children with special needs pptx - د.عمر

Children with Special Health Care Needs

• Classification of disabled children:

Intellectual impaired
Physically impaired
Sensory impairment
Medically compromised
Combination of disabilities
Children who are handicapped for dentistry are those who have a physical and /or mental or emotional condition that may prevent them from treated routinely.

Handicapped Infants’ and young children’s oral health may be affected negatively by:
Medications
Special diets
Decreased saliva flow
Motor problems
Lack of access to preventive care

some conditions are associated with increased risk for various oral health problems :

Children with developmental disabilities
enamel irregularities
gum infections
tooth eruption delays
severe malocclusion
oral infection

some conditions are associated with increased risk for various oral health problems :

Children with Down syndrome
periodontal disease
Xerostomia
fissuring of the tongue and lips
Malocclusion

Children with cleft lip or cleft palate

tooth decay
Gingivitis
malocclusion
some conditions are associated with increased risk for various oral health problems :

Oral Conditions

• Delayed Tooth Eruption
• Malocclusion
• Dental Anomalies

Oral Conditions

Oral Trauma

Bruxism
Gingival Overgrowth

Oral Conditions

• Oral Infections
• caries
• Viral and Fungal Infections
• Gingival Infection

Treatment Modifications of the handicapped patients

• Periodontal
• Gingivectomy
• periodontal packs may not be well tolerated
• electrosurgery or laser surgery techniques should be considered

Treatment Modifications of the handicapped patients

• Restorative
• Glass ionomer restorations
• Stainless steel crowns
• Maintain even severely worn teeth
• Endodontic treatment
• One visit
• Apex locator

Treatment Modifications of the handicapped patients

• Prosthetic
• Fixed prosthodontics are feasible when
• patient can cooperate
• adequate oral hygiene can be maintained
• poorly controlled seizure disorder
• Fixed prosthodontics for anterior teeth contraindicated
• Removable prostheses are contraindicated

Treatment Modifications of the handicapped patients

Positioning and Airway Protection
patients must be properly positioned to prevent aspiration
receive treatment in a sitting or
semi-reclined position.
The use of rubber dam

Treatment Modifications of the handicapped patients

• Behavior Management
• creating a caring empathetic relaxed environment
• behavior modification techniques
• immobilization with protective devices and restraints
• sedation
• general anesthesia