treatment modification for treating special needs patients in pediatric dental office

Presented by Danny Watts, DDS, MSD and

Laura Morgan, RDH

Autistic PatientCharacteristics and In-Office Treatment:

•Definition of Autism

•Relationships with others

•Sensitivies experienced by Autistic children in the dental Setting.

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Facts About AustismAutism now affects 1 in 88 children and 1 in 54 boys.Austism prevelance figures are growing.More children will be diagnosed with austism this

year than with AIDS, diabetes and cancer combined.Autism is the fastest growing serious developmental

disability in U.S.Autism receives less than 5% of the research funding

of many less prevelant childhood diseases.Boys are 4 times more likely than girls to have autism.There is no medical detection or cure for autism.www.autismspeaks.org

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http://www.youtube.com/watch?v=G7kHSOgauhg&playnext_from=TL&videos=vqJyz7UrA3I

http://www.youtube.com/watch?v=G7kHSOgauhg&playnext_from=TL&videos=vqJyz7UrA3I

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•Turn off the radio!

•Dental Equipment Sounds

•Procedures step-by-step and show and tell

•Take several breaks

•Asperger’s Syndrome:

•Form of autism 5

Eugene’s Story Book

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Autistic StimmingRepetitive behavior that may involve all

senses.VisualAuditorySmellTasteTactileVestibularProprioception

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Fast and effective treatment

Bitter Cactus Extract

Break the lifelong habit of nail biting

Stimulates healthy new nail growth

Nibble No More

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Autistic Patient

Home Care Regimen:

•Manual toothbrush.

•Dry toothbrushing technique.

• Statistics vs. wet brush

• Isolated brushing technique

•Plastic disposable floss aids

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Down’s Syndrome Characteristics :

DefinitionLoving Sensitive Trust=Cooperati

on

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Carley and Dylan Tauras

Peg LateralsMacroglossiaFlattened facial profileNarrow and deep palate

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Down’s SyndromeHome Care Regimen:

Electric toothbrush

Oral B Vitality and Crest Spin

Parents to perform a follow-up brushing and flossing routine.

Oral B Vitality Toothbrush. $20.

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Clinical Modifications:

Inactivity and/or hyperactivity

Short attention span

The more involved they are in the visit the longer you keep there attention.

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Attention-Deficit/Hyperactivity Disorder (ADHD)

Home Care Regimen:

Routines and schedules Security Daily schedules work best!

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Clinical

Modifications:

DefinitionMovement, smell, taste, vision, and hearing. Children with autism and other developmental

disabilities Explain sensations to be expected Step-by-step procedures and explanation

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Sensory Integration Dysfunction

Home Care Regimen

Manual toothbrush Parent follow upSensitive to taste

Omni-gel Non Flavor Fl2 Plastic disposable flosser.

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Cerebral PalsyCharacteristics and Clincial Modifications:

DefinitionAffects muscle tone,

movement, and motor skills

Limited movements Wheel chair boundBed bound

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Clinical Modifications for Cerebral Palsy

• Portable Cavitron Select SPS available.

• Water tank • Area specific inserts• Universal inserts

$1795.00 found at www.jkretail.com.

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Cerebral PalsyOpen Wide

Disposable Mouth Rest.

Regular or Thick sizeYou can order these

online through www.specializedcare

.com. Starting at 4 for $10.

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http://www.specializedcare.com/

http://www.specializedcare.com/

Open Wide Reusable Mouth Prop:

•Small, medium and large sizes.

•Starting at 2 for $38.

•Receptor holds suction

•“Wrap around” handle curves away from the mouth.

•Found at www.specializedentalcare.com. 38

Porte Polisher- NSK Taskal

Wizard You can find these at, 500-

2500RPMs, has 9 speeds

www.avtecdental.com for $625.95.

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Home Care Cerebral PalsyJohnson & Johnson

Reach Access Flosser. Sturdiness aids as a mouth

prop.

$1.92-Found inmost grocery storesand Pharmacies.

Oral B Vitality Electric toothbrush

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•Congenital condition

•Port-wine stain

•Progressive mental retardation, epilepsy, and glaucoma in the eye on the affected side. 42

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AGE 6 AGE 15

•Defnition

•Clotting ability

• Low levels of a certain protein

• Von Willebrand factor acts like glue

•Factor VIII (8)

•Hemophilia 46

Orthodontically Banded Cleft Palate Patient

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Retail Sales: www.PlatypusCo.com$16.95/bagProfessional Sales:www.pdtdental.com$10-12/bagHenry-Schein, DarbyPatterson, etc….

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treatment modification for treating special needs patients in pediatric dental office

Healthcare