Associations between practice patterns and dental education in special care dentistry.

OBJECTIVE: The goal of this study is to determine whether alumni who completed training in the Center for Patients with Special Needs (CPSN) feel more prepared and treat more patients with special healthcare needs (SHCN) than alumni who completed training prior to the establishment of the Center (pre-CPSN). METHODS: Alumni graduating in 2000-2017 from the University of Pittsburgh School of Dental Medicine (Pitt Dental Medicine) completed a survey addressing how well their dental school training prepared them to treat patients with SHCN and their current practice patterns as dental professionals. Alumni completed self-reported questionnaires online or on paper by mail. RESULTS: The authors obtained a 16% response rate (N = 209; nPre-CPSN = 75; nCPSN = 134). Compared with the pre-CPSN alumni, CPSN alumni reported feeling more prepared in all 12 skills surveyed (t = 4.86, P < 0.05). There was a 0.85-point difference between groups, on average, across the 12 skills. However, CPSN alumni were no more likely to treat individuals with SHCN than the pre-CPSN alumni. CONCLUSIONS: Information obtained from this survey supports the hypothesis that experience is associated with perceptions of preparedness and raises new questions about factors associated with deciding whether to treat or refer. This information may inform schools of the amount of training necessary to reach preparedness goals.

Management of patient with acrometageria for routine dental treatment: A case report.

The population of special needs patients in dental offices is growing. Therefore, the demand for well-trained, educated practitioners must increase to fit the need. Conditions such as intellectual developmental disorder, Down syndrome, and autism spectrum disorder are more readily encountered in dental settings. However, it is equally appropriate to identify management techniques for patients with less common conditions. A case is reported in which a 38-year-old Caucasian male with a history significant for acrometageria and associated signs of Mallampati Class IV, micrognathia, decreased mouth opening, decreased thyromental distance, and decreased cervical range of motion presented for routine dental treatment under intravenous sedation. Providers should recognize appropriate management techniques to safely and effectively care for a wide patient demographic.