Post on 12-Apr-2017
Contemporary Management of Dental
NeglectDental Disease; Impact and Treatment.
Richard Balmer
Impact of Dental Disease Management of Disease Examples of Dental Neglect
Contemporary Management of Dental Neglect
What is normal?
Tooth Ache Infection Damage to permanent successor Early Loss – Crowding
Dental Decay can lead to…..
Tooth Ache Infection Damage to permanent successor Early Loss – Crowding
Dental Decay can lead to…..
Shepherd et al 1999 589 Eight-year-old children interviewed RESULTS
◦ 47.5% had previously had toothache◦ 17.7 % had had dental pain which caused
crying◦ 7.6% (45) had had pain in the previous 4
weeks
Effects of Dental Disease
Shepherd et al 1999
Of those with recent pain: 41.9% had visited the dentist as a result 26.7% had stopped playing 73.3% had been unable to eat 31.4% had been unable to sleep 11.1% had missed time at school
Effects of Dental Disease
Tooth Ache Infection Damage to permanent successor Early Loss – Crowding
Dental Decay can lead to…..
Tooth Ache Infection Damage to permanent successor Early Loss – Crowding
Dental Decay can lead to…..
Tooth Ache Infection Damage to permanent successor Early Loss – Crowding
Dental Decay can lead to…..
Treatment may require GA
Interventions
Prevent Disease. Treat Disease. Do it in a way that is acceptable to the
child.
Interventions
Prevent Disease
Managing Behaviour 1 Acclimatisation Desensitization Behaviour Shaping
Positive Reinforcement Distraction Modelling
Managing Behaviour 2
GA and Sedation
Normal Spectrum vs Neglect vs Maltreatment
Dental Disease both in primary and permanent dentition can have significant impact on immediate and long term health.
Dental disease is preventable and treatable
Summary