Dent Clin North Am [journal]
- Special Care Dentistry. [Editorial]
- Dent Clin North Am 2016 Jul; 60(3):xi-xii.
- Dedication. [Editorial]
- Dent Clin North Am 2016 Jul; 60(3):ix.
- The Special Needs of Preterm Children - An Oral Health Perspective. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):737-56.
Preterm births are defined as those before 37 weeks of gestation. With advances in fertility medicine and neonatal medicine, the numbers of preterm children in the community have significantly increased. Developmental delays and complications among preterm children are well recognized. Much less consideration is given to the dental complications of preterm children. Manifestations include palatal deformations, enamel defects, tooth size variations and tooth shape deformities, malocclusions, and increased risks of early childhood caries and tooth wear. This article explores orodental risks and orodental needs of preterm children and suggests preventive and management strategies for optimizing the oral health of special needs children.
- Neurologic Diseases in Special Care Patients. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):707-35.
Neurologic diseases can have a major impact on functional capacity. Patients with neurologic disease require individualized management considerations depending on the extent of impairment and impact on functional capacity. This article reviews 4 of the more common and significant neurologic diseases (Alzheimer disease, cerebrovascular accident/stroke, multiple sclerosis, and Parkinson disease) that are likely to present to a dental office and provides suggestions on the dental management of patients with these conditions.
- Communicating with Patients with Special Health Care Needs. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):693-705.
People with special health care needs (PSHCN) often have difficulty communicating with providers in health care settings, including dental practices. This difficulty can affect access to care as well as the quality of care received. This article provides practical tips and tools dental professionals can use to facilitate communication for a diverse population of PSHCNs. The article discusses communication needs of patients with communication disorders; augmentative and alternative communication; and communication for patients with intellectual disability, psychiatric conditions; and dental fears. Examples are given of communication breakdowns, and descriptions of how communication challenges can be resolved.
- Treatment of Orally Handicapped Edentulous Older Adults Using Dental Implants. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):663-91.
The oral handicap of complete edentulism is the terminal outcome of a multifactorial process involving biological factors and patient-related factors. Fully edentulous orally handicapped older adults have been neglected because removable acrylic dentures have been the classic therapy for complete edentulism but are only rehabilitative, not therapeutic. Not replacing missing teeth with stable dentures could prevent adequate food intake. Osseointegrated endosseous implants used as a therapeutic adjunct can reduce the problem of long-term bone resorption to less than 0.1 mm per year. Implant-borne prostheses substantially increase the overall health and quality of life of orally handicapped fully edentulous older adults.
- Making Treatment of Special Needs Patients an Important Part of Your Growing Dental Practice. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):649-62.
Today many young dentists want to find a way to make their practices satisfying in ways other than the financial rewards of dentistry. Some of these practitioners have gained additional training in diagnosis and treatment of medically and physically compromised patients in hospital-based, general practice residency programs. A hospital affiliation can create a unique niche that will allow dentists to differentiate themselves from other dentists. By welcoming those ongoing relationships for patients with special needs, and having the resources and desire to treat them, dentists will achieve greater visibility and a reputation as caring, capable practitioners in their community.
- Americans with Disabilities Act: Its Importance in Special Care Dentistry. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):627-47.
This article focuses on understanding the Americans with Disabilities Act and developmental disabilities for health care providers in special care dentistry. Essential to this awareness is a comprehension of statutory and regulatory requirements and how state disability acts can be more rigorous in application. Developmental disabilities are re-examined in the context of the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). Understanding of intellectual disability, epilepsy, autism spectrum disorder, and cerebral palsy is necessary because the management of oral health considerations for special care patients has become ever more complex and indispensable.
- The Dental Needs and Treatment of Patients with Down Syndrome. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):613-26.
Down syndrome is a common disorder with many oral conditions and systemic manifestations. Dentists need to take a holistic approach including behavioral, oral, and systemic issues. This review of the literature focuses on oral anomalies, systemic interaction, management, and recommendations.
- Evidence-based Dentistry and Its Role in Caring for Special Needs Patients. [Journal Article, Review]
- Dent Clin North Am 2016 Jul; 60(3):605-11.
Evidence-based dentistry is a concept ideally suited and applicable to special needs dentistry. As the special needs of patients varies according to the individual, so should the way we evaluate our patient, prescribe a course of treatment, and implement that treatment plan. Future generations of dental students and residents should be trained in these concepts not just for patients with special needs, but also for the general patient population. It is imperative that the dental community not retreat in the face of what many deem to be "difficult" patients with special needs. Knowledge and training can overcome many barriers to treatment.