Special Needs

8 important questions on Special Needs

Role of Dental Hygienist

recognize needs
communicate properly
appropriate treatment plan

Cerebrovascular Accident (stroke)

may have loss of function
communication difficulties
opposite side of body from stroke is effected
6 months no treatment
limit epinephrine

Congenital Heart Disease

present at birth
assume premed
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Congestive Heart Failure

cannot pump enough blood
tires easily
peripheral edema
may need to limit epinephrine
Do not use air polisher or ultrasonic

Coronary Bypass Surgery

wait 6 weeks
no premed

Sickle Cell Anemia

hereditary blood disorder
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

short attention span
hyperactivity, inattentive, talkative
deficient in short term memory
meds: ritalin & adderall
short appointments
tell, show, do

Epilepsy/Seizure Disorders

petit mal: mild
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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