BMJ 2000;321:495-498 ( 19 August )

Clinical review

ABC of oral health

Oral health care for patients with special needs

Roger Davies, Raman Bedi, Crispian Scully. 

The first 150 words of the full text of this article appear below.

People with special needs are those whose dental care is complicated by a physical, mental, or social disability. They have tended to receive less oral health care, or of lower quality, than the general population, yet they may have oral problems that can affect systemic health. Improving oral health for people with special needs is possible mainly through community based dental care systems. Education of patients and parents or carers with regard to prevention and treatment of oral disease must be planned from an early stage. This will minimise disease and operative intervention since extractions and surgical procedures in particular often produce major problems. Dental healthcare workers also often need to be educated about this subject.


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In this context various conditions can lead to people needing special care, not least patients with dental phobias. Many of these patients can be treated with behavioural modification techniques, though a minority will require . . . [Full text of this article]
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