Treating the Dental Patient with a Developmental Disorder

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.   Key features include: 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

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

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.