Resin best if retained

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14
Q

How to give advise?

A

Make it personal, practical and positive

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15
Q

What may be required for pts that do not manage well with treatment?

A

Sedation, GA

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16
Q

Prevalence of autistic spectrum disorder?

A

31-47 per 10000

3:1 males:females

17
Q

What do people with autism struggle with?

A

Social interaction
Communication
Inflexibility in thinking and behaviour

18
Q

Features of ADHD?

A

Hyperactive/inattentive/compulsive
3:1 male:female
1/3 have another disorder

19
Q

How to manage ADHD?

A

Medications, behaviour modifications, lifestyle changes, counselling

20
Q

Features of down syndrome?

A
Trisomy 21
• Typical appearance – upslanting palpebral fissure, simian
fold, reduced muscle tone
• Reduced IQ
• Congenital heart disease
• Gastric reflux
• Thyroid dysfunction
• Immune deficiency , increased risk of leukaemia.
• Atlanto-axial instability
21
Q

Oral features of those with downs syndrome?

A

• Oral – less caries, more perio disease, delayed eruption, macroglassia.

22
Q

Prevalence of cerebral palsy?

A

1.3:1 male:female

2 in 1,000 births

23
Q

What is cerebral palsy?

A

Damage to motor control centres due to lack of O2 during birth - abnormal muscle tone (slouching over, reflexes, motor development or coordination)