Intro to SCD Flashcards
Special Care Dentistry
The speciality of Special Care Dentistry is concerned with the improvement of the oral health of individuals and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or disability or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood.
Formally recognised by GDC 2008
Not special needs
SCD groups
Learning difficulties
Physical disability
Mental health problems
- In unit, Effect OH
Homeless, refuges, asylum
Medical compromised
- Transplant, cancer, end of life care
Older people
Behavioural management techniques needed
age for SCD
adult speciality 16+
impairment
Any loss or abnormality of psychological, physiological, or anatomical structure or function.
Impairment is considered to occur at the level of organ or system function
Do not have
disability
Any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being.
Disability is concerned with functional performance or activity, affecting the whole person.
Disability is activity restricted by impairment.
Different
- Due to impairment
Born with impairment – no arm
Live with disability – effect on life, unable to open door
handicap
A disadvantage for a given individual, resulting from an impairment or a disability, that limits or prevents the fulfilment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual.
Lose arm due to road traffic accident
- Previously able to open door but now not able
WHO stance on Disability
Disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions.
Impairment is a problem in body function or structure
Activity limitation is a difficulty encountered by an individual in executing a task or action
Participation restriction is a problem experienced by an individual in involvement in life situations.
paradox of disability
Prove unable to participate in society – need evidence
- But want them to be able
Level of support directionally proportional to level of disability
- Determined by person in office who doesn’t experience of disability
complexity of disability
Complex
- Body level, system level
Not just health
- Inequalities – health, financial
Lower socioeconomic has increased level of disability
Need to remove environmental and social barriers to help target disability
how many consultant SCD Scotland
4
how to become consultant in SCD
Tri-collegiate Exit exam
however New undergraduate curriculum in Special Care Dentistry (raise knowledge)
SCD recognised
2008
professional SCD societies
The International Association for Disability and Oral Health (IADH)
The Academy of Dentistry for Persons with Disabilities (ADPD) Special Care in Dentistry
British Society for Disability and Oral Health (BSDH) Journal of Disability and Oral Health
prevalence of disability
Difficulty in gathering numbers of cases
- WHO: 10% worldwide population (very)
Developed countries report lower rates?
UK: 18% over age 16 years
UK: 5% serious disability
Prevalence increases with age
Locomotor disability most prevalent
Hidden disabilities
scottish disability stats
Nearly one in five people of working age (1 million, or 19%) in Scotland are disabled
- 18% men
= 19% women
45% over 75 years old
4% 16-24 age group
>800,000 people
> 800,000 people