Dental care needs, use and expenditures among U.S. children with and without special health care needs

2010 ◽  
Vol 141 (1) ◽  
pp. 79-88 ◽  
Author(s):  
Hiroko Iida ◽  
Charlotte Lewis ◽  
Chuan Zhou ◽  
Louise Novak ◽  
David Grembowski
2018 ◽  
Vol 10 (2) ◽  
pp. 3-8
Author(s):  
Mufeedha K Nazar ◽  
Divya Reddy C ◽  
Santhosh T Paul

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.


2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leopoldo Lucio da Mata ◽  
Ana Maria Schroden Rodrigues da Cunha ◽  
Andrezza Morais Moronte

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.


RSBO ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 5
Author(s):  
Ivam Freire da Silva Júnior ◽  
Vanessa Müller Stüermer ◽  
Andreia Drawanz Hartwig ◽  
Lisandrea Rocha Scharsdosim ◽  
Marina Sousa Azevedo

Introduction: People with special health care needs (SHCN) have a higher risk of contracting certain oral diseases, such as dental cavities and gingivitis, and a limited use of dental care services can significantly affect these risks. Objective: To assess the use of dental care services and related factors in students with SHCN. Materials and methods: This cross-sectional study included subjects from a rehabilitation and education center. The guardians were asked aboutwhether the students already made a dental appointment and about the last time they had visited their dentist. The students were examinedfor dental cavities. Fisher’s exact test for the association between the outcome and independent variables was employed. Results: The study sample comprised 51 guardians. Forty-seven students had already visited their dentist at least once, and 68% underwent a dental exam within the past year. A recent use of dental service (1 year or less) was more prevalent among female subjects, which did not present a history of dental cavities and about whose caregiversalready had received oral health information. Conclusion: Most of the participants already had visited their dentist and regularly usedental services. Caregivers should be encouraged to make regular dentist appointments for SHCN subjects, especially for those who already have oral problems, are male, and whose families have never received oral health information.


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