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Treating the Dental Patient with a Developmental Disorder

ISBN: 978-0-8138-2393-5
296 pages
August 2012, Wiley-Blackwell
Treating the Dental Patient with a Developmental Disorder (0813823935) cover image
Treating the Dental Patient with a Developmental Disorder provides a basic understanding of patients with developmental and intellectual disorders and offers help in communicating with and treating these patients. The book opens with an overview of the major types of developmental disabilities-autism spectrum disorders, Down Syndrome, attention deficit, cerebral palsy-and others such as spina bifida and learning difficulties. Following chapters also discuss how to gather personal information, medical histories, dental experiences, and oral habits; determine family dynamics; and understand how to communicate with patients and model desired patient behavior. The authors also cover aspects of the dental exam and hygiene appointment, and restorative treatment, both in the office and hospital setting. A review of follow-up care and the long-term impact on the practice, the patient, and the families when caring for these patients is covered.  Treating the Dental Patient with a Developmental Disorder is a must-have book for practicing and student pediatric dentists, general dentists, and dental hygienists whose patients include families with developmentally or intellectually disabled members.
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Contributors ix

Foreword xiii
Timothy P. Shriver

Preface xv
Karen A. Raposa and Steven P. Perlman

Introduction: The amazing tale of the three dentists, the cliff diver, and the avoidance of the mundane xvii
Rick Rader

Chapter 1 Overview: defi ning developmental disorders 1
H. Barry Waldman and Steven P. Perlman

Chapter 2 Patient/personal interview 23
Maureen Romer

Chapter 3 Medical/developmental review/interview 33
Martha Ann Keels

Chapter 4 Treatment considerations 43

Section 1 Behavioral supports 43
Ray A. Lyons

Section 2 Alternative behavioral support strategies 73
Clive Friedman

Section 3 Aging population supports 83
Paul S. Farsai and Joseph M. Calabrese

Chapter 5 Overall health 97
Matthew Holder and Henry Hood

Chapter 6 Treatment accommodations 115
Debra Cinotti

Chapter 7 The exam/hygiene appointment 129
Ann-Marie C. DePalma and Karen A. Raposa

Chapter 8 Preventing oral health problems 141
Paul Glassman and Christine E. Miller

Chapter 9 Restorative appointments 155
Federico Garcia-Godoy and Cristina E. Garcia-Godoy

Chapter 10 Office-based sedation 169
Matthew Cooke

Chapter 11 Hospital dentistry/general anesthesia 195
Allen Wong

Chapter 12 Practice management tips 207
David Albert Tesini

Chapter 13 Improving oral health through community-based interventions 227
Paul Glassman

Chapter 14 Long-term impact 237
Jo Ann Simons

Epilogue: International perspective 245
Luc A.M. Marks

Index 249

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Karen A. Raposa, RDH, MBA is a registered dental hygienist and mother of a son with autism. She has written textbook chapters, magazine articles, and continuing education materials on patients with autism and developmental disabilities. Ms. Raposa lectures internationally at professional dental and dental hygiene meetings.

Steven P. Perlman, DDS, MScD, DHL (Hon) is Global Clinical Director of the Special Olympics Special Smiles program.  He also is Clinical Professor of Pediatric Dentistry at the Boston University School of Dental Medicine and works in private practice in Lynn, Massachusetts.

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  • Descriptions of most common forms of developmental and intellectual disorders
  • Practical methods of caring for patients with these disabilities, including how to guide and model behavior
  • Practice management tips to accommodate patients with special needs
  • Instructions to give caregivers for home oral therapy
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