Month: April 2021

Special Needs Dentistry

Special Needs DentistryAccording to a 2010 report by the US Census Bureau, 56.7 million or one-in-five Americans had some kind of disability. As per the Americans with Disabilities Act (ADA), a person with a disability is someone who is physically or mentally impaired.

Good dental care is crucial for the general well-being of special needs patients. A preventive and therapeutic dental program for special needs patients is the priority.

Our article walks you through special needs dentistry for adults and children, dental hygiene tips for parents and caregivers, and much more.

Who Are Dental Patients with Special Needs?

Special needs patients are those who have medical, developmental, physical, and cognitive conditions that limit one or more life activities and make dentistry more challenging. They do not accept any change in their everyday routines and require special considerations when receiving dental treatment.

Dental patients with special needs include:

  • Patients with mobility issues
  • Mentally-challenged patients
  • Patients with mental illness
  • Patients with complex medical issues
  • Elderly
  • Children with emotional or behavioral conditions such as Autism and ADHD
  • Children with chromosomal abnormalities and anomalies such as down syndrome, cerebral palsy, etc.

People with special needs often have poor oral hygiene resulting in more cavities and gum diseases than the general patient population. Hence it becomes crucial to keep them under observation.

Special Needs Dentistry

Special Needs Dentistry is a branch of oral care that treats special needs patients.

A dental professional is someone who is trained in preventive, diagnostic, and treatment services. They can treat various medical conditions that require more than just routine oral care and tailor it to every person’s needs.

As such, it becomes essential that you find someone who is dedicated to promoting oral health care for special needs patients. You can find this information at Special Care Dentistry Association (SCDA).

Special Needs Dentistry for Patients with Special Health Care Needs

Dental care to patients with special needs cannot be the same as that of the general population. It needs to be modified according to physical limitations, mental impairments, developmental problems, and medical complications.

  • Patients with mobility issues will need help getting in and out of the dental chair. They may require modified equipment if they cannot get out of their wheelchair for some reason.
  • Mentally challenged patients with intellectual disabilities may not comprehend the oral care instructions given by the dentist.
  • Patients with mental illness need shorter appointments scheduled, especially when they are in a balanced state.
  • For patients with complex medical issues like cardiovascular or diabetes, the dentist may consult with their physician before issuing medications.
  • The elderly may need frequent dental visits to control the pain, observe tooth wear and treat accordingly.
  • Children with emotional or behavioral conditions such as Autism and ADHD cannot handle changes and prefer seeing the same dental team every visit.
  • Children with chromosomal abnormalities would have difficulties communicating depending on their severity. As such, the dentist should be able to communicate with them using pictures if they are non-verbal.

What Do Dental Patients with Special Needs Require?

Since the treatment needs of a special needs patient are different from that of the general populace, you require experienced health care professionals. The dental treatment planning and the requirements will be different for each individual.

Dental patients with special health care needs will need the following accommodations:

  • Appointments need to be short and to the point; To achieve this, there should be a thoughtful and well-organized approach to examining and dental treatment.
  • The dentist should be knowledgeable about the medical, physical, or mental condition of the patient. This helps him/her better manage the patient’s oral health needs.
  • Make the patient’s comfort the priority and sedate in the case of longer appointments.
  • Flexible appointments and scheduling.
  • More assistants and technicians in the dental team during the appointment to better monitor and control the patient if needed.
  • Involve the case manager or the caregiver when you are formulating a treatment plan. Ensure they are present during the dental procedures.
  • Dentists should also provide the caregivers with home care instructions.

Oral Health Care for Children with Special Needs

As with adults, children with special needs also have unique issues related to oral care. The reason being their developmental delays, oral sensitivity, trouble with eating, etc. The typical medical conditions requiring special needs dental care include:

  • Cleft lip or palate
  • Cerebral Palsy
  • Down Syndrome
  • Vision and/or Hearing Impairment
  • Neurological Disorders

In the face of the multitude of medical, developmental, and behavioral issues the children face, dental care may take a backseat. But the risk is greater with special needs children, and they require extensive dental care.

It is crucial that the parents encourage good oral health care.

Common dental problems faced by children with special needs:

  • GERD or gastroesophageal reflux disease causes your child’s mouth to be acidic, which wears down the enamel.
  • Children may sometimes hold food in their mouth for a long time leading to bacterial growth, causing cavities in the long run.
  • Diabetes, chronic sinusitis, and digestive problems can cause bad breath.
  • Children with Down syndrome may have a delay in cutting their first teeth.
  • Some children may grind their teeth which can cause damage in the long run.
  • The ongoing medications can cause dry mouth, which leads to gum disease, tooth decay, and infections sooner rather than later.
  • Apart from dry mouth, medications like anti-GERD medicine, antihistamines, antidepressants, sedatives, and barbiturates cause cavities due to the sugar content present. Seizure medicines, on the other hand, cause enlarged gums or bleeding gums.

Special Needs Dentistry for Cerebral Palsy

Cerebral palsy is a collection of motor abnormalities and functional impairments. It is also associated with health challenges such as developmental disabilities, uncontrolled body movements, improper muscle coordination, seizures, sensory issues, intellectual disability, and more.

Cerebral palsy in itself doesn’t cause any oral deformities, but many of its associated symptoms can cause problems.

  • Misalignment of upper and lower teeth
  • Lack of muscle control when brushing
  • Issues with chewing and swallowing
  • Excessive gagging
  • Gingivitis
  • Lip, tongue, and cheek biting

Health professionals working with children with special needs can help make the appointment go smoothly without any issues. Since they are specially trained, they can accommodate the children better with a calm environment.

Dentists working with special needs children require safety training, including CPR, clearing breathing passages, supporting them through involuntary tremors, etc. Moreover, they must know how to monitor breathing since the kids cannot express pain or discomfort.

Special Needs Dentistry for Down Syndrome

Special Needs Dentistry for Down SyndromeDown syndrome is a genetic disorder associated with health conditions such as hypotonia, hearing loss, infectious disease, and cardiac disorders. They also face developmental delays with speech and language, while a small percentage have a severe intellectual disability.

Though children with down syndrome do not have any unique dental problems, whatever they have tends to be severe and frequent.

  • Periodontal Disease
  • Carries
  • Underdevelopment of the maxilla
  • Delayed eruption of permanent teeth
  • Malocclusion
  • Congenitally missing teeth
  • Malformed teeth

Most children with down syndrome are well behaved, but it is still important that the dentist develops a level of communication with them with the caregiver’s help. It may be beneficial to have a parent or caregiver in the room.

While most patients with special needs can handle the dental treatment without any issues, few others may need more time and attention during the appointment and/or sedation.

Preparing Children with Special Needs for the Dentist

The American Board of Pediatric Dentistry recommends that the first visit to a dentist should be by the child’s birthday. With special needs children, it is even more so important. But many parents are not so keen on it since the children exhibit intolerance.

Here’s how you prepare them for a dental visit.

  • Find a pediatric dentist who specializes in special needs children. The Special Care Dentistry Association should be able to guide you.
  • Prior to the first visit, talk with the dentist about the health care needs of children. Talk to them about your concerns, ask questions and make sure that you both are on the same page.
  • Read through the pamphlet and get your child ready for the appointment.
  • Ensure that oral care is a priority. Drinking enough water and regular cleaning goes a long way in dental care. Proper nutrition and limiting sugary foods also promote oral health care.
  • Share a fun song or story about the dentist’s visit to make the child comfortable.
  • Talk to them about the dentist and what happens during the visit.

Problems Associated with Access to Health Care Services for Special Needs Patients

Individuals with disabilities have significant health problems due to a lack of oral health care. They face untold issues when they try to access health care services. From lack of accessible equipment to lack of proper access, there are quite a few problems that prevent the patients from getting adequate health care.

  • Most people with special needs rely on government programs for their medical expenditure. But, not all health care providers accept programs such as Medicaid.
  • Limited transportation
  • Not all dental offices are not wheelchair accessible.

ADA CERP is a service of the American Dental Association that helps individuals with special needs to find appropriate health care providers.

Oral Health Care for Patients with Special Needs

It is not easy caring for people with special needs. But with proper planning, time, and patience, you can maintain proper oral hygiene.

  • Brush twice every day. If the patient cannot brush for himself, the caregiver can brush their teeth for them. Ensure that you support the head and take care that the patient doesn’t gag or aspirate.
  • Instead of a regular toothbrush, you can use an electric or battery-operated toothbrush. Attach the brush to your hand
  • If the patient cannot hold the mouth open, use a rolled-up washcloth to prop the mouth open.
  • Floss your teeth once a day, even for patients with special needs. Check out for floss holders, and floss picks to make their lives easier.
  • Maintain a healthy diet rich in vitamins and minerals.
  • Limit your sugar intake; Avoid sugary drinks, fruit juice, and sports drinks.
  • Use fluoride toothpaste, especially for individuals with special needs.

Tips to Help a Special Needs Patient with Dental Care

Behavioral and intellectual disabilities make oral care difficult for the caregivers. Here are a few tips for caregivers and parents to make the activity an enjoyable one:

  • Hang fun pictures and play music to keep the environment a pleasant one and not about cleaning.
  • Keep a toothbrush and paste ready. Use verbal and non0verbal communicating to convey what you are about to do every step of the way.
  • Give the patient something like a toy or a cushion to distract them while cleaning the teeth.
  • Place your hand over them and guide them in the process of cleaning. This way, they hold some level of independence rather than when you clean their teeth.

Dental Tips for Parents of Special Needs Children

Dental Tips for Parents of Special Needs ChildrenMore than 2.8 American children have a physical, sensory, or intellectual disability. Children with special needs require special dental care, which is sometimes quite difficult in the run of things.

Here are a few tips to help practice dental care.

Practice proper dental care at home every day. Consistency, stability, and adaptation is the key to make this time a pleasurable one.

Establish a proper schedule and routine. Stick to the routine so that your child comes to recognize it rather than it being an unpleasant surprise.

Find the right toothbrush. Children with sensory issues come to hate the toothbrush and the cleaning routine.


Caring for a patient with special needs requires a special person who is patient, compassionate, and understanding. All dentists can meet the needs of the person, but only a few can work within the limitations set by their disability.

A special needs dentist will put the patient at ease and use gentle and safe treatment with a focus on preventive care. It is up to the dentist to educate his/her team members about special needs so that their visit is a more pleasurable one.

Preventive dentistry is crucial when it comes to special needs children. So, your dentist may focus on that at a very young age.

A visit to the dentist should not be a dreaded one. The right dentist can work magic with special needs patients or children. Ensure that you make the right choice when it comes to dentists.

One of the best dentists in the Tucson area is Dr. Dalesandro, who has the experience you want to help you with your dental problems; call today for your next appointment.

Can Decayed Teeth Be Fixed?

Can Decayed Teeth Be Fixed?Can decayed teeth be fixed? First let’s discuss tooth decay briefly. Tooth decay is a process that happens over time. Untreated tooth decay will become cavities. There are hundreds of different kinds of bacteria in the mouth, which you can read more about in this article. In terms of treatment, fluoride is the best defense against tooth decay, and because many of us drink bottled water today, we are not getting enough fluoride in our diet.

The number one thing you should remember is that treatment cannot wait if you have tooth decay. It can take some time for tooth decay to deteriorate the teeth and cause further problems, and if left untreated, it starts getting expensive day by day.

The Causes of Tooth Decay

There is a multitude of reasons that you might have tooth decay. Plaque causes tooth decay. The spaces between teeth, areas around former fillings (especially with cracked and chipped fillings), the grooves and cracks in the teeth, and the areas close to the gum line are where plaque builds up. Prevention is almost always the answer to how can a rotten tooth be fixed.

Here is a look at the leading causes of tooth decay:

  • Poor oral hygiene is to blame for most tooth decay. Plaque begins to build up when you do not brush as often as you should.
  • Constant dry mouth can also lead to an increase in tooth decay. Saliva helps to wash away bacteria in the mouth and can prevent plaque.
  • Eating carbohydrates can lead to tooth decay as there are natural bacteria in the mouth that transforms to acid when it mixes with the carbohydrates you eat.
  • There are many medical problems, including exposure to medications and treatments that can lead to tooth decay.
  • Eating and drinking sugary foods, foods that are high in acid, and alcohol can all cause the teeth to accumulate more plaque.
  • Plaque forms on the teeth and builds up over time when not removed, which leads to tooth decay. Regular dental appointments and cleanings will reduce the risks associated with plaque build-up.

Preventing Tooth Decay

Here are the things you need to know to prevent and remedy tooth decay.

  • Fluoride – Fluoride treatments are becoming necessary as many individuals prefer bottled water to tap water.
  • Avoiding Certain Foods and Drinks – Avoiding foods and drinks that are highly acidic, high in carbohydrates, or contain sugars can help reduce the chance of tooth decay.
  • Brushing Regularly – Brushing your teeth is an essential step in preventing tooth decay and plaque build-up. You should brush when you wake up, before going to bed, and after eating or drinking foods with acid or sugar.
  • Regular Dental Exams – Regular dental exams are the best defense against tooth decay.

People Also Ask:

How Much Does It Cost to Fix Decayed Teeth?

Dental treatments are relatively affordable if caught early and answer the question can decayed teeth be fixed. The longer decayed teeth go without treatment, the more advanced the treatment becomes; consequently, the cost dramatically increases.

What Happens If Tooth Decay is Left Untreated?

Tooth decay can be expensive to fix, so many go without treating dental issues unless they become too painful to manage. The best way to know how a decayed tooth can be saved is through proper treatment. This can lead to further damage, including painful tooth abscesses that occur after untreated cavities form infections in teeth.

How Can I Remove Tooth Decay Myself?

Decaying teeth have cavities, which are small holes in the teeth. While there is not a way to fix cavities on your own, there are many ways that you can remove plaque or slow the rate of decay, which include:

  • Oil Pulling – This is merely using coconut oil to swish or pull through your teeth.
  • No Phytic Acid – Studies conducted as long ago as the 1930s have shown a connection between phytic acid (often found in legumes and cereals) and cavities.
  • Skip the Sugar – Skipping sugary drinks and foods is one way to avoid further issues with teeth. After eating sugar, always rinse your mouth with water.
  • Chew Sugar-Free Gum – After meals where brushing your teeth is not convenient, chew sugar-free gum as it helps to remove the bacteria on your teeth after eating.
  • Increase Vitamin D – Eating higher vitamin D foods will make your teeth stronger and reduce the risk of cavities.
  • Try Aloe Vera – Aloe vera naturally fights against the bacteria that cause tooth decay. Today aloe vera tooth gels are available, but the most potent form is straight from the plant.

How Can I Remove Tooth Decay Myself?

Can Decayed Teeth Be Whitened?

It is possible to whiten decayed teeth. Before you can whiten your teeth, you should have all cavities fixed. Whitening with cavities can cause sensitivity or pain. The dentist’s office is the place to go for tooth whitening, and a change that is five to eight shades whiter is possible.

It is essential to know that yes is the answer to: can decayed teeth be fixed. One of the best dentists in the Tucson area is Dr. Dalesandro, who has the experience you want to help you with your dental problems; call today for your next appointment.

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