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Flashcards in Special Needs Deck (23)
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1

What are some types of special needs patients?

Physical

Cognitive

Mental/psychological

Sensory

Behavioral

2

___ is really important for special needs patients

Prevention (oral hygiene)

3

Nearly __% of households in the US have someone with special needs

20%

More than 60% of these peopl have trouble taking care of themselves

4

What are the most important tools in treating a pt with SHCN?

Compassion and tolerance

5

How should you deliver dental care to a SHCN pt?

Gather info (dont just go straight to their mouth)

Assess

Identify risks

Preventative care instructions

Treatment plan and implementation

Make accommodations

Consult and or refer

6

True or false.. Down syndrome pts have very low pain thresholds

False. High pain thresholds

7

What is good positioning to treat SHCN pts?

Standing or sitting child in front of the adult to cradle, the head with one hand and using the other to brush

Two person knee to knee

Reclined pt on the bed or floor


Coming from behind can be really useful to brush teeth

8

True or false.. individuals with SHCN are at increased risk for oral disease. Yet oral health is a vital part of well-being and general health

True.. duh

9

Tolerance level of dental procedures depends on ___

Severity and level of function

10

How do you treat pts with mild SHCN? What about severe?

Mild - short appointments and immobilization and or conscious sedation

Severe - general anesthesia

11

When is the use of protective stabilization indicated?

Immediate diagnosis and/or limited treatment

After other behavior management techniques have failed

Safety of the patient, staff, parent or practitioner would be at risk

12

When is stabilization contraindicated?

Cooperative patient

Cannot be safely stabilized due to medical or physical conditions

Patients who have experience previous physical or psychological trauma from proctecive stabilization

Non-sedated pateints with non-emergent treatment requiring lengthy appointments

13

True or false.. you should always take the first radiograph on the first visit

False. Sometimes the second visit is better when they are familiar with the dental office and found it a friendly place

14

What does it mean to be a special needs dental patient?

Someone who has a limiting condition that requires health care intervention and/or use of special education servic or programs

Physical developmental, mental, sensory, behavioral, cognitive or emotional

15

True or false... SHCN pts have increased risk for oral disase and jeaporizes overall health

True

16

How do you address the oral health of SHCN pts?

Education of parents/caregivers is critical for ensuring appropriate daily oral hygiene

Mechanical toothbrushes, sponge tips, washcloths

Calcium/fluoride toothpaste

Sealants

3 month recall

Chlorhexidine rinses

17

True or false.. you can easily tell if someone has a disability because all disabilities are visible

False

18

What should you know about your SHCN pt?

Evaluate and know their personal characteristics, symptoms, and behavior, and degree of physical or intellectual impairments

19

Involuntary movements of the limbs and head might be perceived as ____

Intelligible speech, uncontrollable jaw movements and spastic tongue erroneously assumed to be ___

Empathy and a calm friendly professional atmosphere will decrease ___

Uncooperative and unmanageable pt

Intellectually delayed

Anxiety and resistance

20

___ is the most desirable way to address SHCN pts. How do you do this?

Preventing oral disease

Establish a dental home
Determine risks
Discuss oral hygiene method for their situation

21

Assessment of __ is of primary importance in behavioral management

Parental attitudes

22

True or false.. it is important to obtain and document informed consent for protective stabilization

True... duhhhhhhhhh

23

True or false... pts who are fed internally have increased levels of calculus

True