Dentistry for People with Intellectual Disabilities in Tehran

Dentistry for Individuals with Intellectual Disabilities

Dentistry for individuals with intellectual disabilities in Tehran – Everyone should be able to access dental services. However, some individuals require specific facilities or services to provide this care. Individuals with intellectual disabilities may experience excessive anxiety at the thought of going to the dentist or may need extra reassurance. Dental teams can address all these concerns when providing dental services to everyone.

What Should the Dental Team Know?

The dental team should be aware of the patient’s medical history and any medications they are taking. This includes inhalers and any medications prescribed by a doctor. The dental team should also know the name of the patient’s family doctor, hospital consultant, and any recent procedures or sensitivities the patient has experienced. Additionally, if the dental team is aware of any concerns or worries the patient may have, they can help make the patient feel more comfortable. This information can be provided by the patient’s parents or caregiver. However, some patients prefer to communicate directly with the dentist.

When is the Best Time for Treatment?

Some patients may prefer appointments at specific times of the day based on their needs. For example, evening appointments may not be suitable for patients who tire easily or spend the day feeling anxious.

How Accessible Are Treatment Clinics?

Clinics should provide wheelchair access for users. Some clinics have specifically adapted their facilities for surgery to accommodate patients with mobility issues.

How About Pediatric Dental Care?

Children with intellectual disabilities may be referred to specialized dental services by their doctor or dental team. It is important to take children to the dentist from an early age. A low-sugar diet is also important, as problems with brushing and medication use may increase the risk of tooth decay. Ensure they consume sugary drinks and snacks only at meal times and in moderation.

Why Are Medications Important?

Many patients with disabilities need to take medication to manage their condition. Therefore, it is important to ask the doctor to prescribe sugar-free medications, especially if they are syrups. It is essential to inform the dental team about any medications the patient is taking in case it affects treatment or the team needs to take additional precautions.

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Is There a Way to Make Brushing Easier?

For some individuals, moving their arms or hands can be challenging, making effective cleaning difficult. Reaching all areas of the mouth for cleaning is crucial. Typically, a toothbrush with a small to medium-sized head and soft to medium bristles is recommended. There are special handles and other adaptations that can be attached to manual toothbrushes to make them easier to hold. In some cases, electric or powered toothbrushes are recommended for people with movement difficulties. They are also helpful for individuals with learning difficulties as they can be more engaging, thus encouraging regular brushing. The dentist or dental team can provide advice and practical assistance with brushing and general oral care.

Is Sedation Available?

Intravenous (IV) sedation is an effective method for treating most nervous patients. The medications given can help relax the patient, allowing the treatment to proceed while still enabling communication between the doctor and patient. There are specific factors that affect a patient’s suitability for this type of sedation, including weight, age, and medical condition. These factors are discussed during the consultation. Sometimes, the patient may need to visit a specialized clinic for this treatment.

What Other Assistance Is Available?

Relative analgesia (RA) can also help patients undergo treatment more comfortably. In this method, nitrous oxide and oxygen are inhaled through the nose. This is the safest and simplest form of sedation and is often the most appropriate for children and individuals with special needs. However, it is not suitable for everyone—particularly those with limited understanding or cerebral palsy. In some cases, the dental team may prefer to use other methods to calm the patient. These may include simple conversation or even hypnosis. All of these methods can help reduce patient anxiety.

How Often Should You Visit the Dental Team for Care?

It is important to visit the dental team regularly. Typically, once every six months is sufficient, but some individuals may need to visit more or less frequently. The dentist may also recommend visits to a dental hygienist, who will remove plaque and tartar and provide advice on effective brushing and how to maintain a clean and healthy mouth. Building communication between the dental team, patient, and the patient’s parents or caregiver is crucial. This can be of great assistance to individuals with severe learning difficulties. Short but regular appointments seem to be more effective in building trust between the patient and the dental team than long, irregular sessions.

Which Toothpaste Should Be Used?

It is recommended that children under the age of three use toothpaste containing at least 1000ppm (parts per million) of fluoride. For children over three years old, toothpaste containing 1350 to 1500ppm fluoride is recommended. If the dentist believes the patient is particularly prone to tooth decay, they may prescribe fluoride toothpaste or varnish with a higher fluoride concentration for extra protection.

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