Oral Health Care for Children and Youth With Developmental Disabilities: Clinical Report
Author:
Sarvas Elise1, Webb Jessica2, Landrigan-Ossar Mary3, Yin Larry4, Karp Jeffrey M., Beyer Eric L., Brooks Chevon, Feldman Lauren M., Kimball C. Eve, Tate Anupama Rao, Sokal-Gutierrez Karen, Unkel John H., Zaborowski Matt, Crespin Matt, Moursi Amr, Beskin Kera, Noritz Garey, Agrawal Rishi, Bell Deanna, Foster Jessica E.A., Fremion Ellen, Frierson Sheryl, Melicosta Michelle E., Saunders Barbara S., Srivastava Siddharth, Vargus-Adams Jilda, Zuckerman Katharine E., Kuo Dennis Z., Brosco Jeffrey P., Weitzman Carol, Sadof Matthew, Ware Allysa, Yeargin-Allsopp Marshalyn, Poon Jennifer, Yeargin-Allsopp Marshalyn, Kuznetsov Alexandra, Chatterjee Debnath, Diaz Christina, Drum Elizabeth, Long Justin, Sun Lena, Willer Brittany, Landrigan-Ossar Mary, Fehr James J., Lin Yuan-Chi, Adler Adam C., Riefe Jennifer, , ,
Affiliation:
1. aMayo Clinic, Rochester, Minnesota 2. bUniversity of Washington, Seattle, Washington 3. cHarvard Medical School, Boston, Massachusetts 4. dAssociate Professor of Clinical Pediatrics, Keck School of Medicine of USC and Children’s Hospital Los Angeles, Los Angeles, California
Abstract
Oral health is an essential component of overall health for all individuals. The oral health of children and youth with developmental disabilities (CYDD) involves unique characteristics and needs of which pediatricians and pediatric clinicians can be aware. Risk for oral disease in CYDD is multifactorial and includes underlying medical conditions, medications, and ability to participate in preventive oral health care and treatment, and lack of access to providers is common for this population despite being eligible for Medicaid. Pediatric clinicians are uniquely positioned to support the oral health needs of CYDD and their families through the medical home. This clinical report aims to inform pediatric clinicians about the unique oral health needs of CYDD. It provides guidance on assessing caries risk and periodontal status using structured screening instruments; understanding dental trauma, the role of diet and caries risk, trauma prevention, and malocclusion; and providing anticipatory guidance on oral hygiene that includes tooth brushing, use of fluoridated toothpaste, assessing community water fluoridation, advocating for a dental home by 1 year of age, and transition to adult dental care as part of adolescent health care. It also highlights special considerations for dental treatment rendered under sedation or general anesthesia that CYDD may need. Pediatric clinicians can help reduce risk of CYDD developing dental disease by understanding the unique needs of their patients and their barriers to accessing oral health care in their community, communicating with the child’s dental home, and advocating for safe and accessible dental procedures.
Publisher
American Academy of Pediatrics (AAP)
Reference187 articles.
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1 articles.
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