Sedating Special Needs Patients for Dental Treatment
“Too many times we see special needs patients who have been held down, papoosed and head-boarded while receiving brief treatment at other offices. While we understand that the care of these individuals can be challenging, they shouldn’t be shortchanged by a quick cleaning, no x-rays or an extraction instead of saving a tooth because that office can’t stabilize the individual in a comfortable and humane fashion.” (Dr.Kaminski) Patients with disabilities and special needs deserve the same kind of dental care as a patient who does not. Special needs patients require more care and attention than patients that do not have special needs or disabilities. Patients with medical conditions that
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Patients with physical or mental disabilities should be sedated in order for them to get the proper dental care that they need because they may not be able to cooperate during the procedure. As stated by Dr.Bain, D.D.S, Patients with medical conditions such as Down’s syndrome and cerebral palsy may have physical limitations that keep them from sitting comfortably in the patient chair and staying still during dental treatment. Patients with physical disabilities may have a hard time remaining calm. The physical disability of the special needs patient may cause them to fidget and move around a lot. This can make it more difficult for them to keep their head straight or their mouth open for the dentist. In addition, patients that lack good communication skills may also have a hard time cooperating with treatment because they are unable to communicate to the dental staff or their caregiver any discomfort or pain they feel during treatment. This makes it harder for the dentist to complete the treatment correctly because the patient may have a difficult time informing their needs to the dentist or the assistant. As a result, the patient will not be able to cooperate with treatment if they are experiencing pain or discomfort. If the patient can not communicate to the dental staff that something is causing them pain or discomfort the patient is not only going to be very uncomfortable, but they are also going to remember the procedure as a traumatic
Oral health has a direct impact on the general health, hence, it is important that all Canadians have adequate access to dental care services. Over the years successive Governments have reduced financial support to programs delivering dental care to most vulnerable populations. As a result, many low income families and other vulnerable groups have been unable to access dental care. There is further escalation in the disparities in oral health care among Canadians, as the number of Canadians losing dental care benefits continues to increase. Also, higher oral health care costs can be expected in the near future due to shortage of health care professionals.
As a nurse in a skilled nursing facility, oral hygiene care is very important, but the importance significantly increases when our patients are functionally dependent or cognitively impaired. These patients are unable to perform this task and depend on nurses to provide daily care. Nurses need to pay close attention for potential problems. They will need to perform assessments, develop oral care plans, and identify preventions and strategies to eliminate any potential problems. Poor oral health has been linked to serious systemic illnesses including diabetes mellitus, stroke, hypertension, myocardial infarction and aspiration pneumonia (Dyck et al., 2012). Patients who suffer from a lack of oral care can have a dramatic impact to their
The dental hygienist is expected to respect the diverse values, beliefs, and cultures present in individuals and communities. When providing dental hygiene care, dental hygienists must support the right of the individual to have access to the necessary information and provide opportunities for dialogue to allow the individual patient to make informed care decisions without coercion (ADHA Policy Manual, 2016.) It is important for the oral health care provider to focus on the needs of the patient versus their own needs or those of the practice. It is also important that every patient be treated with the upmost respect regardless of race, color, age, gender, ethnicity, social class, disability or oral conditions. The patient must also be respectful towards the provider and dental team and what they are doing to improve the patient’s oral health. This balance allows the patient and provider to both be
The accessibility of dental care in relation to race, ethnicity, income level, and overall socioeconomic status is evaluated. Across the board, a huge lack of dental care is seen in individuals of low-income levels and minority groups. In addition, the most susceptible groups to dental disease are identified as children, low-income adults, and the elderly. Ways to improve the oral health status of these groups are recognized. The various needs of underserved communities with respect to the access of dental care are assessed, despite a lack of sufficient dental insurance coverage of individuals who are members of these communities. This includes the improvement of both preventative and restorative care via public health programs, such as
I have always dreamed of being in the medical field. But, there came a point in my life where income was more important than education. After graduating in June of 2011 from The Charter school of San Diego, I had the perfect career plans. Little did I know a perfect future was never promised. The trials I have overcome, have molded me into the hardworking ambitious young adult I am today. I am truly going to be an amazing Dental Assistant.
While most of the patients I interacted with were seeking non-dental care, I met patients who were seeking care to health conditions that stem from their oral health such as oral abscesses, which our team was unable to treat except for prescribing antibiotics or painkillers. I encountered similar situations when I shadowed physicians in the emergency room of hospitals, observing a variety of craniofacial disorders originating from a preventable tooth decay. From these observations, I learned that patients often did not receive treatment that addressed the root of their problems: their oral health. As the result, I learned that many physicians saw the same patient repeatedly for problems that would otherwise be easily prevented through proper preventive dental care. Determining to address the unmet needs for accessible preventive dental care, I decided to pursue a career in dentistry so that I can provide a positive and meaningful impact to the underserved community on their oral health and ultimately their overall
As dental hygienists, we will see a variety of patients in our dental office. Each patient will present with a unique medical history. It is essential to know how to treat our patients to the best of our ability, so that they are comfortable and cared for throughout the entire treatment process. They might have a certain disability, disorder, or disease that may alter or affect how we treat them.
Although there have been oral health care models, as well as, best practice concepts for oral health, there is still a host of barriers that prevent this problem from being minimalized. Factors including negative behaviors from both the staff and residents, dexterity, mobility, as well as a lack of dental supplies, often leave the residents or the health care personnel frustrated. Some of the factors that prevent dentists from caring for these residents is a lack of mobile equipment, lack of space, time away from their private practice, and low reimbursement rates (Dirks, 2016). The director of nursing, along with the administrator, must collaborate with dental personnel to change the culture and instill a higher value on oral health. On-site training and education must be included in oral care, along with infection control regulations. Most residents are not able to coordinate their own care and often rely on personnel at the facility for assistance. There needs to be a collaboration between dental personnel, facility staff, and the residents, to cultivate oral care as an integral part of health and wellness for each resident (Chaves,
Many low income areas have dental therapists as part of their local dental team. Many people in these areas have never been to a dentist or do not go every six months as recommended this poses many other health problems. There has been case studies and data showing that in these areas dental health
As with every other form of medical procedure, sedation dentistry should only be administrated by experienced and trained professionals. Dr. Booth, as well as the rest of the staff at The Tooth Booth Family Dental Clinic, are dedicated to providing their patients with the latest advances in dental care, including remaining current on effective sedation methods. With a Doctorate in Dental Surgery, Dr. Booth has extensive experience with providing sedation options for his patients.
Health care has been an issue for the United States of America for multiple years. Dental care, a topic that does not get much attention because people believe it is trivial, plays a major part in people’s lives, particularly children. Gerard van Honthorst’s The Tooth Puller shows a dentist pulling a patient’s tooth with five observers watching. Van Honthorst shows how in awe or scared people are of the dentist. There is a negative outlook on dentists and dental care: people are afraid of the dentist giving them their negative connotation, while dental care only causes pain in many people eyes. There is a problem in the health care system and improvement in the system is needed because health care is a right for every citizen, especially dental care. The United States of America’s government should allow dental therapist to conduct the procedure that normal dentist conduct for free for children under the age of twelve. The government should fund the teaching, training, and employment of dental therapists to care for underserved people.
After all, we have gladly provided exceptional care in our offices – how can we ethically fail to address the need for ongoing dental care for those who may have many years still ahead of them but lack the ability to come to us? (Brown, 5)
Oral health care is an integral part of the US healthcare system. In 2012, Sen. Bernie Sanders introduced “The Comprehensive Dental Reform Act”, which aimed on expanding dental coverage, accessible oral health care centers, increase in dental workforce, enhanced dental education and encourage dental research. (Congress.gov). The ACA, aim to curb the national health spending, by facilitating the affordability to quality care through private and public health insurance. The purpose of this bill is to cut the healthcare costs and to reverse the “silent epidemic” of dental health status (surgeon gen). This dental bill with an integrated approach towards the preventive and comprehensive oral healthcare is estimated to provide coverage to almost 17.7 million adults. (ADA
“Be true to your teeth and they won’t be false to you.” A dental assistant is a dental health professional who works closely with and under the supervision of a dentist. They work with patients by performing tasks before and after the dentist meets with the patient as well as assist the dentist during certain dental procedures. Someone who has strong communication skills, enjoys working with their hands and wants a career with responsibility, would be well suited for this career. When researching the career of dental assisting it is very important to include history, skills and education and positive and negative aspects of the profession.
As dental health care providers, we look at the many ways we can help our community with their access to care, ways to provide preventative treatment, and how we may best be able provide services to our clients. Many times the largest issue that lies within our community is access to care1. This is current crisis is a tremendous barrier which is affecting low-income populations, restricting their access to care1. In order to provide much needed services to many who go without dental care, a new position has emerged within the dental provider community within the last few years. This new role is the mid-level dental provider. A mid-level dental provider is a