Unit 1
Unit 1
Unit 1
• 1.oncologyical patient
• 2.neurological patient
• 3.cardiovascular patient
• 4.respiratory patient
• 5.endocrine patient
• 6. patient with immunodeficiencies
• 7.patient with coagulation problems
• 8.the pregnant patient
• 9.gastronitestinal patient
• 10.renal patient
It is important for the Dentist to study Special Care Dentistry:
ASA III
Patient with severe systemic disease
limiting activity but not incapacitating
ASA IV
Medical advice is helpul
Patient with incapacitating disease that is
a constant threat to life
ASA V
Moribund patient
• ASA I: Healthy patient
• ASA II: controlled diabetes, anticoagulation, asthma,
hypertension, epilepsy, pregnacy, anxiety
• ASA III: chronic renal failure, epilepsy with frequent
seizures, uncontrolled hypertension, recent myocardial
infarct, uncontrolled diabetes
• ASA IV: Severe asthma, stroke, cancer, unstable angina or
recent infarct
• ASA V: moribund patient not expected to survive 24h without
treatment
• ANESTHESIOLOGY AMERICAN SOCIETY
• CORRECT PROCEDURE TO AVOID EMERGENCY SITUATIONS
-
THE DENTAL TEAM FACES A GREAT
CHALLENGE.
THE CONSISTENT FOCUS SHOULD BE PROVIDE THESE
INDIVIDUALS AND THEIR CAREGIVERS A COMPLETE RANGE OF
PREVENTIVE SERVICES WITH RELEVANT INFORMATION AND
SUPPORT
-
SPECIAL CARE DENTISTRY is the field of dental practice
that addresses the needs of patients who require
treatment accommodation to their:
-physical
-mental
-medical problems
-with neglected dental health
-with dificulties in finding a proper dentist
For millions of people with special care needs, dental care is
often not a top priority and takes a back seat to more pressing
issues.
IMPAIRMENT
Any loss or abnormality of physiological or anatomical structure
or function.
DISABILITY
Any restriction or lack (resulting from an impairment) of ability to
perform an activity in the manner or within the range considered
normal for a human being
DEFINITIONS AND TERMINOLOGY (WHO-ICIDH 1980)
HANDICAP
DISABILITY
day activities
DEFINITIONS AND TERMINOLOGY (AMERICAN
ACADEMY OF PEDIATRIC DENTISTRY 2008)
impaired
0.22% are mentally impaired
Shah N, Mathur V, Logani A. Guidelines for oral health promotion and intervention for disabled population.Whoindia.org August
2012
Learning
Communicati
ng Self-steem
Nutrition
Cardiovascular
disease Bacterial
endocarditis
Higher risk for
Pulmonary
infection
Puree
d
diets
Abnormal Sweetened
developmen
ts of
maxilars medicatio
n
Motor
problems Traumas
, poor in the
hygiene face
Lack of
responsibili
ty
Depende
nce
Oral Periodontitis
problems due to
due to medical
medication conditions
Disorders Abnorm
that causes al
maloclusions
postures
MAIN ORAL PROBLEMS IN
SCHN
1.Tooth eruption
2.Tooth
abnormalities
3.Developmental
defects
4.Trauma
5.Tooth wear
(bruxism)
6.Dental caries
MAIN ORAL PROBLEMS IN
SCHN
7. Periodontal disease
8. Gingival overgrowth
9. Drooling
10. Dry mouth
11.Mucosa ulceration
12.Biting (self mutilation)
MAIN ORAL PROBLEMS IN SCHN
13. Bruxism
14. Maloclusions
15. Oral cancer
16. Bad habits
(coaching,rumiation)
Provision of oral health care for individuals with special needs
involves not only the delivery of safe and appropriate dental
care but also focuses on the need to improve the oral health
status of these populations.
But this population have barriers which might affect the provision
of effective care to such people
Type of barriers (Classification
1)
1.Information
al 2.Physical
3.Behavioral
Type of barriers related to the role of the dental profession and
its
interaction with individuals and society
a) Dependency
c) Institutionalization
d) Homebound status
-poor health
1.Barriers with reference to the individual
e) Financial barriers
h) Communication difficulties
- number of distribution
d) Unwillingness by dentist
Special Adapte
instruments d
clinics
Trained Trained
hygienists clinician
s
2.Barriers with reference to
society
a) By SCHN individuals and their
caregivers
Lack of knowledge and low expectations about oral
health and its value influence care-seeking
behavior can result in care being deferred or neglected
entirely.
Little difference in rate of acceptance was based
found on resident age. Family and caregiver´s may
be
attitudes even more powerful in limiting access
to care.
2.Barriers with reference to society
a) By authorities