Paeds- SND

Question 1

What barriers can children with special needs have to attending appointments?

Answer 1

• Challenging behaviour & anxiety (so acclimitisation is crucial)
• Access/ parking
• Other appointments- collaborate and plan
• Parental attitudes- we want to promote good knowledge.

Question 2

List some of the aids that can be used for toothbrushing.

Answer 2

Two sided toothbrush

Finger prop

open wide disposable mouth rest.

Oronurse toothpaste

Duraphat.

2 toothbrush technique

Question 3

What are some barriers for changing the diet of a child with special needs.

Answer 3

May have atypical food clearance/ food holding/ regurgitation.

Diet is already restricted (may only eat certain things)

Sweet treats may be given for good behaviour

Medicines containing sugar .

Question 4

Compare the surgical options for children with additional support needs.

Answer 4

Sedation- not everyone can have it ( avoid for patients with muscloskeletal disorders)

GA- for uncooperative patients or when extensive treatment is needed.

Question 5

List some dental features of cerebral palsy.

Answer 5

• Access
• Drooling
• Poor oral hygiene
• trauma
• Uncontrollable movements.
• Gingival hyperplasia
• Enamel hypoplasia.
• Bruxism
• Malocclusion
• Enhanced gag reflex.

Question 6

What are the different types of disability we can have.

Answer 6

Physical

Medical

Mental

Sensory.

Question 7

What communication aids can help visual impairment?

Answer 7

Braille

Question 8

What communication aids can help a hearing impairment?

Answer 8

BSL and hearing loops

Question 9

What communication aids can be used for patients with Autisim spectrum disorder.

Answer 9

Makatron

board maker pictures

widget symbols.

Question 10

What are the 3 main characteristics of a child with autism?

Answer 10

They don’t like change

Struggle forming new relationships

Struggle to commmunicate.

Question 11

What information should be asked in the ASD questionaire prior to treatment.

Answer 11

• Child’s likes and dislikes (for rapport)
• Do they have any sensory issues?
• What treatment has been possible previously.
• How they communicate
• Any trigger signs to show that they are done.

Question 12

If the child with ASD has sensory problems, with sound how do you prepare the practice?

Answer 12

Turn off the radio

Turn off the aspirator.

Close the door to reduce noise.

Question 13

If the child with ASD has problems, with taste- how do you prepare the practice?

Answer 13

Note that duraphat tastes of banannas.

Chose oronurse- it is a tasteless foamless toothpaste.

Question 14

If the child with ASD has visual issues, how do you prepare the practice?

Answer 14

Turn off the dental light and use sunlight to look in the child’s mouth.

Question 15

If the child with ASD has problems with movement, how do you prepare the practice?

Answer 15

Set the dental chair at the correct height so that you don’t have to move the child once they are seated.

Question 16

What diet advice would you provide for a parent of a child with ASD?

Answer 16

To reduce fizzy drinks or juice, the child will need to be weaned off over a few months. This would be done by diluting the drink down over that time period.

Question 17

What treatments would you provide for a child with ASD?

Answer 17

Fluoride varnish every 4 months

GIC fissure sealants- if the patient doesn’t like the taste of salt and vinegar crisps- cover it with oronurse)

Wait until they are acclimatised before any more treatments

Question 18

What are the dental features of down Syndrome.

Answer 18

• Increased risk of periodontal disease.
• Class III occlusion
• Macroglossia (large tongue)
• Anterior open bite)
• Maxillary hypoplasia
• Hypodontia/ microdontia.