Journal of Disability and Oral Health
- Cover Date:
- December 2008
- Print ISSN:
- 1470-8558
- Electronic ISSN:
- 1754-2758
- Vol:
- 9
- Issue:
- 4
Oral Presentations Santos 2008
M1 Multiprofessional performance in patient with cerebral palsy and oral motor disorders
ZS Silva Júnior, RO Guaré, FS Andrade e Silva, MTBR dos Santos, Universidade Nove De Julho, Lar Escola São Francisco, Universidade Federal de São Paulo, Unicsul, Brasil. Background: This study is to report a clinical case and demonstrate the importance of the multidisciplinary professionals approach in the diagnosis and treatment of patient with spastic cerebral palsy (PCE), severe oral motor compromise (SOMC), under-nutrition and with buccal soft tissue trauma. Case Report: In a patient with soft tissue trauma, Laser Therapy was applied to all injured areas, with low-potency, Laser Practical - Red (Kondortech®, São Paulo Brazil), 660 nm, power of 30mw, density of 4J/cm2. Application was by sweepings of 1 minute and 20 seconds, with intervals of 24, 48 and 72. The treatment plan was oral hygiene techniques, prophylaxis, fluoride therapy and restorations. While in consultation with the nutritionist the following measurements were taken: Weight: 9.2kg, Length: 89cm, IMC: 11, 49kg/m², CMB: 11,4 cm, DCT: 5mm. It was concluded that the treatment was efficient, of easy application and accelerated the healing process after 3 sessions. Discussion/Conclusions: This is an extremely useful tool as part of the multidisciplinary care for special needs patients contributing to an improvement in feeding, sleeping, muscular spasticity and tone.
M3 Development of ICF Core Sets for Oral Health: State of play
F Denise, H Martine, C Alarcos, University of Auvergne and CHU Clermont Ferrand France, ICF Research Branch, Ludwig Maximilians University, Munich Germany. denise.faulks@uclermont1.fr Background: Following a proposition at the last IADH conference, the development of Core Sets of the International Classification of Functioning, Disability and Health for Oral Health has been initiated with the collaboration of the ICF Research Branch, Munich. The aim of this project is to develop a tool to describe oral status and the factors associated with it. Method: Recognised WHO methodology implies four preliminary studies: a literature review to establish the research point of view, an empirical study to record the clinical situation, an expert survey to collect the professional view, and focus groups to investigate the patient viewpoint. Following the preliminary studies, a consensus conference will determine the so-called Core Sets for Oral Health, which are then tested and validated in the field. Teams from all WHO world regions are invited to participate in this inclusive and open process. The project will examine oral health and its determinants in children, adults and elderly people. This communication will present the different stages of the project and call for international collaboration. Discussion/conclusion: This long term project should provide an international, validated, comprehensive tool of oral health and the individual and environmental factors associated with oral health. This tool may be applied in clinical, political, research and public health domains for the assessment of need, outcome and socioenvironmental influences, in particular in the recognition of the needs of the population requiring special care.
M2 The influence of education in Special Care Dentistry on the attitudes of dental students to SCD
A Dougall, J Nunn, Dublin Dental School, Ireland. alison.dougall@dental.tcd.ie
M4 Dental care of patients with Down syndrome in APADIM (Association of Parents and Friends of the Disabled)
HM González, Universidad Nacional de Córdoba, Argentina. horagonzalez@yahoo.com.ar
Background: A course in Special Care Dentistry (SCD) is delivered to third year students at Dublin Dental School via e-learning, community placements and seminars. Aim: to evaluate the influence of both previous exposure to disability and education in SCD on the attitudes of dental students. Methods: A questionnaire was delivered to students before and after their SCD module in 2003 and 2008. Results: In 2003 and 2008, 42% and 28% of students respectively, had no previous exposure to people with disabilities. In 2003, prior to the SCD course, 50% of the students believed that people with disabilities were suitable for treatment in general practice and that all dentists should have training to provide such care. In 2008, prior to the module, 78% of students believed that treating patients with special needs would be within the capabilities of the General Dental Practitioner. After completing the module, 98% of students found that observation alone, of special needs patients in community placements, had been useful and 61% believed that some patients with special needs required treatment in specially equipped centres. 85% of students felt that they did not have the necessary expertise or skills and would therefore not feel confident in treating some groups of disabled patients, at this stage of their training. Conclusion: Observation alone heightens student awareness of the issues around the delivery of dental care to people with disabilities. However, hands-on, practical experience is requested to increase their confidence and competence.
Background: The aims of this study were to provide dental care to patients with disabilities, to motivate parents and teachers to care for oral health, to integrate the dentist working in the institution and to collect data on the general and oral manifestations of these patients. Methods: 280 children, adolescents and adults patients with Down syndrome attend the institution where they can receive dental care. Health education workshops are integrated amongst the parents, teachers and professionals of the institution. The service aims to demonstrate that proper techniques can achieve cooperation for dental treatment and general anesthesia is only required for those patients with negative experiences or behavioural disorders. Results: 240 medical records were reviewed; 78% of the patients have been treated 54% have had treatment completed, 44.4% of the patients are in active treatment and only 1.6 % have required general anaesthesia. Data will be presented on the age profiles of the patients as well as treatment statistics. Discussion/Conclusions: There was a high percentage of patients receiving treatment and a small number who required general anaesthesia; There has been integration with team working and the proposed objective of education workshops has been achieved.
- Article Price
- £15.00
- Institution Article Price
- £
- Page Start
- 170
- Page End
- 180
- Authors
Articles from this issue
- Title
- Pg. Start
- Pg. End