ABSTRACT
Aim: To compare and evaluate the effect of sensory-adapted dental environment (SADE) and regular dental environment in reducing anxiety levels in children with intellectual disabilities. Materials and Methods: This study was carried out in children with mild intellectual disabilities aged 8–13 years. The developmental screening test was utilized in screening and including these children with IQ scores between 52 and 67, and after random allocation, children were subjected to oral prophylaxis in the SADE and regular dental environment. Anxiety levels were assessed at baseline, 5 min, and at the end of the procedure using Venham's anxiety rating scale, pulse rate, and blood pressure values. Results: The data were coded and analyzed using software SPSS (IBM version 22.0) for statistical analysis. Comparison between the groups was done using independent t-test and repeated measured ANOVA for objective assessment of intergroup and intragroup anxiety levels, respectively, and using Mann–Whitney U-test and Friedman's test for subjective assessment of intergroup and intragroup anxiety levels, respectively. Conclusion: These findings suggest that SADE significantly decreased anxiety levels and cooperative behavior in children with mild intellectual disability and can be used as an alternative behavior management technique in effectively handling children with intellectual disability.
ABSTRACT
RESUMEN: El Síndrome de Down es una condición genética que se identifica por la presencia de un grado variable de discapacidad cognitiva, rasgos y características físicas singulares, que también repercuten a nivel estomatognático. El objetivo de este reporte de caso es reflejar los desafíos terapéuticos que podemos enfrentar para lograr un tratamiento integral en estos pacientes. Madre de paciente consulta por apiñamiento dentario. Presenta enfermedades sistémicas asociadas al Síndrome de Down, alteraciones sensoriales, gingivitis generalizada, lesiones de caries, anomalías dentomaxilares y fibroma traumático en flanco lingual. El tratamiento incluyó adaptación a la atención odontológica, odontología preventiva y restauradora, periodoncia y ortodoncia. Luego de 25 meses de tratamiento, se logró el alta integral, debiendo modificar los objetivos del tratamiento y el manejo terapéutico ortodóncico en diversas ocasiones. Es posible realizar tratamientos integrales en pacientes con Síndrome de Down, considerando una buena adaptación, objetivos alcanzables y trabajo en equipo multidisciplinario.
ABSTRACT: Down Syndrome is a genetic condition identified by the presence of a variable degree of cognitive disability and unique physical characteristics and traits, which also have an impact on the stomatognathic system. The aim of this case report is to report the therapeutic challenges that we can face to achieve a comprehensive treatment. Patient's mothers consult for dental crowding. The patient presents systemic diseases associated with Down Syndrome, sensory anomalies, generalized gingivitis, dental caries lesions, maxillary dental anomalies, and traumatic fibroma in the tongue. The treatment included adaptation to dental care, preventive and restorative dentistry, periodontics and orthodontics. After 25 months of treatment, comprehensive discharge was achieved, with modifications in the treatment objectives and orthodontic therapeutic management in several occasions. Comprehensive treatment in patients with Down Syndrome is possible, considering a good adaptation to the treatment, achievable objectives and multidisciplinary teamwork.
ABSTRACT
@#To assess the oral health behaviour and preventive dental care experiences of patients with special health care needs (SHCN) who attended the Special Care Dental (SCD) Clinic at University of Malaya. Data were collected from 31 patients using a self-administered questionnaire which consisted of questions pertaining to their oral health behaviours and experiences on receiving preventive dental care (PDC). For patients who were unable to answer due to existing health conditions, parents or primary caregivers were approached as proxy. Descriptive analysis was conducted and reported based on percentages to identify the oral health behaviour and PDC of the individuals. Majority brushed their teeth at least once a day (84%), used fluoridated toothpaste (87%) and oral hygiene aids (58%). However, almost half of them (48%) required assistance from parents or caregivers during tooth brushing and consumed sugary snacks in between meals (58%). About 80% had received PDC where the type of care received was mainly oral hygiene advice (77%). Slightly more than 80% preferred the one-to-one demonstration method during PDC. Most gave positive evaluation on their PDC experience especially on items pertaining to the dentist’s attitude. Whilst most of the SHCN patients in this study had positive perception on the PDC that they received and practised good brushing behaviour, their dietary habits need to be improved. Thus, regular preventive dental visit amongst SHCN patients is important for appropriate and comprehensive dental care in maintaining oral health..
ABSTRACT
O objetivo desse estudo foi avaliar a implementação da Odontologia para Pacientes com Necessidades Especiais como especialidade odontológica e sua projeção institucional na região metropolitana de São Paulo, no que diz respeito à formação de profissionais e provisão de serviços nessa área. Espera-se com a descrição e análise dos serviços avaliados, contribuir para o desenvolvimento de rotinas de atendimento aos pacientes com necessidades especiais, por parte de entidades e profissionais, bem como incentivar instituições formadoras a incrementar a oferta de recursos didáticos e motivar as entidades que não disponibilizam essa atividade aos seus educandos que o façam. Foram analisados três ambientes, nos quais o paciente com necessidades especiais pode receber atendimento odontológico e estudantes e profissionais formados podem receber educação odontológica na especialidade doze faculdades de Odontologia, três cursos de especialização e três centros de atendimento especializados. Em função da amplitude temática e institucional envolvida, propôs-se o seguinte recorte: pacientes com paralisia cerebral (representando o grupo de pacientes com deficiências neurológicas ou psicomotoras), pacientes com aids (representando o grupo de pacientes com doenças infecto-contagiosas) e pacientes com diabetes (representando o grupo de pacientes com doenças crônicas)...
The aim of this study was to evaluate the implementation of Special Care Dentistry as dental specialty and its institutionalization in the metropolitan region of Sao Paulo, as regards professional training and the provision of services in this area. It is hoped that the description and analysis of evaluated services, contribute to improve the provision of services aimed at these patients by institutions and professionals, as well as encouraging educational institutions to increase the supply of teaching resources and motivate entities that do not offer this activity to their students to do so. We analyzed three environments in which the patient with special needs can receive dental care and dental students and professionals can receive dental education in the specialty - twelve dental schools, three courses of specialization and three specialized centers for dental services. In accordance with the scope and institutional themes involved, we selected patients with cerebral palsy (representing the broad group of patients with neurological or psychomotor deficits), AIDS patients (representing the broad group of infectious diseases) and patients with diabetes (representing the broad group of chronic diseases). Managers, teachers and dentists were asked to provide information about the structures of its units and the educational model proposed to their students by answering to semi-structured interviews. We concluded that the Special Care Dentistry is a reality in the urban setting researched. The institutions studied provide relevant services to patients with special needs, but the educational system in this emerging area of dentistry does not meet the needs of dental patients, and colleges do not address adequately the education of its students with a holistic view of these patients, and do not fulfill their social obligation to integrate and include patients with special needs...