scholarly journals Improvement in Oral Health and Compliance in a Child with Congenital Hypothyroidism. Case Report

2019 ◽  
pp. 109-115
Author(s):  
Hiram Daniel López-Santacruz DDS ◽  
Denisse Aidé Herrera-Badillo DDS ◽  
Raúl Márquez-Preciado DDS ◽  
Gabriela Torre-Delgadillo DDS ◽  
Miguel Ángel Rosales-Berber DDS
Keyword(s):  
Oral Health ◽  
Congenital Hypothyroidism ◽  
Dental Treatment ◽  
Special Health Care ◽  
Metabolic Condition ◽  
Health Care Interventions ◽  
Learning Impairment ◽  
Oral Conditions ◽  
Special Health

Congenital hypothyroidism is a metabolic disorder that requires special health care interventions. It has influence in overall growth and oral conditions in pediatric patients, and also can affect child cooperation during dental treatment because this metabolic condition is the most common preventable cause of mental retardation. The aim of this paper is to report the dental treatment of a child with congenital hypothyroidism who is four years and five months old, with many facial and oral characteristics of the metabolic condition, including severe early childhood caries and malocclusion. At first, it was observed a lack of cooperation of the patient with speech and learning impairment, but with the help of the Pedagogy team at the Pediatric Dental Clinic Playroom, he developed confidence and diminished anxiety every appointment. We present the follow-up during 15 months, where we could observe favorable outcomes in oral health and compliance of the child.

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 CRITERIA FOR SELECTING SPECIAL HEALTH CARE NEEDS PATIENTS FOR GENERAL ANESTHESIA IN DENTAL TREATMENT: A SYSTEMATIC REVIEW

2021 ◽  
Vol 9 (12) ◽  
pp. 507-515
Author(s):  
Nourah Al-Lwemi ◽  
◽  
Nuha Al-Shalabi ◽  
Noor Al-Basheeti ◽  
Hafsa Yasser ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Dental Treatment ◽  
Oral Health Status ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Cross Sectional ◽  
Special Health Care ◽  
Special Health

Objective:This systematic review aimed to investigate the available evidence on how to decide whether your special health care needs patient needs GA for dental treatments or not. Materials and methods:A systematic search was conducted in four electronic databases PubMed, Google Scholar, ResearchGate and SDL. The search was restricted to articles published between 2005 and 2020. Publications reporting on the special health care needs patients dental treatment were included. The papers were analyzed regarding title and abstract contents to eliminate the ones that were out of context and not relevant to the review. Results:The search strategy resulted in 99 unique and potentially relevant articles. In total, 6 publications which include 5 retrospective articles and one cross-sectional study were selected. Conclusions:The main standards for selecting patients for hospitalized dental treatments include a full analysis of SNP including their medical history, behavior and emotional factors, oral health status, allergies, social and non-clinical factors, and caregivers factors. It is important for general dentists and families of these patients to be acquainted with the procedure, its need, and its contraindications.

scholarly journals Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up

2020 ◽  
Vol 9 (2) ◽  
pp. 352 ◽  
Author(s):  
Dirk Ziebolz ◽  
Sylvia Friedrich ◽  
Christian Binner ◽  
Josephine Rast ◽  
Mirjam Eisner ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Heart Diseases ◽  
Left Ventricular ◽  
Periodontal Treatment ◽  
Clinical Attachment Loss ◽  
Ventricular Assist ◽  
Treatment Need ◽  
Total Cohort ◽  
Oral Conditions

Background: To assess whether the standardized recommendation of patients with heart failure (HF), left-ventricular assist device (LVAD) and heart transplantation (HTx) to visit their dentist leads to improved oral conditions after 12 months. Methods: Patients from the Department of Cardiothoracic Surgery, Leipzig Heart Centre, Germany were examined at baseline and after 12 months. A dental (decayed-, missing-, and filled-teeth index (DMF-T)) and periodontal examination (periodontal probing depth, clinical attachment loss) was performed. At baseline, patients received a standardized recommendation to visit their dentist. At follow-up, a standardized questionnaire regarding the dental consultation was applied. Results: Eighty-eight participants (HTx: 31, LVAD: 43, HF: 14) were included. The majority of patients (79.5%) followed the recommendation to visit their dentist. Within the total cohort, periodontal treatment need was significantly reduced from 91% (baseline) to 75% (follow-up; p < 0.01). Only 10% of total cohort stated that they received periodontal treatment. The outcome in periodontal and dental treatment need at follow-up appointment revealed no statistically significant associations to the questionnaire regarding dentist consultation (p > 0.05). Conclusions: The simple recommendation to visit the dentist appears not enough to obtain sufficient dental and periodontal conditions in patients with severe heart diseases. Thereby, a lack in periodontal treatment of patients with HF, HTx and LVAD was identified, making interdisciplinary dental special care programs recommendable.

scholarly journals SPECIAL NEEDS OF SPECIAL CHILDREN-PARENTAL VIEW

2015 ◽  
Vol 05 (02) ◽  
pp. 038-044
Author(s):  
Amitha M. Hegde ◽  
Aiswarya Ann Babu ◽  
Anshad Mohammed ◽  
Anu John ◽  
Kanwardeep Singh ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Treatment Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Medical Needs ◽  
Dental Needs ◽  
Special Health

AbstractIndividuals with special health care needs experience poor oral hygiene and periodontal status and are more likely to have unmet dental needs than any other medical needs. The study was conducted to assess the views, attitudes and perceptions of oral health and treatment needs among the parents of 250 children with disabilities at 3 special schools in Mangalore based on questionnaire method. Data collected were subjected to statistical analysis.The educational status of the parents were assessed and it was seen that more than 50% of the parents had school education of class 10 and below. 52% of the parents felt that dental treatment is not as important medical treatment and 69 % of the parent's preferred general dentist and only 12.3% had consulted Pedodontist for any dental needs of their children. Only 11% followed a regular dental check-up and 57% of the parents interviewed visited dentist only when required. 30% of the parents reported lack of awareness as the greatest barrier faced by them in rendering dental care for their children.There was a generalised lack of information regarding oral health and treatment needs seen among the parents of the children with special health care needs. The level of knowledge appeared to be low and the parents were not aware of the unique problems faced by these children.

scholarly journals Dental Management of a Patient with Congenital Hypothyroidism: A Case Report

2016 ◽  
Vol 04 (02) ◽  
pp. 122-125
Author(s):  
Monisha Singhal ◽  
Nitin Singh ◽  
Anand Rohit ◽  
C. Chaudhary
Keyword(s):  
Case Report ◽  
Congenital Hypothyroidism ◽  
Dental Treatment ◽  
Neural System ◽  
Present Case Report ◽  
Pediatric Dentist ◽  
Dental Management ◽  
Child Patient ◽  
Oral Conditions

AbstractCongenital hypothyroidism (CHT) is one of the most common thyroid disorders. It occurs because of dysgenesis of thyroid gland which is responsible for the normal development of neural system. Child patient suffering from congenital hypothyroidism shows various medical and behavioral symptoms which makes routine dental care very challenging to the pediatric dentist. Due to increased awareness and introduction of neonatal screening, the long term hypothyroidism has become rare. The most significant oral conditions related to these patients are delayed eruption and dental caries. The present case report outlines the dental treatment of a 9yr old girl with congenital hypothyroidism.

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