better oral health for kids with special needs webinar june 5, 2015 jay balzer, dmd, mph consultant,...
TRANSCRIPT
Better Oral Health for Kids with Special Needs
Webinar June 5, 2015
Jay Balzer, DMD, MPHConsultant, ASTDD
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Better Oral Health for Kids with Special Needs
Webinar June 5, 2015
Jay Balzer, DMD, MPHConsultant, ASTDD
Today’s Topics
Who are kids with special needs?
Eleven online resources
Preventing oral disease
Locating the right dental office
Talking to the dentist
Maintaining oral health
Who Are Head Start Kids with Disabilities?
Office of Head Start definition: Children with an IFSP or IEP
IFSP = Individual Family Service Plan IFSP focuses on the child and family and the services that a family needs to help them enhance the development of their child.
IEP = Individual Education Plan IEP focuses on the educational needs of the child.
Some Oral Health Concerns of Kids with Disabilities
Child with poor motor control—unable to hold toothbrush
Child with cognitive/motor disability—swallows toothpaste
Child is orally “defensive”—won’t allow toothbrush in mouth
Child takes meds that are sweetened—promotes decay
Child takes meds that reduce saliva—promotes decay
Examples of Kids with “Special Needs”
Kids with physical but no intellectual disability—wheelchair
Kids with intellectual but no physical disability—autism
Kids with intellectual and physical disability—developmental
Kids with complex medical condition—hemophilia
Kids with learning disability—can’t pay attention due to toothache
Kids with no disability but high need for services—asthma
Kids with exceptional fear of the dentist—uncooperative
Kids with dental disability—advanced decay, constant pain
Oral Health Resources for Kids with Special Needs
Resource #1
Head Start National Center on Health
Oral Health Home Page
http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/oral-health
Resource #2
Brush Up on Oral Health Newsletters
http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/oral-health/policies-procedures/buoh.html
Resource #3
National Maternal and Child Oral Health Resource Center
http://www.mchoralhealth.org/Topics/cshcn.html
Resource #4
American Academy of PediatricsChildren’s Oral Health
http://www2.aap.org/commpeds/dochs/oralhealth/index.html
Resource #5
Association of State and Territorial Dental Directors
Children with Special Health Care Needs
http://www.astdd.org/children-with-special-health-care-needs
Resource #6
American Academy of Pediatric Dentistry
http://www.aapd.org
Resource #7
Special Care Dentistry Association
http://www.scdaonline.org
Resource #8
Family VoicesFamily to Family Networking
State Contactshttp://www.familyvoices.org/states
Oral Healthhttp://www.familyvoices.org/work/oral
Resource #9
Children’s Hospitals
https://www.childrenshospitals.org/Directories/Hospital-Directory
Resource #10
Special Olympics—Special Smiles
http://resources.specialolympics.org/Topics/Healthy_Athletes/Disciplines/Special_Smiles.aspx
Resource #11
National Institute of Dental and CraniofacialResearch (NIDCR)
Children’s Oral Healthhttp://www.nidcr.nih.gov/oralhealth/OralHealthInformation/ChildrensOralHealth/
Special NeedsPractical Oral Care for People with Developmental Disabilities
http://www.nidcr.nih.gov/oralhealth/OralHealthInformation/SpecialNeeds/
Preventing Oral DiseaseMany Opportunities
Healthy water: community water fluoridation
Healthy home: safe diet and oral care
Healthy Head Start: healthy habits and healthy food
Curriculum and program-based services in Head Start
Healthy teeth: prompt referral to treatment
Locating the Right Dental Office for Kids with Special Needs
The right office
The wrong office
No office at all
The Right Office
Physically accessible and friendly
Inquires about the child’s condition
Inquires about prior dental experience
Explains treatment plan and alternatives
Adult allowed in treatment room
Interpretation services for families
The Wrong Office
Accessibility barriersDoes not engage parent in discussion Does not go slow with fearful childDoes not allow parent in treatment roomDoes not explain treatment optionsIf unable to treat, does not refer
How to Find the Right Dental Office
Ask your family dentistAsk other community dentists Ask parents who have had successUse online and other directories
Some Online Dentist Directories
Insure Kids Now (search widget)—dentists who accept Medicaid http://www.insurekidsnow.gov
American Academy of Pediatric Dentists—dentists who treat kids http://www.aapd.org
Special Care Dentistry Assoc—dentists who welcome special patients http://www.scdaonline.org/?Referral
Your state dental association directory—example from Colorado https://www.cdaonline.org/find-a-dentist/directorysearch
Special Needs Dentist Directory—example from Virginia http://www.vdh.virginia.gov/OFHS/childandfamily/dental/dentaldirectory/Home.aspx
Talking to the DentistBe Informed
Some AAPD policies and guidelines that are pertinent to kids with special needs:
AAPD Policies and Guidelines: Homepage http://www.aapd.org/policies
More AAPD Policies and Guidelines
Management of Patients with Special Health Care Needs http://www.aapd.org/media/Policies_Guidelines/G_SHCN.pdf
Policy on Interim Therapeutic Restorations http://www.aapd.org/media/Policies_Guidelines/P_ITR.pdf
Protective Stabilization for Pediatric Patients http://www.aapd.org/media/Policies_Guidelines/G_Protective.pdf
More AAPD Policies and Guidelines
Ethical responsibility to treat or refer http://www.aapd.org/media/Policies_Guidelines/P_Ethic.pdf
Transition from pediatric to adult care http://www.aapd.org/media/Policies_Guidelines/
P_Transitioning.pdf
Recipe for Maintaining Oral Health
Healthy Community Community water fluoridation
Healthy HomeHealthy diet and home care
Healthy SchoolsHealthy food, drink and play
Quality Dental HomeUsed regularly