Special needs 1 Flashcards
how do you define if a child has special dental needs
- If child receives dental tx it puts their general health at risk
- If a chid has a dental disease it puts their general health at risk
- Makes access to the dental care difficult
- Makes dental treatment more difficult to provide
- Makes dental disease more likely to occur
what are the types of special needs
- Neurodisabilty
- Physical disability
- Medically compromised -
- Social – child protection plan? Looked after care
- Emotional – phobic patient
- Oral – compromised dentition due to underlying oral disease
what makes a patient high risk
- Previous caries
- Socio economic
- Non-english speaking
- Diet/ fluoride
what is the definition of a child who is high priority.
this is when the patient may not have high risk but they are still high priority due to conditions they may have
- Neurodisability
- Medically compromised
if a child is more likely to get disease are they high risk or high priority
high risk so needs good prevention
If a Child is not likely to get disease but if they do the dental disease has more serious implications are they high priority or high risk
High priority for prevention
If a child would be more difficult to treat if they get a disease are they high priority or high risk
High priority for prevention
List reasons why a child may be more likely to get disease
- Dental health is low priority for children
- Children more likely to over indulge
- Children on long term medication that has sugar
- Some children have lower levels of caries e.g. cystic fibrosis due to abx they are on
- Children may have compromised dentition e.g. enamel defects – teeth are susceptible to dental caries, decay faster, more difficult to restore, early intervention required, need early intervention
- Children may have compromised oral environment – e.g. Cancer – this could be DIRECTLY caused by the drug (methotrextate mucositis) or INDIRECTLY caused by the drug (neutropoenic ulceration, petechiae and bullae, infection
List the oral problems associated with radiotherapy
- Oral mucositis and ulceration
- Hyposalivation and xerostomia
- Infection esp candida
- Radiation caries
- Loss/ altered taste
- Gingivitis and periodontitis
- Osteoradionecrosis
- Trismus
what are the long term effect of radiotherapy
- Enamel defects
- Shortened roots
- Malformed teeth
- Altered salivary rates
- Dental caries
why may an immunocompromised paediatric patient have serious implications if they go dental disease
if the patient gets a hole in their tooth, that hole can become infected and have serious implications
list the reasons why a child with disease may be more difficult to treat
- They may require additional precautions
- They may have behavioural issues
- These patients require GA – with GA pt has increased risk of mortality and morbidity
what are the 3 main component in history taking in paediatric dentistry
- Verbal part
- Correspondence (getting in touch with other carers)
- Other records available
when taking history what questions are we looking to ask to assess how bad the problem is in paediatric dentistry
- Severity
- Stability – is it getting worse
-Past history
how do we take a history of a child with asthma
- How often?
- Last attack?
- Acute admissions?
- Recall schedule? Where?
- What medication?
- Changes in medication?
- Prognosis
