BOOK
Special Care Dentistry, An issue of Dental Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue of Dental Clinics of North America focuses on Special Care Dentistry, and is edited by Dr. Burton Wasserman. Articles will include: Mental Health Issues and Special Care Patients; Tools and Equipment for Managing Special Patients Anywhere; Ensuring Maintenance of Oral Hygiene in Persons with Special Needs; The Dental Needs and Treatment of Down Syndrome Patients; Americans with Disabilities: Its Importance in Special Care Dentistry; Making Treatment for Special Needs Patients an Important Part of Your Growing Dental Practice; Treatment of Orally Handicapped Edentulous Older Adults; Communicating with Patients with Special Health Care Needs; Dental Materials Update for the Special Care Dentist; Neurologic Diseases in Special Care Patients; The Special Needs of Preterm Children: An Oral Health Perspective, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Special Care Dentistry | i | ||
| Copyright | ii | ||
| Contributors | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Preface: Special Care Dentistry | v | ||
| Mental Health Issues and Special Care Patients | v | ||
| Tools and Equipment for Managing Special Care Patients Anywhere | v | ||
| Ensuring Maintenance of Oral Hygiene in Persons with Special Needs | v | ||
| Evidence-based Dentistry and Its Role in Caring for Special Needs Patients | v | ||
| The Dental Needs and Treatment of Patients with Down Syndrome | vi | ||
| Americans with Disabilities Act: Its Importance in Special Care Dentistry | vi | ||
| Making Treatment of Special Needs Patients an Important Part of Your Growing Dental Practice | vi | ||
| Treatment of Orally Handicapped Edentulous Older Adults Using Dental Implants | vi | ||
| Communicating with Patients with Special Health Care Needs | vii | ||
| Neurologic Diseases in Special Care Patients | vii | ||
| The Special Needs of Preterm Children – An Oral Health Perspective | vii | ||
| DENTAL CLINICS OF NORTH AMERICA | viii | ||
| FORTHCOMING ISSUES | viii | ||
| October 2016 | viii | ||
| January 2017 | viii | ||
| April 2017 | viii | ||
| RECENT ISSUES | viii | ||
| April 2016 | viii | ||
| January 2016 | viii | ||
| October 2015 | viii | ||
| Dedication | ix | ||
| Preface:\rSpecial Care Dentistry | xi | ||
| Mental Health Issues and Special Care Patients | 551 | ||
| Key points | 551 | ||
| INTRODUCTION | 551 | ||
| TYPE, SEVERITY, AND STAGE OF MENTAL ILLNESS | 553 | ||
| MOOD, MOTIVATION, AND SELF-ESTEEM | 555 | ||
| LACK OF PERCEPTION OF ORAL HEALTH PROBLEMS | 557 | ||
| PATIENT’S HABITS, LIFESTYLE, AND ABILITY TO SUSTAIN SELF-CARE AND DENTAL ATTENDANCE | 557 | ||
| SIDE EFFECTS OF MEDICATION | 559 | ||
| OVERCOMING BARRIERS TO ORAL HEALTH CARE | 560 | ||
| SUMMARY | 562 | ||
| REFERENCES | 562 | ||
| Tools and Equipment for Managing Special Care Patients Anywhere | 567 | ||
| Key points | 567 | ||
| INTRODUCTION | 567 | ||
| BEFORE YOU BEGIN | 568 | ||
| Having the Right Personnel | 568 | ||
| Having the Right Conversations: Getting Information About Your Special Care Patients | 569 | ||
| Having the Right Information | 569 | ||
| Having the Right Office Layout | 569 | ||
| SEATING PATIENTS | 570 | ||
| Movable Operatory Chairs | 570 | ||
| Supporting Patients’ Heads on Their Own Wheelchairs | 571 | ||
| Transferring Patients from Wheelchair to Operatory Chair | 572 | ||
| IMMOBILIZING PATIENTS | 573 | ||
| Chemical Restraints | 573 | ||
| Oral conscious sedation | 573 | ||
| Nitrous oxide/laughing gas | 574 | ||
| Conscious sedation plus nitrous oxide | 574 | ||
| Physical Restraints | 574 | ||
| Body wraps | 575 | ||
| Seating and restraining short-statured patients | 576 | ||
| Restraining by touching | 576 | ||
| Psychological Techniques | 577 | ||
| PATIENTS WHO CANNOT COME TO YOUR OFFICE | 578 | ||
| DIAGNOSTIC PHASE | 579 | ||
| Oral Examination | 580 | ||
| Opening the mouth | 580 | ||
| Keeping the mouth open | 580 | ||
| Illumination | 581 | ||
| Oral cancer screening device | 582 | ||
| Checking for caries | 582 | ||
| Radiographs | 583 | ||
| Handheld x-ray unit | 583 | ||
| Digital x-ray and imaging system | 584 | ||
| X-ray film | 584 | ||
| Panoramic imaging | 584 | ||
| Photographs and Intraoral Video | 585 | ||
| Treatment Plan | 585 | ||
| TREATMENT | 587 | ||
| Dental Isolation Devices | 587 | ||
| Portable and Mobile Carts | 587 | ||
| EMERGENCY MEDICAL SUPPLIES AND EQUIPMENT | 588 | ||
| Medical Emergency Kit | 588 | ||
| Essential Drugs | 588 | ||
| SUMMARY | 589 | ||
| SUPPLEMENTARY DATA | 590 | ||
| REFERENCES | 590 | ||
| Ensuring Maintenance of Oral Hygiene in Persons with Special Needs | 593 | ||
| Key points | 593 | ||
| INTRODUCTION | 593 | ||
| CURRENT STATUS OF PATIENTS WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITY | 594 | ||
| WHY TREAT IF MAINTENANCE IS AN ISSUE? | 594 | ||
| CONSIDERATIONS FOR DENTAL TREATMENT UNDER GENERAL ANESTHESIA | 595 | ||
| RESTORATIVE MATERIALS | 595 | ||
| TREATMENT PLANNING FOR PATIENTS WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITY | 596 | ||
| ORAL HYGIENE TECHNIQUES/CAREGIVER TRAINING | 597 | ||
| DIET | 600 | ||
| SUMMARY | 601 | ||
| REFERENCES | 603 | ||
| Evidence-based Dentistry and Its Role in Caring for Special Needs Patients | 605 | ||
| Key points | 605 | ||
| EVIDENCE-BASED DENTISTRY | 606 | ||
| MEDICAL EVALUATION OF THE DENTAL PATIENT | 606 | ||
| PHYSICAL EVALUATION OF THE DENTAL PATIENT | 607 | ||
| EVIDENCE-BASED DENTISTRY: ADJUSTING TREATMENT ACCOMMODATIONS TO FIT THE PATIENT’S NEEDS | 608 | ||
| Level 1: Minimal Accommodations Needed for Treatment | 608 | ||
| Level 2: Moderate Accommodations Needed for Treatment | 608 | ||
| Level 3: High Level of Accommodations Needed for Treatment | 609 | ||
| OTHER TREATMENT CONSIDERATIONS | 610 | ||
| SUMMARY | 611 | ||
| REFERENCES | 611 | ||
| The Dental Needs and Treatment of Patients with Down Syndrome | 613 | ||
| Key points | 613 | ||
| INTRODUCTION | 613 | ||
| DENTAL CARIES IN INDIVIDUALS WITH DOWN SYNDROME | 614 | ||
| PERIODONTAL DISEASES | 614 | ||
| Properties of Saliva | 614 | ||
| OCCLUSAL AND DENTAL ANOMALIES | 615 | ||
| CRANIOFACIAL COMPLEX | 615 | ||
| SOFT TISSUE AND OROFACIAL ANOMALIES | 615 | ||
| DENTAL CARE | 616 | ||
| Dental Care Access | 616 | ||
| Communication | 616 | ||
| TREATMENT AND PREVENTION | 616 | ||
| Susceptibility to Infections | 616 | ||
| Prevention | 617 | ||
| Restorative | 617 | ||
| Endodontics | 617 | ||
| Periodontal Treatment | 617 | ||
| Orthodontic Intervention | 618 | ||
| DENTAL IMPLANTS | 619 | ||
| Prosthetic Treatment | 619 | ||
| GAG REFLEX | 619 | ||
| General Anesthesia Management | 619 | ||
| TOOTH WEAR AND BRUXISM | 619 | ||
| Dental Trauma | 620 | ||
| SYSTEMIC CONSIDERATIONS | 620 | ||
| REFERENCES | 621 | ||
| Americans with Disabilities Act | 627 | ||
| Key points | 627 | ||
| AMERICANS WITH DISABILITIES ACT | 629 | ||
| LOCAL GOVERNMENT MUST MEET THE REQUIREMENTS OF THE AMERICANS WITH DISABILITY ACT | 631 | ||
| Curb Ramps | 631 | ||
| Communication | 631 | ||
| Ordinances | 632 | ||
| Supreme Court Cases | 632 | ||
| DISABILITY ACCESS CLAIMS | 632 | ||
| DEVELOPMENTAL DISABILITIES | 634 | ||
| HISTORICAL PERSPECTIVE | 634 | ||
| ETHICS | 634 | ||
| Nonmaleficence – Do No Harm | 635 | ||
| Beneficence – Do What Benefits the Patient | 635 | ||
| Autonomy—The Patient Makes the Choice To Consent To or To Refuse Recommended Treatment | 635 | ||
| Justice | 636 | ||
| HAS AUTONOMY PREVAILED AS THE BASIS FOR INFORMED CONSENT IN GREAT BRITAIN? | 636 | ||
| NUREMBERG TRIALS – NUREMBERG, GERMANY | 637 | ||
| TUSKEGEE STUDY (1932–1972) – TUSKEGEE, ALABAMA | 637 | ||
| WILLOWBROOK STATE SCHOOL – NEW YORK | 637 | ||
| JEWISH CHRONIC DISEASE HOSPITAL – NEW YORK | 637 | ||
| MELANOMA TRANSFER | 638 | ||
| THE COURTS | 638 | ||
| DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (FIFTH EDITION): SIGNIFICANT CHANGES | 639 | ||
| Intellectual Disability | 639 | ||
| Autism Spectrum Disorder | 639 | ||
| PREVALENCE | 639 | ||
| DEFINITIONS OF DEVELOPMENTAL DISABILITY | 639 | ||
| CALIFORNIA WELFARE AND INSTITUTIONS CODE | 640 | ||
| INTELLECTUAL DISABILITY | 640 | ||
| COMPREHENSIVE ASSESSMENT | 641 | ||
| AUTISM SPECTRUM DISORDER | 641 | ||
| JUDICIAL PROCEEDINGS | 642 | ||
| EPILEPSY | 642 | ||
| Classification | 642 | ||
| CEREBRAL PALSY | 643 | ||
| SUMMARY | 645 | ||
| REFERENCES | 645 | ||
| Making Treatment of Special Needs Patients an Important Part of Your Growing Dental Practice | 649 | ||
| Key points | 649 | ||
| THERE ARE DENTISTS TRAINED TO DO THIS | 650 | ||
| THERE IS DEMAND FOR SPECIAL NEEDS DENTISTRY | 650 | ||
| HOW DOES A PRACTICE OFFER CARE FOR SPECIAL NEEDS PATIENTS? | 651 | ||
| DEVELOPING YOUR OWN PHILOSOPHY OF CARE | 653 | ||
| THIS CAN WORK IN PRIVATE PRACTICE | 654 | ||
| THE VALUE OF HOSPITAL AFFILIATION AND PRACTICE | 656 | ||
| THE GROWING GERIATRIC SPECIAL NEEDS GROUP | 657 | ||
| LIMITATIONS OF MOBILE DENTISTRY | 658 | ||
| WORKING WITH DENTAL SPECIALISTS HELPS EVERYONE | 659 | ||
| IMPORTANT OPPORTUNITIES FOR SPECIAL NEEDS DENTISTS | 661 | ||
| SUMMARY | 662 | ||
| REFERENCES | 662 | ||
| Treatment of Orally Handicapped Edentulous Older Adults Using Dental Implants | 663 | ||
| Key points | 663 | ||
| INTRODUCTION | 663 | ||
| OSSEOINTEGRATION | 664 | ||
| Indications for Dental Implants for Older Adults | 665 | ||
| Precautions for Medically Compromised Patients | 665 | ||
| Cardiac systemic diseases | 665 | ||
| Radiotherapy | 665 | ||
| Tobacco | 665 | ||
| Diabetes | 665 | ||
| Osteoporosis | 666 | ||
| SIMPLIFICATION AND RATIONALIZATION | 666 | ||
| Types of Dental Implants | 666 | ||
| Bone Regeneration Before or Immediately after Implant Placement | 667 | ||
| FACTORS AFFECTING IMPLANT LOSS | 667 | ||
| RECOMMENDATIONS | 668 | ||
| Reduced-diameter Implants | 668 | ||
| Preparation | 684 | ||
| Maintenance | 686 | ||
| REFERENCES | 688 | ||
| Communicating with Patients with Special Health Care Needs | 693 | ||
| Key points | 693 | ||
| INTELLECTUAL DISABILITY AND COMMUNICATION DISORDERS | 694 | ||
| Intellectual Disability | 694 | ||
| Expressive communication | 694 | ||
| Receptive communication | 696 | ||
| Speech and Language Disorders | 697 | ||
| Dysarthria | 697 | ||
| Aphasia | 698 | ||
| Augmentative and Alternative Communication | 698 | ||
| The FRAME Framework | 700 | ||
| DENTAL FEAR AND PSYCHIATRIC CONDITIONS | 700 | ||
| Prevalence and Causes of Dental Fear | 700 | ||
| Prevalence of Psychiatric Conditions | 701 | ||
| Dental Implications of Psychiatric Conditions | 701 | ||
| Communicating Techniques | 701 | ||
| Sensitive Topics | 702 | ||
| Referral Information | 703 | ||
| SUMMARY | 703 | ||
| REFERENCES | 704 | ||
| Neurologic Diseases in Special Care Patients | 707 | ||
| Key points | 707 | ||
| OVERVIEW | 707 | ||
| General Considerations for All Patients with Neurologic Diseases | 707 | ||
| Clinical Considerations for Patients with Neurologic Diseases | 708 | ||
| ALZHEIMER DISEASE | 709 | ||
| Definition and Epidemiology | 709 | ||
| Clinical Presentation | 709 | ||
| Alzheimer Stages | 710 | ||
| Mild (pre-dementia) | 710 | ||
| Moderate | 711 | ||
| Late | 711 | ||
| Medical Management | 712 | ||
| Dental Management | 713 | ||
| Oral health care considerations | 713 | ||
| Patient Management | 713 | ||
| Treatment Modifications | 714 | ||
| Early stage | 714 | ||
| Moderate stage | 714 | ||
| Late stage | 715 | ||
| CEREBROVASCULAR ACCIDENT (STROKE) | 715 | ||
| Description and Epidemiology | 715 | ||
| Clinical Presentation | 716 | ||
| Medical Management | 717 | ||
| Dental Management | 717 | ||
| Initial Visit | 718 | ||
| Treatment Modifications | 720 | ||
| Restorative and Prosthetic Modifications | 721 | ||
| MULTIPLE SCLEROSIS | 722 | ||
| Description and Epidemiology | 722 | ||
| Clinical Presentation | 723 | ||
| Medical Management | 725 | ||
| Dental Management | 726 | ||
| Treatment Considerations | 726 | ||
| Treatment planning modifications | 726 | ||
| PARKINSON DISEASE | 727 | ||
| Description and Epidemiology | 727 | ||
| Clinical Presentation | 727 | ||
| PARKINSON DISEASE SYMPTOMS | 729 | ||
| Medical Management | 729 | ||
| Dental Management | 729 | ||
| Treatment modifications | 729 | ||
| Drug interactions | 731 | ||
| Oral hygiene/prevention | 731 | ||
| SUMMARY | 732 | ||
| REFERENCES | 732 | ||
| The Special Needs of Preterm Children – An Oral Health Perspective | 737 | ||
| Key points | 737 | ||
| INTRODUCTION | 737 | ||
| COMMON ADVERSE EFFECTS ON THE ORODENTAL STRUCTURES AMONG PRETERM INFANTS | 738 | ||
| Developmental Enamel Defects | 738 | ||
| Dental Caries | 742 | ||
| Tooth Wear | 743 | ||
| Tooth Crown Anomalies | 744 | ||
| Eruption Delays | 745 | ||
| Palatal Deformities | 746 | ||
| Dental Arch Distortions | 746 | ||
| Malocclusions | 746 | ||
| PREVENTION AND MANAGEMENT STRATEGIES | 747 | ||
| Dental Home and Risk Assessment | 747 | ||
| Anticipatory Guidance | 748 | ||
| DEVELOPMENTAL ENAMEL DEFECTS | 748 | ||
| DENTAL CARIES | 749 | ||
| TOOTH WEAR | 750 | ||
| TOOTH, DENTAL ARCH, PALATAL ANOMALIES, AND MALOCCLUSION | 750 | ||
| SUMMARY | 751 | ||
| REFERENCES | 751 | ||
| Index | 757 |