2-1.

This content is cited from the Jay Balzer, DMD,

MPH
Lecture program. It is used to training the
dentists who interesting on the special need
patients. It is no financial or comercial profit.
 2-1. Better Oral Health
for Kids with Special Needs

Webinar
June 5, 2015
Jay Balzer, DMD, MPH
Consultant, 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 Pediatrics

Children’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 Voices
Family to Family Networking

State Contacts
http://www.familyvoices.org/states

Oral Health
http://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 Craniofacial

Research (NIDCR)

Children’s Oral Health

http://www.nidcr.nih.gov/oralhealth/OralHealthInformation/ChildrensOralHealth/

Special Needs
Practical Oral Care for People with Developmental Disabilities
http://www.nidcr.nih.gov/oralhealth/OralHealthInformation/SpecialNeeds/
 Preventing Oral Disease
Many 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 barriers
➢Does not engage parent in discussion
➢Does not go slow with fearful child
➢Does not allow parent in treatment room
➢Does not explain treatment options
➢If unable to treat, does not refer
 How to Find
the Right Dental Office

➢Ask your family dentist

➢Ask other community dentists
➢Ask parents who have had success
➢Use 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 Dentist
Be 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 Home
➢Healthy diet and home care

➢Healthy Schools
➢Healthy food, drink and play

➢Quality Dental Home

➢Used regularly
 Thank You
Contact me with questions

Jay Balzer, DMD, MPH

Consultant, ASTDD
balzerjay@gmail.com