Special Needs
8 important questions on Special Needs
Role of Dental Hygienist
communicate properly
appropriate treatment plan
Cerebrovascular Accident (stroke)
communication difficulties
opposite side of body from stroke is effected
6 months no treatment
limit epinephrine
Congenital Heart Disease
assume premed
- Higher grades + faster learning
- Never study anything twice
- 100% sure, 100% understanding
Congestive Heart Failure
tires easily
peripheral edema
may need to limit epinephrine
Do not use air polisher or ultrasonic
Coronary Bypass Surgery
no premed
Sickle Cell Anemia
red blood cells become sickle-shaped
trait: carry one recessive gene, no symptoms
disease: both genes, infection susceptibility, low stress
delayed tooth eruption
smooth tongue
possible pre med
Attention Deficit Disorder
hyperactivity, inattentive, talkative
deficient in short term memory
meds: ritalin & adderall
short appointments
tell, show, do
Epilepsy/Seizure Disorders
grand mal: severe
status epilepticus: continuous convulsion lasting more than 5 minutes
meds may cause gingival hyperplasia
may have aura prior to seizure
put pt on side
dont put anything in mouth
activate EMS if necessary
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