Çocuk Diş Hekimliğinde Özel Bakım Gerektiren Çocukların Yönetimi
Özet
Özel bakım gerektiren birey, doğuştan olabileceği gibi doğum sonrasında da meydana gelebilecek kaza, hastalık gibi muhtelif sebeplerden ötürü ruhsal, bedensel, zihinsel ve duyusal becerilerinde çeşitli düzeylerde kayıplar, sınırlılıklar ve yetersizlikler yaşayan ve normal yaşam gereklerine uyamayan bireyler olarak tanımlanmaktadır . Bireylerde hayat kalitesinin önemli bir faktörü olan ağız sağlığında, özel bakım gerektiren çocuklarda sıklıkla sorunlarla karşılaşılır. Oral hijyen eksikliği, diş çürüğü, periodontal hastalık ve ortodontik bozukluklar bu çocuklarda sıklıkla karşılaşılan ağız sağlığı sorunlarıdır. Özel bakım gerektiren çocukların dental tedavilerinde karşılaştığı zorlukların üstesinden gelmede diş hekimlerinin ve ebeveynlerin yeterli düzeyde eğitiminin olması önemlidir. Ayrıca özel bakım gerektiren çocukların dental ve medikal ihtiyaçlarının karşılanması için kapsamlı sağlık politikaları ile desteklenmelidir. Diş hekimi ekibi, kapsamlı okul tabanlı programlar (çocukların becerilerini geliştirmelerine yardımcı olmak için ağız sağlığı eğitimi dahil) sağlayarak, florür takviyeleri ve fissür örtücü uygulayarak, diyet ve beslenme danışmanlığı sunarak ağız sağlığını geliştirmeyi planlamalıdır.
Children with special health care needs may experience varying degrees of loss, limitations, and deficiencies in their psychological, physical, mental, and sensory skills. These challenges may stem from congenital factors or arise from various causes, such as accidents or illnesses occurring postnatally. Consequently, these individuals often struggle to meet the demands of typical daily living. Oral health, a critical determinant of quality of life, frequently presents significant issues for children with special health care needs. Common oral health problems in this population include inadequate oral hygiene, dental caries, periodontal disease, and orthodontic disorders. It is essential that both dentists and parents receive adequate training to effectively address the challenges associated with the dental treatment of children with special health care needs. Furthermore, comprehensive health policies should be implemented to support the dental and medical requirements of these children. The dental team should devise strategies to enhance oral health by providing comprehensive, school-based programs that include oral health education aimed at skill development, administering fluoride treatments and sealants, and offering dietary and nutritional counseling.
Referanslar
Organization, W.H., Disability prevention and rehabilitation: report of the WHO Expert Committee on Disability Prevention and Rehabilitation [meeting held in Geneva from 17 to 23 February 1981]. 1981.
Oredugba, F.A., Use of oral health care services and oral findings in children with special needs in Lagos, Nigeria. Special Care in Dentistry, 2006. 26(2): p. 59-65.
Purohit, B.M., S. Acharya, and M. Bhat, Oral health status and treatment needs of children attending special schools in South India: a comparative study. Special Care in Dentistry, 2010. 30(6): p. 235-241.
Novak, M.A., J.G. Olley, and D.S. Kearney, Social skills of children with special needs in integrated and separate preschools. High-risk infants and children: adult and peer interactions/editor, Tiffany Martini Field, co-editors, Susan Goldberg, Daniel Stern, Anita Miller Sostek, 1980.
Gupta, P.V. and A.M. Hegde, Pediatric dentistry for special child. 2016: JP Medical Ltd.
Dharmani, C.K.K., Management of children with special health care needs (SHCN) in the dental office. Journal of medical society, 2018. 32(1): p. 1-6.
Dentistry, A.A.o.P., Management of Dental Patients with Special Health Care Needs. 2021.
Association, A.P., Diagnostic and statistical manual of mental disorders. Text revision, 2000.
Cans, C., Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Developmental Medicine & Child Neurology, 2000. 42(12): p. 816-824.
Al Harbi, T.A., et al., Dental management of children with cerebral palsy: a review article. International Journal of Medicine in Developing Countries, 2023. 7(10): p. 1419-1419.
Chaléat-Valayer, E., et al., Management of drooling in children with cerebral palsy: A French survey. European Journal of Paediatric Neurology, 2016. 20(4): p. 524-531.
Castillo-Morales, R., et al., [Treatment of chewing, swallowing and speech defects in handicapped children with Castillo-Morales orofacial regulator therapy: advice for pediatricians and dentists]. Zahnarztl Mitt, 1985. 75(9): p. 935-42, 947-51.
WHO., Genes and human Diseases, Genes and Chromosomal Diseases, Down Syndrome. . 2013.
Botero, J.E., et al., A Comprehensive Review of the Relationship Between Oral Health and Down Syndrome. Current Oral Health Reports, 2024. 11(1): p. 15-22.
Pilcher, E., Dental care for the patient with Down syndrome. Down syndrome research and practice, 1998. 5(3): p. 111-116.
Cashin, A. and P. Barker, The triad of impairment in autism revisited. Journal of Child and Adolescent Psychiatric Nursing, 2009. 22(4): p. 189-193.
Webber, J. and B. Scheuermann, Educating students with autism. Austin, TX: PRO-ED, 2008.
Delli, K., et al., Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Med Oral Patol Oral Cir Bucal, 2013. 18(6): p. e862-8.
Rekha, C.V., P. Arangannal, and H. Shahed, Oral health status of children with autistic disorder in Chennai. European Archives of Paediatric Dentistry, 2012. 13: p. 126-131.
Jaber, M.A., Dental caries experience, oral health status and treatment needs of dental patients with autism. Journal of Applied Oral Science, 2011. 19: p. 212-217.
Klein, U. and A. Nowak, Autistic disorder: a review for the pediatric dentist. Pediatric dentistry, 1998. 20: p. 312-317.
Referanslar
Organization, W.H., Disability prevention and rehabilitation: report of the WHO Expert Committee on Disability Prevention and Rehabilitation [meeting held in Geneva from 17 to 23 February 1981]. 1981.
Oredugba, F.A., Use of oral health care services and oral findings in children with special needs in Lagos, Nigeria. Special Care in Dentistry, 2006. 26(2): p. 59-65.
Purohit, B.M., S. Acharya, and M. Bhat, Oral health status and treatment needs of children attending special schools in South India: a comparative study. Special Care in Dentistry, 2010. 30(6): p. 235-241.
Novak, M.A., J.G. Olley, and D.S. Kearney, Social skills of children with special needs in integrated and separate preschools. High-risk infants and children: adult and peer interactions/editor, Tiffany Martini Field, co-editors, Susan Goldberg, Daniel Stern, Anita Miller Sostek, 1980.
Gupta, P.V. and A.M. Hegde, Pediatric dentistry for special child. 2016: JP Medical Ltd.
Dharmani, C.K.K., Management of children with special health care needs (SHCN) in the dental office. Journal of medical society, 2018. 32(1): p. 1-6.
Dentistry, A.A.o.P., Management of Dental Patients with Special Health Care Needs. 2021.
Association, A.P., Diagnostic and statistical manual of mental disorders. Text revision, 2000.
Cans, C., Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Developmental Medicine & Child Neurology, 2000. 42(12): p. 816-824.
Al Harbi, T.A., et al., Dental management of children with cerebral palsy: a review article. International Journal of Medicine in Developing Countries, 2023. 7(10): p. 1419-1419.
Chaléat-Valayer, E., et al., Management of drooling in children with cerebral palsy: A French survey. European Journal of Paediatric Neurology, 2016. 20(4): p. 524-531.
Castillo-Morales, R., et al., [Treatment of chewing, swallowing and speech defects in handicapped children with Castillo-Morales orofacial regulator therapy: advice for pediatricians and dentists]. Zahnarztl Mitt, 1985. 75(9): p. 935-42, 947-51.
WHO., Genes and human Diseases, Genes and Chromosomal Diseases, Down Syndrome. . 2013.
Botero, J.E., et al., A Comprehensive Review of the Relationship Between Oral Health and Down Syndrome. Current Oral Health Reports, 2024. 11(1): p. 15-22.
Pilcher, E., Dental care for the patient with Down syndrome. Down syndrome research and practice, 1998. 5(3): p. 111-116.
Cashin, A. and P. Barker, The triad of impairment in autism revisited. Journal of Child and Adolescent Psychiatric Nursing, 2009. 22(4): p. 189-193.
Webber, J. and B. Scheuermann, Educating students with autism. Austin, TX: PRO-ED, 2008.
Delli, K., et al., Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Med Oral Patol Oral Cir Bucal, 2013. 18(6): p. e862-8.
Rekha, C.V., P. Arangannal, and H. Shahed, Oral health status of children with autistic disorder in Chennai. European Archives of Paediatric Dentistry, 2012. 13: p. 126-131.
Jaber, M.A., Dental caries experience, oral health status and treatment needs of dental patients with autism. Journal of Applied Oral Science, 2011. 19: p. 212-217.
Klein, U. and A. Nowak, Autistic disorder: a review for the pediatric dentist. Pediatric dentistry, 1998. 20: p. 312-317.
