Lecture 6 Flashcards
T/F treating patients is still considered prevention
TRUE
- just referred to as secondary prevention
ID/DD patient usually presents how to the dental office?
with EMERGENCY treatment needs
reaction to ‘I treat every patient the same..’
a skilled provider often learn to make adjustments to the treatment and care for individuals with disabilities
T/F oral diseases for individuals with disabilities differ from those of individuals without disabilities
FALSE
- oral diseases for individuals with disabilities DO NOT differ from those of individuals without disabilities
how is one able to treat most DDD’s within the office?
by understanding what modifications that you must make to YOUR routines (not the patients)
DDD stand for
developmental disabilities / disorders
T/F most patients with DDD will require re-positioning of the chair?
YES -most require up right positioning
CODA
commission of dental accredidation
CODA
commission of dental accredidation standard 2-24?
graduates MUST BE COMPETENT ON ASSESSING the treatment needs for patients with special needs
*says nothing about actually treating them!!!
T/F dental issues relevant to the aging population are not equal to those aging WITH disabilities
TRUE
percentage that reported disability of the non-institutionalized
12%
then doubles if you age 65+
then to over 50% when add older too
use epinephrine with this patient population?
NO - do NOT use vasoconstrictors
- unknown adverse effects could occur
- meds have not been titered
- dictated by common sense not necessarily scientific data
recommendations for tx for ID/DD patients based on?
pediatric population
T/F medical care is more improtant than dental care for the DDD? implication
true
- why often they present later on in life to you with more serious conditions
- will likley present to you with HIGHER LEVELS OF ANXIETY as a result of developing feat and unsuccesful attempts to find a dentist
rule of thumb with treatment and prevefntion with the special needs patiens
if the (special needs) patient presents with no disease (rare) the recommended approach is do more now to PREVENT in order to do less treatment later
primary principles for behavioral support for dentistry have origins where? what are the goals
origins in pediatric approach – it is a behavioral approach
goals are to create a means so communicate, limit patient anxiety, and build a trusting attitude towards dentistry while providing quality dental treatment
intent of CODA standard 2-24
provide the patient pool - have this available to provide experiences that may include patients whose medical, physical, psychological or social situations make it necessary to consider a wide range of assessment and care options
ASSESSMENT SHOULD EMPHASIZE THE IMPORTANCE OF NON-DENTAL CONSIDERATIONS
T/F the assessments of CODA standard 2-24 should emphasize the importance of NON-DENTAL considerations
TRUE
Clinical instruction and experience with the patients with special needs should include instruction in??
proper communication techniques and assessing the treatment needs compatible with the special need
nothing to do with providing treatment but providing them with what treatment they need
common differences encountered in the oral cavity
some with ID’s like down syndrome there is an altered erruption pattern of teeth and is usually due to over-retained primary teeth or even the malformation of an individuals teeth (atypical anatomy)
tooth replacement sequence he recommends to start with?
maryland bridge
- because it requieres no temperization and minimal tooth preparation
- and he orders two sets per patient
removable partials (last option)
examples of adaptive aids used for this patient population
large tooth brush handles, addition of tennis ball to them,mouth rinses, oral lubricants
*can help improve discomfort with oral tissue discomfort and better manual dexterity
who do we get the informed consent from
find out who care taker is
- legal guardian
DO nothing as a tx plan?
have to consider this as an option
