Treatment Modification for treating special needs patients in pediatric dental office
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Transcript of 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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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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Eugene’s Story Book
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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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
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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
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•Defnition
•Clotting ability
• Low levels of a certain protein
• Von Willebrand factor acts like glue
•Factor VIII (8)
•Hemophilia 46
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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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