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12 Cards in this Set
- Front
- Back
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define impairment
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any loss of psychological, physiologial or anatomical structure or function
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define disability
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any restriction or lack of ability to perform an activity in the manner or considered with in the range of normal for a human being
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define handicap
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disadvantage for a given individual, resulting from an impairment or diability that prevents the fulfilment of a role that is considered normal
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classification of children with impairments?
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intellectually impaired (mentally retarded)
physically impaired sensory impairments combination of impairments |
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Associated problems of down syndrome?
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cardiac defects
coeliac disease thyroid conditions early dementia progressive loss of physical and cognitiveskills upper respiratory tract infections inability to fight infections |
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intra oral features of down syndrome
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10 large protruding tongue (sometimes fissured)
11 High vaulted and narrow palate 12 Delay in exfoliation of primary and eruption of 2ndary 13 some teeth maybe congenitally absent 14 erupting teeth often microdents/hypoplastic 15 High incidence of perio (lower anterior) |
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How is cerebral palsy and oral health related?
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20 poor oral health, perio disease and drug induced gingival hyperplasia
21 malocclusion 22 bruxism and dental erosion 23 tongue thust and mouth breathing 24 increased caries prevalence 25 increased prevalence of anterior trauma 26 enamel hypoplasia 27 heightened gag reflex 28 drooling 29decreased parotid flow |
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What are some considerations for dental treatment for children with cerebral palsy?
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avoid lengthy proceduresteeth sensitive to cold
Duraphat recommended GIC as filling material NO2 useful for uncontrolled mov and gag Acrylic training plates to prevent drooling |
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Oral health and muscular dystrophy. Issues?
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Weakness of facial muscles
Poor OH as unable to perform self care Increased risk of decay and perio Reduced ability to swallow or clear secretions (drooling) |
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What are some considerations for dental treatment for children with muscular dystrophy?
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tailered appointment times
avoid GA - respiratory prob Frequent recall Use of fluorides and CHX No ortho due to changing muscle forces Anterior or posteiro open bites |
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Dental tx considerations when treating pt with hearing impairments
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remove all extraneous background noise
Sit well in front of child to enable lip reading Remove mask when communicating Drills can affect hearing - remove hearing aid devices |
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How should Tx planning be done for pt with special needs?
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initial plan should ignore the disability
modify according to the individual commence with oHI and reassess Rx according to the response Modified toothbrush handle/electric TB Chem control with CHX |
