Special Needs 1

Question 1

Define special dental needs

Answer 1

Where a child has a condition that:

1. Puts their general health at risk if she/she suffers dental disease
2. Makes access to dental care difficult
3. Makes dental treatment more difficult to provide
4. Makes dental disease more likely to occur

Question 2

Give examples of special need a a child might have

Answer 2

1. Neuro diversity
2. Physical disability
3. Medically compromised
4. Social
5. Emotional
6. Oral

Question 3

Is the number of children with dental special needs increasing or decreasing

Answer 3

Increasing

Question 4

What are the three overarching principles regarding the right of the child

Answer 4

1. Protection
2. Participation
3. Provision

Question 5

What do we mean by high risk

Answer 5

A patient more likely to get severe dental caries

Question 6

What do we mean by high priority

Answer 6

A patient who had the same risk as everyone else but if they get dental disease it may have more serious implications

Question 7

Why might children with chronic illness have more dental disease

Answer 7

1. Dental health low on priority
2. Over indulged
3. Long term sugar medication

Question 8

What can enamel defects be caused by

Answer 8

1. Cardiac
2. Low birth weight
3. Preterm
4. Cystic fibrosis
5. Numerous syndromes
6. Renal failure

Question 9

What are the problems associated with enamel defects

Answer 9

1. Teeth are more susceptible to dental caries
2. Teeth decay faster
3. Harder to restore teeth

Question 10

How to write categorise oral problems associated with chemotherapy

Answer 10

DIRECT

INDIRECT

Question 11

What are the DIRECT oral problems assisted with chemotherapy

Answer 11

Problems directly caused by the Drug

Eg. Methitrexate mucositis

Question 12

What are the INDIRECT problems associated with chemotherapy

Answer 12

Problems that are indirectly caused by the drug usually as a result of bone marrow suppression
Eg. Neutropoenic ulceration
Petechiae and bullae
Infections

Question 13

List some oral problems associated with radiotherapy

Answer 13

1. Oral mucositis and ulceration
2. Hyposalivation and xerostomia
3. Infection
4. Radiation caries
5. Loss/ altered taste
6. Gingivitis/ periodontitis
7. Trismis
8. Osteoradionecrosis

Question 14

What are the long term effects of chemotherapy

Answer 14

1. Enamel defects
2. Shortened roots
3. Malformed teeth
4. Altered salivary rates
5. Dental caries