Management of children with special health care needs (SHCN) in the dental office

Dharmani, Charan Kamal Kaur

doi:10.4103/jms.jms_115_16

Cited by 14 publications

(13 citation statements)

References 1 publication

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“…Generally, CSHCN has a high prevalence of dental caries. This could be attributed to uncoordinated chewing in some conditions, difficulty in performing efficient toothbrushing, fermentable diet intake, xerostomia related to medicine, intake of flavored medications, crowding of teeth and related gingival hyperplasia [20]. The high caries index in this report is in line with many of the previous studies [21,22].…”

Section: Discussionsupporting

confidence: 85%

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Alkhabuli¹,

Essa²,

Al-Zuhair³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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Objective: To determine the oral health status along with the treatment need among Arabian children with special health care needs. Material and Methods: Fifty-seven special health care needs children aged 17 or younger, studying at RAK-RCD were recruited for the study. In addition to demographic data, the subjects were screened for the type of disability, oral health status, dental caries, occlusion abnormalities, and type of treatment required. Dental caries was recorded according to the WHO oral health survey criteria and methods. Oral hygiene status was recorded as good, fair, or poor according to the Simplified Oral Hygiene Index (S-OHI). Occlusion anomalies were categorized using Angle's classification of occlusion. Results: Fiftyfour subjects aged 3-17year old, comprising 70.4% males and 29.6% females participated in the study. There were 7 (13%) subjects in the 3-5 years age group, 23 (42.6%) in the 6-10 years age group, and 24 (44.4%) in the 11-17 years age group. Twenty-two (26%) subjects had Down Syndrome (DS), 14 (25.9%) Mental Disability, 9 (16.7%) Autism, 5 (9.3%) deafness and hearing loss and 4 (7.4%) multiple disabilities. Forty-six (85.2%) had dental caries with a mean dmft/DMFT score of (5.67± 4.69). Only eight (14.8%) were caries-free. Thirty-five (64.8%) had good oral hygiene, 25.9% fair oral hygiene and 9.3% poor oral hygiene, with statically insignificant differences across gender (p=0.43), age groups (p=0.11). Nevertheless, there was a significant difference between oral hygiene and the types of disabilities (p=0.0004). Up to 41% of the subjects required oral prophylaxis, 89% restorations, 13% extractions, 20% orthodontic treatment, and 11% dental prosthesis. Conclusion: There was a high prevalence of dental caries and periodontal diseases among the subjects. The study highly recommends the education of the children's parents and caregivers on the need for diet modification, meticulous oral hygiene, and regular dental visits. Furthermore, there is a great deal of oral health program the RAK Rehabilitation Center for Disabled need to achieve.

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Section: Discussionsupporting

confidence: 85%

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Alkhabuli¹,

Essa²,

Al-Zuhair³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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“…In India, there are 12 million children with special health care needs, out of which barely 1% have accessibility to education. 8 Many conditions such as developmental disabilities, mental retardation, craniofacial abnormalities, cerebral palsy, and seizure disorders can affect a child's oral health status.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of psychophysiological response of children with special health care needs to use of facemask‐eyeshield and visor in a dental setting—A cross‐sectional study

Chhabra

Sood

Bhatia

et al. 2020

Special Care in Dentistry

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Aim The aim of the study was to determine the psychophysiological response (Heart rate) of special health care needs to use of facemask‐eyeshield and visor worn in a dental setting. Settings and design The cases for the present study were selected from special schools of Delhi‐NCR. The patients selected were in IQ range 50‐84 and children rated as positive or definitely positive according to Frankl's behavior rating scale. A total of 378 patients of age group 4‐14 years were selected. Methods and material Every child was made to sit and pulse oximeter was put on his/her finger to measure Baseline heart rate. Dental examination was done using a sterile mouth mirror (No. 5) and explorer. It was done in two phases for every child: Patient underwent dental examination by clinician wearing (A) facemask‐eyeshield (Euronda) and (B) visor (Oro). Results The mean heart rate during dental examination wearing visor (81.55 ± 17.54) was significantly lesser than during dental examination wearing facemask and eyeshield (84.49 ± 17.96). Conclusions Dental anxiety levels were lower when the dentist used visor during the dental examination than when the dentist used facemask and eyeshield.

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“…[8][9][10] A 0.12% chlorhexidine digluconate mouthwash was prescribed to be used twice a day for 7 days after toothbrushing, administered with a sterile gauze swab, as the patient's age contraindicated mouth washing. [11][12] Two weeks after drug replacement and hygiene and dietary guidance, an improvement in the presence of biofilm and aspect of the gingival tissue were observed. The patient has been followed up, and quarterly visits to the dental office have been scheduled with the purpose of improving the family's and his quality of life.…”

Section: Case Reportmentioning

confidence: 99%

Peters-plus syndrome: oral health approach

Viga¹,

Júnior²,

Medina³

et al. 2018

j.rpemd

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The aim of this paper is to report a clinical case of a male patient with Peters-plus syndrome. This syndrome is a rare, autosomal recessive congenital disorder. It is diagnosed by the presence of ocular changes associated with delayed psychomotor development, cardiac defects, and characteristic facial features, such as cleft lip, hypertelorism, narrow eyes, prominent forehead, and hearing loss. Clinical examination revealed gingival hyperplasia in the upper and lower arches resulting from the use of phenobarbital, associated with the presence of a large amount of dental biofilm, and active white spot lesions in the upper deciduous incisors. Replacement of the anticonvulsant medication was requested. Guidelines on oral and dietary hygiene habits as well as topical application of fluoride varnish were provided. Hyperplasia was reversed in 2 weeks and the patient has been receiving follow-up care. The patient is being monitored and his oral condition has improved. (Rev Port Estomatol Med

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Management of children with special health care needs (SHCN) in the dental office

Cited by 14 publications

References 1 publication

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Comparative evaluation of psychophysiological response of children with special health care needs to use of facemask‐eyeshield and visor in a dental setting—A cross‐sectional study

Peters-plus syndrome: oral health approach

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