Special Needs + Oral Medicine Flashcards
List some dental implications for children with special needs (5)
- Fewer teeth
- Delayed care - More untx’ed caries
- Sugary meds - Greater prevalence of periodontal disease
- Downs syndrome - Dental fear + anxiety
- By hospitals + needles - More barriers to delivery of dental care
List some impacts of dental disease in children with special needs (5)
- Delayed diagnosis
- Diff perception of pain - Delayed management
- Can be hard to look in their mouths - More multidisciplinary planning
- Greater risk of pain/sepsis
- Reduced quality of life
Why should cardiac patients have no decay?
Link between cardiac conditions + infective endocarditis
List some barriers to regular attendance (3)
- Other appointments
- Challenging behaviour/anxiety
- Parking/access
List some barriers to dietary changes (5)
- Food clearance
- Food holding/regurgitation
- Restricted/limited diet
- Sugary meds
- Food treats as rewards
Whats the most common physical disability in childhood?
Cerebral palsy
- Affects movement and posture
- Occurs from brain damage before, during or shortly after birth
Cerebral Palsy dental features + considerations (10)
- Poor OH
- Gingival hyperplasia
- Enamel hypoplasia
- Bruxism
- Malocclusion
- Dental trauma
- Drooling/saliva
- Access
- Uncontrollable movements
- Enhanced gag reflex
CHD dental aspects + considerations
- Susceptibility to infective endocarditis
- Possible increased bleeding tendency if on warfarin or aspirin
- Higher risk under GA
- Careful use of adrenaline containing LA
- Liaison with medical colleagues
Paeds oncology oral symptoms (7)
- Mucosal/gingival haemorrhage
- Gingival enlargement
- Mouth + throat infections
- Immunosuppression
- Thrombocytopenia
- Oral mucositis
What can be seen in a radiograph of an oncology child patient following chemo?
Retarted and reduced roots
List some common inherited bleeding disorders (3)
- VW disease
- Platelet defects - Haemophilia A
- Haemopilia B
Aids for visual impaired patients
Braille
Aids for hearing impaired patients (4)
BSL
Interpreting
Hearing loops
Lip reading
Aids for ASD (3)
Makaton
Boardmaker pics
Widget symbols
Aids for non verbal ASD (3)
- Makaton
- PECS
- Widget
Dislikes for an ASD patient in the dental surgery (6)
- Touch
- Dental light
- Noise
- Smells
- Textures
- Tastes
What can you do before an ASD patient comes to the practice to help them with the experience? (4)
- Obtain a profile of their likes and dislikes
- Send out social story explaining dental journey using PECS
- Send out a plastic mirror
- Declutter + be ready on time
List some dental features of DS (5)
- Maxillary hypoplasia
- Class 3 occlusion
- Anterior open bite
- Hypodontia/microdontia
- Predisposition to periodontal disease
What are some dental tx examination options if the patient doesn’t like the dental seat?
- Knee to knee
- On parents lap
- On wheelchair
- Standing up
- Sitting up or lying on the floor
What are some aids for toothbrushing>
- Finger proprs
- Open wide disposable mouth rest
- 3 sided toothbrush
Recommended toothpastes for special needs (2)
- OraNurse
- Contains fluoride
- No flavour
- Non foaming - Duraphat
- For high caries children with special needs
- Age 10+
When should conscious sedation be avoided?
Patients undergoing bleomycin therapy (high O2) and those with musculoskeletal disorders
When can IV sedation with midazolam be a benefit?
Some anxious special needs adolescents
