Dental care for medically compromised child Flashcards
Define health
A complete state of physical, mental and
social well-being, and not merely the absence of disease or infirmity
Define the medical model of disability
A problem of the person - medical care/treatment is seen as the main issue
Define the social model of disability
Society disables people with impairment by its failure to include them
What is the medical model’s impairment definition?
Loss or abnormality of physiology or anatomical structure or function
What is the social model’s definition of impairment?
the functional limitation within the individual
caused by physical, mental or sensory loss
What is the medical model’s and social model’s definitions of disability?
med = restriction of activity as a consequence of impairment
social = the loss or limitation of opportunities to take part in
the normal life of the community on an equal level with others due to physical or social barriers
Prevalence of disabilities?
mild/moderate learning disability = 20/1000
profound/multiple disability = 3-4/1000
Define challenging behaviour
Behaviour of such an intensity, frequency
or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour
that is likely to seriously limit or deny access to the use of ordinary community
facilities
How does disability impact dental care?
Treatment potentially dangerous
- Cardiac lesion
- Immunocompromised
- Bleeding tendency
More at risk of dental disease
- Cleft lip and palate
- Down syndrome
- Cerebral palsy
Compliance with personnel care
- Autism
- ADHD
- Cerebral palsy
Compliance with treatment
- Learning delay
- ADHD
- Cerebral palsy
What advise should be given to children aged up to 3?
Breastfeeding best 6months+ = drinking from cup No added sugar Parents brush/supervise Smear of toothbrush - 1000ppmF max
What advise should be given to children aged 3 to 6?
Brush last thing at night and once again Supervised brushing Pea sized toothpaste 1350-1500ppm F Spit do not rinse F varnish x2 yrly
What advise should be given to children giving concern?
Smear or pea sized 1350-1500ppmF
Sugar free medication
Diet supplements
F varnish 3-4xyrly
F supplement - if over 10 2800ppmF, over 16 5000ppm F
Diet investigation
Sugar free meds
Evidence of fissure sealants?
48 months 60% caries reduction
Retention 52% at 48 months
Resin best if retained
How to give advise?
Make it personal, practical and positive
What may be required for pts that do not manage well with treatment?
Sedation, GA
