“Developmental disabilities such as autism, cerebral palsy, Down syndrome, or others create challenges in accomplishing daily activities, especially self-care. People with these disabilities may need extra help to achieve and maintain good health, which includes oral health.
For patients with disabilities, maintaining good oral health can present unique challenges. For some, the sensory, physical, or cognitive challenges associated with disabilities can make dental visits daunting.”
“There a some of Dental clinics that understand these challenges and believe regular dental check-ups are especially crucial for patients with special needs.” [1]
Common Dental Challenges Faced by Individuals with Disabilities
“Each person’s needs are unique, but patients with disabilities may encounter specific obstacles when it comes to oral health, such as:
1) Difficulty with Daily Oral Care
Individuals with physical disabilities may have limited dexterity, making it harder to brush and floss effectively. Those with cognitive disabilities may struggle with the routine of daily oral care. Regular dental visits help address these challenges by providing thorough cleanings and guidance on adaptive home care tools.
2) Higher Risk of Gum Disease and Tooth Decay
Medications used to manage specific disabilities can lead to dry mouth, which increases the risk of tooth decay and gum disease. Regular dental visits allow dental team to monitor oral health closely and provide preventive care that reduces these risks.
3) Sensory Sensitivities
Many individuals with sensory sensitivities may find dental visits overwhelming due to sounds, lights, or the feel of dental tools. Establishing a routine and familiarizing patient with the process can make visits more predictable and comfortable over time.” [2]
When is the best time to be treated?
“Some patients prefer to be seen at certain times of the day depending on their needs. For instance, evening appointments may not be suitable for patients who tire easily or may spend the day worrying. Some patients rely heavily on routine and may need regular appointments at the same time.” [3]
How accessible are treatment clinics?
“Practices should offer facilities for wheelchair users, including access to the practice, and ground-floor surgeries. If wheelchair access is particularly important, contact the surgery and ask if this is something they are prepared for. Some clinics have specially adapted surgeries for patients with mobility problems.” [3]
Why is medication an issue?
“Many patients with disabilities have to rely on medication to keep their condition under control. It is therefore important to ask the doctor to prescribe sugar-free medicines, especially if they are syrups. It is important to tell the dental team about any medication that the patient is taking, in case the treatment is affected, or the team need to take any extra precautions.” [3]
“Tips for Choosing the Right Dentist
Finding a dentist who genuinely understands and meets the patient’s needs is more important than simply picking one who lives nearby.
The following advice will help you choose the optimal fit:
– Check for ADA Compliance: Make sure the dental office is ADA-compliant. This indicates that the workplace has wider doorways, ramps, and other wheelchair-accessible features. It also shows that the practice is focused on creating an inclusive, patient-friendly environment.
– Look for Dentists Who Accept Medicaid: Dental care can get pricey, so finding a dentist who accepts Medicaid or other insurance plans is important, especially if you are on a tight budget. Many special needs dentists are familiar with Medicaid and can help ensure patients get the care they need without financial stress.” [4]
4 Oral Hygiene Tips for Special Needs Patients
“Keeping up with oral hygiene at home requires the right tools and routines. For people with special requirements, the following useful advice can help make brushing and flossing easier:
1. Use Electric Toothbrushes with Soft Bristles
Electric toothbrushes are a game-changer! For people who have trouble brushing by hand, they can make the process simpler and more efficient. To guarantee a gentle, comfortable cleaning experience, choose for electric toothbrushes with soft bristles. These toothbrushes often do most of the work, getting into all the nooks and crannies easier.
2. Consider Adaptive Devices for Better Grip
For patients who have difficulty holding a toothbrush, adaptive devices like toothbrush holders or special grips can be a big help. These tools assist people keep control over their brushing, which contributes to a thorough cleaning. Even angled toothbrushes are available, which reach all areas of the mouth.
3. Break Hygiene Routines into Small Steps
Dental care routines can sometimes feel overwhelming, especially if the patient has a limited attention span or difficulty following multi-step instructions. Breaking down the routine into smaller steps, like brushing the top teeth first and then moving to the bottom, can help avoid frustration.
4. Fluoride-Free Toothpaste Options
Did you know some toothpaste brands offer fluoride-free options? This can be a great choice for those sensitive to fluoride’s taste or texture. Make sure they feel comfortable during each brushing session.” [4]
Extra information:
“Mouth Matters Session 1: Intended audience: people with I/DD and other disabilities, their families and disability service providers support staff, and dental professionals and students. View the recorded webinar here. View transcript here.
“Mouth Matters Session 2: Intended audience: dental hygienists, other dental professionals and dental students. (Might also be of interest to people with I/DD and other disabilities, their families and disability service providers support staff.) CEUs are available for dental hygienists, dentists, and other health professionals. View the recorded webinar here. To access the webinar please click the top bar dated June 10th, labeled “SoD-Mouth Matters Webinars.” If you would like to receive CDEs, please visit www.ohsu.edu/cde and register for the course.” [5]
https://echo360.org/section/e33b507f-c7bf-4f59-8005-a7c9d75cbb2d/home
Conclusion
‘Regular dental check-ups are more than just a routine—they are an essential part of maintaining your oral health and overall well-being.” [6] “Caring for patients with special needs requires pretreatment planning and proper assessment, including scheduling appointments for the appropriate time, performing a thorough medical/dental history in consultation with physicians, social workers and caretakers, and appropriate patient communication. The entire dental team should be educated about how to best care for patients with special needs so the initial impression is an inviting one. Obtaining informed consent and conducting proper documentation are essential prior to treatment. The various treatment modifications for intraoral care can range from pillows and mouth props to toothbrush modifications and stand-up dental treatment. Caregivers, as well as patients, should be educated about nutrition and preventive oral care so that optimal oral health can be achieved and maintained.” [7]
Resources
[1] https://www.nidcr.nih.gov/health-info/developmental-disabilities
[2] https://www.dentalsleepstlouis.com/why-routine-check-ups-can-help-patients-with-disabilities/
[3] https://www.dentalhealth.org/dental-care-for-people-with-special-needs
[4] https://pvpd.com/dental-care-for-people-with-disabilities/
[5] https://www.ohsu.edu/oregon-office-on-disability-and-health/oral-health-people-disabilities
[6] https://slotownsmiles.com/blog/why-regular-dental-check-ups-are-essential-for-oral-health/
[7] https://decisionsindentistry.com/article/dental-care-patients-special-needs/