Special needs dentistry is the practice of caring for individuals with special health care needs.
Patients with special health care needs have physical, medical, developmental or cognitive conditions that require specialized care from a trained dentist and dental team. Compassion and understanding is required of these medical professionals as they navigate and accommodate each special needs patient, catering treatment and service to their particular needs.
Special needs patients can include people who use wheelchairs or walkers, people with conditions like autism or Down syndrome, or people with injuries such as spinal cord injuries that require more than just standard protocol.
You can plan a visit to a dental office prior to any treatment being performed to acclimate your child to their new dental home.
When you call our office to schedule your child’s first appointment, let our front desk person know that your child has special health care needs. Depending on your child’s needs, we can schedule extra time, specific rooms, and better prepare for your arrival on the day of their appointment.
It may be helpful for your child to come to the office and meet the doctor and the team before scheduling an appointment for treatment. If you believe your child would benefit from a visit, feel free to ask and our front desk person will arrange a visit so your child can feel comfortable at our practice.
The dentist will need as much information about your child’s dental and overall health as you can provide, such as when their first teeth came in and their current oral care routine. Any dental records from a previous office will also be helpful and allow us to provide more accurate diagnosis and treatment.
Whether to avoid trauma or unnecessary complications, sometimes it's easier for children with special needs to receive treatment under sedation. If you think your child will be better served and treated using sedation, we can discuss options at this time.
When your child feels comfortable and we have all the information we need, their dentist will perform a thorough cleaning and exam. Plaque and tartar are removed, then the teeth are then buffed, polished and flossed. Then your child’s dentist will examine their mouth thoroughly, looking out for signs of cavities, gum disease, and other oral health issues.
After the cleaning and exam, your child’s dentist will discuss their findings with you. If their teeth are healthy, you’ll schedule another visit in six months. If there is an issue, your child’s doctor will provide treatment options and recommendations, and help you schedule a follow-up appointment to address the issues.
Treatment plans and oral care routines will be customized to work around your child’s condition, disability or special needs.
Conditions that may affect your child’s dental care include:
When you call to inquire about an appointment, let our team know your child’s condition and needs, and we’ll work together to determine if our practice is the right fit for your family.
Your child’s oral health may be affected by therapies or medications that have been used to treat their condition. The condition itself may also affect how the teeth and oral structures grow, how much calcium is in the body (affecting tooth enamel), how much saliva your child produces (saliva helps clear away food particles), and your child’s diet.
Nutrition plays a critical role, not only in the health of our bodies, but in the health of our teeth. Even your child’s ability to chew solid foods will affect their dental health, as the pressure of chewing creates stimulation in the jaw bone and the friction helps clear away tartar and plaque build up.
The most common indicators that your child may have a special health care need include:
Several kid-friendly, liquid medicines contain a syrup base with added sugar so children will actually take the medication and benefit from its effects. However, these sugars can cause cavities if they’re not properly rinsed or brushed away after use. Other medications can cause a reduction in saliva, or dry mouth. And since saliva helps clear away food particles, sugars and bacteria from the mouth, dry mouth can lead to tooth decay, gum disease, or infection. It’s important that you share a list of medications your child uses, so our team can provide oral care recommendations that work around your child’s medical needs.
Sometimes children with physical, emotional, behavioral, intellectual or communication disabilities may find it difficult to properly brush their own teeth. They may not possess the fine motor skills needed, and will need your help to maintain good oral health. Here are a few tips to help you brush your child’s teeth:
Toothbrushes with larger handles are easier to use for many children with special health care needs.