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Treating the Dental Patient with a Developmental Disorder provides a basic understanding of patients with developmental and intellectual disorders and offers help in communicating with and treating with developmental disabilities, including autism spectrum disorders, Down Syndrome, attention deficit, cerebral palsy, spina bifida, learning disabilities, and others. Presents descriptions of most common forms of developmental and intellectual disorders Provides practical methods of caring for patients with these disabilities, including how to guide and model behavior Offers practice management tips to accommodate patients with special needs, particularly those with autism Includes instructions to give caregivers for home oral therapy
This concise manual offers best practice guidance on dental treatment of pediatric patients with special health care needs (CSHCN). The straightforward approaches described will enable clinicians to deliver high-quality, patient-centered care to children with intellectual and developmental disabilities. Readers will find up-to-date information on case-based treatment planning, alternative caries management strategies, the use of behavioral and pharmacological interventions to facilitate delivery of quality treatment, and a team approach to care. Practical clinical tips are provided on how to achieve and maintain oral health, including good oral hygiene and nutrition. A systematic framework for patient assessment and interaction with medical colleagues will assist readers in understanding when dental protocols must be altered. Other important topics include techniques for effective communication with CSHCN, behavioral strategies to improve treatment acceptance, the role of occupational therapy techniques, the sensory adapted dental environment, and the use protective stabilization.
Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.
In this issue of Dental Clinics, guest editor Dr. Stephanie M. Munz brings her considerable expertise to the topic of Special Care Dentistry. In this issue, top experts in the field focus on the provision of dental care services for people with cognitive, physical, medical, or developmental conditions which can preclude them from receiving routine dental care. Key topics include patients with cleft lip, orofacial pain, and neurosensory disorders, in addition to teledentistry, mentorship, advocacy, and the impact of the COVID pandemic. Contains 11 relevant, practice-oriented topics including dental materials in special care dentistry; the pandemic impact on oral health of patients with special healthcare needs; teledentistry for patient-centered screening and assessment; oral health advocacy over the lifespan for the patient with special healthcare needs; interprofessional collaboration for the patient with special healthcare needs; and more. Provides in-depth clinical reviews on special care dentistry, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
This handbook addresses treatment planning for children with autism spectrum disorder (ASD) and other neurodevelopmental disabilities (NDDs) using a medical home perspective. It examines the medical home model, which has been promoted as the standard of care by the American Academy of Pediatrics since 2002, emphasizing collaboration between patients, families, and providers to optimize care. The handbook addresses treatment planning, including the coordination of the care provided by multiple specialists with a clear, shared vision for maximizing each child’s potential. Key areas of coverage include: · Elements of treatment planning, history of the medical home model, documentation, and strategies to facilitate communication. · Goals of treatment from the perspectives of the family, person served, care providers, and fiscal and regulatory bodies. · Role of each specialist, highlighting the most common conditions experienced by children with ASD and other NDD with expectations for assessment and treatment. · Detailed recommendations for making referrals and assisting the child and family in preparing for appointments. The Handbook of Treatment Planning for Children with Autism Spectrum Disorder and Other Neurodevelopmental Disabilities is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, and other professionals across such interrelated disciplines as clinical child, school, and developmental psychology, child and adolescent psychiatry, social work, rehabilitation medicine/therapy, pediatrics, and special education.
With new medications, medical therapies, and increasing numbers of older and medically complex patients seeking dental care, all dentists, hygienists, and students must understand the intersection of common diseases, medical management, and dental management to coordinate and deliver safe care. This new second edition updates all of the protocols and guidelines for treatment and medications and adds more information to aid with patient medical assessments, and clearly organizes individual conditions under three headings: background, medical management, and dental management. Written by more than 25 expert academics and clinicians, this evidence-based guide takes a patient-focused approach to help you deliver safe, coordinated oral health care for patients with medical conditions. Other sections contain disease descriptions, pathogenesis, coordination of care between the dentist and physician, and key questions to ask the patient and physician.
Back and better than ever, Darby and Walsh’s Dental Hygiene: Theory and Practice, 5th Edition offers everything you need to succeed in your coursework, at certification, and in clinical practice. No other dental hygiene text incorporates the clinical skills, theory, and evidence-based practice in such an approachable way. All discussions — from foundational concepts to diagnosis to pain management — are presented within the context of a unique patient-centered model that takes the entire person into consideration. New to this fifth edition is a much more streamlined approach — one that stays focused on need-to-know information, yet also houses expanded content on things like alternative practice settings, pediatric care, risk assessment, and dental hygiene diagnosis to give you added context when needed. This edition is also filled with new modern illustrations and new clinical photos to augment your learning. If you want a better grasp of all the dental hygienist’s roles and responsibilities in today’s practice, they Darby and Walsh’s renowned text is a must-have. Focus on research and evidence-base practice provide proven findings and practical applications for topics of interest in modern dental hygiene care. Step-by-step procedure boxes with accompanying illustrations, clinical photos, and rationales outline the equipment required and the steps involved in performing key procedures. Critical thinking exercises, cases, and scenarios help hone your application and problem-solving skills. Feature boxes highlight patient education, law, ethics, and safety. UNIQUE! Discussions of theory provide a solid foundation for practice. Key terms are called out within chapters and defined in glossary with cross-references to chapters. Practice quizzes enable you to self-assess your understanding. NEW! Streamlined approach focuses on the information you need to know along with the practical applications. NEW! Added content covers alternative practice settings, new infection control guidelines, pediatric care, risk assessment, dental hygiene diagnosis, the electronic health record (EHR), and more. NEW! Modern illustrations and updated clinical photos give you a better picture of how to perform essential skills and utilize clinical technology. NEW! Online procedures videos guide you step-by-step through core clinical skills. NEW! Editorial team brings a fresh perspective and more than 30 years of experience in dental hygiene education, practice, and research.
Complications from dental procedures are inevitable and encountered by all dental professionals. Avoiding and Treating Dental Complications: Best Practices in Dentistry is designed to address proper management of these situations in everyday practice. Covers a range of dental issues and complications found in daily practice Written by experts in each specialty Features tables and charts for quick information Includes clinical photographs and radiographs
You can count on McDonald: the go-to source for expert, complete coverage of oral care for infants, children, and teenagers for over half a century. McDonald and Avery’s Dentistry for the Child and Adolescent, 10th Edition discusses pediatric examination, development, morphology, eruption of the teeth, and dental caries in depth — and emphasizes prevention and the treatment of the medically compromised patient. Boasting a new design and handy Evolve site, this new edition by Jeffrey A. Dean equips you with the latest diagnostic and treatment recommendations in the fast-growing field of pediatric dentistry. Complete, one-source coverage includes the best patient outcomes for all of the major pediatric treatments in prosthodontics, restorative dentistry, trauma management, occlusion, gingivitis and periodontal disease, and facial esthetics. A clinical focus includes topics such as such as radiographic techniques, dental materials, pit and fissure sealants, and management of cleft lip and palate. Practical discussions include practice management and how to deal with child abuse and neglect. Evolve site provides you with the best learning tools and resources. UPDATED! More emphasis on preventative care and treatment of medically compromised patients helps you provide more effective care. NEW! Easier-to-follow design.
Purpose: The purpose of this retrospective study is to utilize data from the Nationwide Children’s Hospital electronic health record to relate behavior at initial early child dental visits and future behavioral health diagnoses. Methods: This retrospective study used electronic health records of ASA I and II children who had their first dental visit (FDV) between the ages of 3-5 years at the Department of Dentistry at Nationwide Children’s Hospital and had no behavioral health diagnosis at that time and who were 8-10 years of age at the time of the chart review. Frankl behavior rating scale scores at the initial dental visit were correlated with presence/absence of a behavioral health diagnosis (BHD) and its type, including ADHD, autism spectrum disorder, speech delay, and developmental delay. A total of 408 patients met the inclusion criteria. An age- and gender-matched group with early dental visits and behavioral scores who were ages 8-10 years of age at the time of the chart review served as controls. Results: 408 patient charts met the inclusion criteria. 70.6% of the sample was male, while 29.4% of the sample was female. The most common BHD encountered was ADHD (N=265), followed by speech delay (N=98), autism spectrum disorder (N=35), and developmental delay (N=10). There was no difference in Frankl score at initial dental visit between the study group and the control group (a=0.08). There was a statistical difference of Frankl score between the diagnosis groups (a=0.0007). Patients without BHDs were more likely to have dental treatment iii needs than those with BHDs (a=0.01). Patients who received a BHD at an earlier age were more likely to have dental treatment needs (a=0.03). As age at FDV increased, Frankl score at FDV also increased (a=0.01). The use of restraint for dental treatment declined as age at FDV increased (a=0.0001). Patients who were younger at FDV were less likely to have dental treatment needs (a