Medically Compromised Child

Question 1

What is WHO definition of health?

Answer 1

Complete state of physical, mental and social wellbeing and not merely absence of disease or infirmity

Question 2

What is the medical model of health?

Answer 2

Problem for the person
Medical care/ tx seen as main issue - focus of cure/ rehabilitation
Disability - restriction of activities as consequence of disability

Question 3

What is social model of health?

Answer 3

Society which disables people - impairment by failure to include them
Disability - functional limitation within individual caused by physical, mental or sensory loss

Question 4

What are the 4 problems with tx medically compromise children? **

Answer 4

1. Tx can be potentially dangerous
2. More risk of dental disease
3. Compliance with personal care
4. Compliance w/ tx

Question 5

How can tx be potentially more dangerous?

Answer 5

If immunocompromised

Bleeding tendency

Question 6

How can people be more at risk of dental disease?

Answer 6

Cleft lip/palate

Down syndrome

Question 7

What kinds of people who are medically compromised may struggle to comply with personal care or tx?

Answer 7

Learning delay
Cerebral palsy
ADHD

Question 8

What are key principles laid out in DBOH?

Answer 8

Toothbrushing
Fluoride
Sealants
Advice - personal, practical, positive

Question 9

How many people are on the autistic spectrum?

Answer 9

31-47 per 10,000

3:1 males: females

Question 10

What may people with autism struggle with?

Answer 10

Social interaction
Communication
Inflexibility in thinking and behaviour

Question 11

What is ADHD and how managed?

Answer 11

Attention deficit hyperactivity disorder
3:1 males:females
Managed: medication, behaviour modification, lifestyle change

Question 12

What is downs syndrome?

Answer 12

Linked to trisomy 21

Typical appearance: up slanting palpebral fissure, simian fold, reduced muscle tone

Question 13

What other medical conditions do people with downs syndrome typically have?

Answer 13

Congenital heart disease, gastric reflux, thyroid disease, immune deficiency

Question 14

Dental care for those with downs syndrome - what must consider?

Answer 14

Instability of Atlanto-axialin stability

Oral: less caries, more perio disease, delayed eruption, macroglossia

Question 15

What is cerebral palsy?

Answer 15

Damage to motor control centres

2 in 1,000 births

Question 16

What does SEAMLESS stand for?

Answer 16

S- should have opportunities
E- education
A- access
M- multidisciplinary 
L- Linkwork
E- empowerment
S- special care dentistry
S- service provision

Question 17

Main problems of tx people w/ special needs?

Answer 17

Can have poorer dental health
Problems with access
Complex needs