Utility of a Summative Scale Based on the Children with Special Health Care Needs (CSHCN) Screener to Identify CSHCN with Special Dental Care Needs

2011 ◽  
Vol 16 (6) ◽  
pp. 1164-1172 ◽  
Author(s):  
Hiroko Iida ◽  
Charlotte W. Lewis
Keyword(s):  
Health Care ◽  
Dental Care ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Cshcn Screener ◽  
Dental Care Needs ◽  
Special Health

Dentists’ perception of barriers to dental care for children with special health care needs in bengaluru, india

2018 ◽  
Vol 10 (2) ◽  
pp. 3-8
Author(s):  
Mufeedha K Nazar ◽  
Divya Reddy C ◽  
Santhosh T Paul
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Validated Questionnaire ◽  
Oral Hygiene Instructions ◽  
Special Health

INTRODUCTION: Despite advances in dental care in recent decades, the oral health of people with disabilities remains poor. The treatment of children with special health care needs (CSHCN) presents challenges for the dentists that may ultimately become a barrier. Identification of barriers can be the first step in addressing the deficiencies in dental care for such patients. AIM: To identify barriers to oral/dental care for CSHCN as perceived by dentists Materials and Methods: 110 randomly selected dental professionals were interviewed through a validated questionnaire for their perceived barriers to provide oral health care for CSHCN RESULTS: Majority of respondents attended CSHCN (77.3%) and mostly provided restorations, oral hygiene instructions including preventive measures and basic restorative care. Dentists perceived concern regarding medical history (50%) and patient co-operation (38%) as the main barriers to provide dental care to CSHCN. CONCLUSION: Our findings conclude that majority of dentists are willing to treat CSHCN despite the challenges they faced. Minimizing the barriers is essential to provide comprehensive dental care to CSHCN.

scholarly journals The Influence of Care Coordination on Patients With Special Health Care Needs in a Pediatric Residency Continuity Clinic

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984867 ◽  
Author(s):  
Zohra Moeenuddin ◽  
Caroline Kim-Kupfer ◽  
Erica Owchar ◽  
Joshua Baker ◽  
Amy Duffield ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Care Coordination ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Continuity Clinic ◽  
Cshcn Screener ◽  
Special Health

This study evaluates the influence of comprehensive health care coordination for children with special health care needs (CSHCN) in a resident continuity clinic. CSHCN patients were identified from 2 resident continuity panels. Patients were eligible with a score of 2 or greater on the CSHCN screener. Interventions included extended appointment times, a binder, and direct phone access to the social worker who facilitated follow-up appointment scheduling. Data measured included completed and no-show visits for primary care and subspecialty appointments, hospitalization and emergency department visits, use of binders, and parent satisfaction surveys. Patients with a baseline CSHCN screener score ≥4 were 15.6 times more likely to keep their appointment after enrollment ( P = .0035). Mental health no-show visits decreased significantly ( P < .0001). The utilization of components of comprehensive team-based care coordination, even with limited resources, can improve the delivery of health care for children with complex medical needs and mental health disorders in a resident-based clinic.

scholarly journals Dental Management of a Patient with Special Health Care Needs

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leopoldo Lucio da Mata ◽  
Ana Maria Schroden Rodrigues da Cunha ◽  
Andrezza Morais Moronte
Keyword(s):  
Health Care ◽  
Dental Care ◽  
Dental Treatment ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Dental Management ◽  
Increased Risk ◽  
Special Health

Patients with special health care needs (PSHCN) may have an increased risk of oral disease throughout the course of their life and require particular delivery of dental care due to their medical condition or limitations. The purpose is to report the dental management of a patient with Cornelia de Lange Syndrome (CdLS), which was classified as PSHCN due to physical, behavioural, cognitive, and emotional impairment. A 14-year-old female with a clinical diagnosis of CdLS and its common craniofacial features such as microcephaly, short neck, synophrys, arched eyebrows, downturned angle of the mouth, high arched palate, micrognathia, and microdontia was referred to the hospital where the dental treatment was performed under general anesthesia. Multiple tooth extraction, fillings, and coronary polishing were performed. During the follow-up, we observed that dental restorations were clinically satisfactory and there was an improvement in the patient’s behaviour during dental treatment. Managing and shaping behaviour of such patients are crucial to delivering quality dental care, as they require specialized care due to their behavioural and clinical conditions.

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