Management of Children with Disabled Conditions Part II Maha AL-SARHEED.

Management of Children with

Disabled Conditions Part II

Maha AL-SARHEED

Classification of Disability

1. Intellectually impairment

2. Physical impaired

3. Sensory impaired

4. Medically compromised

Dental Management of different Disabilities

Requesting for Medical Report

3. Physical Impaired

The commonest physical impairments that can be seen in a dental office are:

Cerebral palsy Cleidocranial Dysostosis Osteogenesis imperfecta Spina bifida Juvenile arthritis

A. Cerebral palsy (CP)

It’s the most common form of physical

disability Affecting about 1-2/1000 school age

children Caused by brain damage that can be pre-,

peri- or post-natal as well as abnormal CNS development

B. Cleidocranial Dysostosis

Its rare inherited involve the skull and clavicle

Clavicles are either absent or defective

Bossing frontal, delayed closure of frontalelle

C. Osteogenesis imperfecta

CT disorder due to abnormalities of Type I collagen

Bone fragility, bone deformity, blue sclera, hearing loss

translucent teeth, perapical radiolucent, root fracture

4. Sensory Impairment

A. Visual impairment (VI)

The National Eye Survey (1984), 1.5% of Saudi Arabia population was blind and 7.8% visually impaired

Varies from total blindness to sight limitation of size, color, distance and shape

B. Hearing Impaired

HI includes children with either partial or total loss of hearing

Survey of 6421 Saudi infants and children <12

years age carried in Riyadh from 1988-1990, showed 7.7% of hearing impairment (Bafaqeeh et al., 1994).

Genetically determined in 30-70% of the cases

Requesting for Medical Report

Child name, age and chart numberFinal diagnosis of dental conditions Future treatment plane Treatment may provided under LA, sedation or

GAAdvice for suggestion, recommendation and if

there are any contraindication or precaution for any steps mention above

The report requesting should always end with greeting and appreciating for physician help