2. What restorative material(s) should Dr. Johnson consider using? What are some advantages and/or disadvantages? Glass ionomers and resin-modified glass ionomers are most likely the easiest to use to restore most of the cavities. They can be placed where moisture control is difficult and are relatively simple to adapt and finish. In addition, they are tooth-colored and have the added advantage of releasing Conclusion Disparities in oral health status and access to dental care are major and increasing problems for people with special healthcare needs. The consequence is that those with special healthcare needs experience more dental disease, fewer preventive services, and significant problems with access to care. Recent recommendations and guidelines for the treatment of patients with special needs aim to optimize oral health care in References Administration for Community Living. 2020 Profile of Older Americans. May 2021. https://acl. gov>AgingandDisabilityinAmerica Alumran, Arwa, Almulhim, Luloah, Almolhim, Bainah, Bakodah, Shouq, Aldossary, Hessa and Alaktawi, Zahra. Preparedness and willingness of dental care providers to treat patients with special needs. Clinical, Cosmetic and Investigational Dentistry. 2018;10:231-236. https://www.ncbi.nlm.gov/pmc/articles/PMC6208865/ American Academy of Pediatric Dentistry. Management of Dental Patients with Special Healthcare Needs. Latest Revision. 2021. https://www.aapd.org>media>bp_shcn The American Academy of Pediatric Dentistry Council on Clinical Affairs. Definition of Dental Home. Latest Revision 2018 . Vol. 40; No. 6. 18-19. https://www/aapd.org>media>policies_Guidelines>D_DentalHome The American Academy of Pediatric Dentistry. Policy on dental home. The Reference Manual of Pediatric Dentistry. Chicago, Ill. American Academy of Pediatric Dentistry; 2021:43-4 The American Dental Association. Health Policy Institute. Workforce. © 2019. https://www.ada.org/en/science- research/health-policy-institute/dental- statistics/workforce The American Dental Association. Department of Scientific Information, Evidence Synthesis and Translation Research, ADA Science and Research Institute, LLC. Aging and Dental Health. Last Updated November 9. 2021. https://www.ada.org>research>oral-health-topics-ag... The American Dental Association News. 39 percent of U.S. dentists participate in Medicaid or CHIP for child dental services. March 14, 2018. https://www.ada.org/en/publications/ada-news/2018-archive/march/more- than-a-third- of-... Anzil KSA, Kiran M, Keerthi L, Dinny D, Sudeep CB and Aravind A. Dental Care utilization and expenditures on children with special health care needs-A review. International Journal of Applied Sciences 2017;3 (1): 25-28. [KEEPING THIS REERENCE]. Brickhouse Tegwyn H, Dahman Bassam A, Peters Barrett, Liu Hangcheng and Kumar Anita M.The impact of dental Medicaid reform on dental care provider activity and market penetration of dental support organizations. The Journal of the American Dental Association. October 2021. 152(10):822-831. https://doi. org/10.1016/j.adaj.2021.05.007 The Centers for Disease Control and Prevention. Disability and Health. Disability Impacts All of Us. Last reviewed September 9, 2019. https://www.cdc.gov/ncbddd/disabilityandhealth/infographic-disability-impacts- all.html The Centers for Disease Control and Prevention. Older Adult Oral Health. Facts About Older Adult Oral Health. Last Updated May 5, 2021. https://www.cdc.gov>oralhealth>basics>adult_older Commission on Dental Accreditation. Accreditation Standards for Dental Education Programs. © 2022. https:// coda.ada.org>Files>predoc_standards Commission on Dental Accreditation. Accreditation Standards for Dental Hygiene Education Programs. © 2022. https://coda.ada.org/en Da Mata Leopoldo Lucio, da Cunha Ana Maria Schroden Rodrigues and Moronte Andrezza Morais. Dental Management of a Patient with Special Health Care Needs. Case Reports in Dentistry. February 4, 2021. https:// www.ncbi.nlm.nih.gov>articles>PMC7895598 Davis Michael W. Medicaid and CHIPO Dental Participation Rankings Reveal Inequities. Dentistry Today. December 23, 2020. https://www.dentistrytoday.com>medicaid-and-chip-d... Editors. Trends in Dental Participation in Medicaid and CHIP. Decisions in Dentistry. January 10, 2019. https:// decisionsindentistry.com/articles/at-a-glance-7/ Gupta Ruchi, Tomer Anil K, Ramachandran Midhun, John Ashvin G, Aleemuddin Mohammad, Bhatheja Arvind and Raina Afnan Ajaz. Dental Management of Children with Special Health Care Needs. International Journal of Scientific Study. January 2019. Volume 6. Issue 10. http://www.ijss-sn.com>23_ijss_jan_cr01_-_2019 HIPAA Journal. Expected HIPAA Updates and HIPAA Changes in 2019 . January 31, 2019. https://www. hipaajournal.com/hipaa-upates-hipaa-changes/ Journal of the American Dental Association. Evidence-Based Recommendations for the Use of Fluorides. September 2019. Vol. 150. NO. 9R. Kilduff Lillian. Which States Have the Oldest Populations? Population Reference Bureau. December 22, 2021. https://www.prb.org>resources>which-us-states-are-t... Killmurray Conor. The Challenges of Dental Care for Special Needs Patients. Dental Products Reports. April 5, 2019. https://www.dentalproductsreport.com>views>th- chal... Krishnan Yogeshwari, Vishnoi Lakshya, Aeran Himanshu and Kumar Varun. Redefining dental care to serve patients with special health care needs: A review. International
fluoride over time, potentially reducing risk of recurrent caries. However, the placement of this material is classified as a composite restoration, which is more costly to the patient. Amalgam could be used as well. It reduces overall costs to the patient and can also be used in the presence of moisture. However, it is more noticeable and can be challenging to place and adapt in some areas. this vulnerable population. In addition, a number of educational and other initiatives are now available to ensure that dental professionals are at the forefront in delivery of oral health services to patients with special healthcare needs. Future work to enhance the oral health of patients with special needs could include more research funding, broader approaches to delivery systems, and more targeted prevention models. Journal of Oral Health Dentistry, April-June, 2018;4(2): 71-76. https://www.researchgate.net>… >Dentistry>DentalCare Mather Mark and Kilduff Lillian. The U.S. Population Is Growing Older, and the Gender Gap Life Expectancy Is Narrowing. Population Reference Bureau. February 19, 2020. https://www.prb.org>resources>u-s-population- is-growi... Milano Michael. Oral Healthcare for Persons with Intellectual or Developmental Disabilities: Why is There a Disparity? Compendium. Nov/ Dec 2017. Volume 38, Issue 11. https://www.aegisdentalnetwork.com/ cced/2017/11/oral-healthcare-for-persons- with-intel... Monteserin-Matesanz Marta, Esparza-Gomez German C., Garcia-Chias Begona, Gasco-Garcia Carmen and Cerero-Lapiedra Rocio. Descriptive study of patients treated at the clinic “Integrated Dentistry for Patients with Special Needs” at Complutense University of Madrid (2003-20012). Med Oral PAtol Oral Cir Bucal. 2015 Mar;20(2):e211-e217. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393985/ Moore Tracye A. Dental Care for Patients with Special Needs. Decisions in Dentistry. Last Updated January 27, 2017. https://decisionsindentistry.com/article/dental-care- patients-special-needs Munson Bradley and Vujicic Marko. Projected Supply of Dentists in the United States, 2020-2040. The American Dental Association Health Policy Institute. May 2021. https://www.ada.org>files>hpi>hpibrief_0521_1 National Council on Disability. Neglected for Too Long: Dental Care for People with Intellectual and Development Disabilities. Fall, 2017. National Council on Disability. At NCD’s recommendation, all U.S. dental schools will train students to manage treatment of people with intellectual, developmental disabilities. August 14, 2019. https://ncd. gov>newsroom>dental-schools-IDDD Needham, Stephanie. The Shifting paradigm of dentistry: The predominance of women. Dental Economics. May 1, 2017. https://www.dentaleconomics.com/macro-op- ed/article/16389709/the-shifting-paradigm... Obeidat Raghad, Noureldin Amal, Bitouni Anneta, Abdellatif Hoda, Lewis-Miranda Shirkley, Liu Shuling, Badner Victor and Timothe Peggy. Oral health needs of U.S. children with developmental disorders: a population-based study. BMC Public Health (2022) 22:861 https://bmcpublichealth.biomedcentral.com>article Rolim Fabiana Gouveia, Lima Allan David de Araujo, Campos Islany Cardoso Lima, Ferreira Robson de Sousa, Oliveira-Junior Carlos da Cunha, Prado Vera Lucia Gomes and Vale Glauber Campos. Fluoride Release of Fresh and Aged Glass Ionomer Cements after Recharging with High-Fluoride Dentifrice. International Journal of Dentistry. December 2019. Rutgers University School of Dental Medicine. (n.d.). Second year general practice residency program in special care dentistry. Retrieved from http://sdm.rutgers.edu/departments/diagnostic_post/gpr2.html Singh Nita. Providing Care to Patients with Special Needs. Dimensions of Dental Hygiene. August 8, 2019. https://dimensionsofdentalhygiene.com>article>caring-for- patients-with... Special Care Dentistry Association. (n.d.). GPR programs. Retrieved from http://www.scdaonline. org/?GPRPrograms Special Care Dentistry Association. (2016a). Diplomate in Special Care Dentistry. Retrieved from http://www.scdaonline.org/?page=Diplomate Special Care Dentistry Association. SCDA Definitions. © 2022. https://www.scdaonline.org Special Care Dentistry Association. Removing Obstacles to Oral Care for Patients with Special Needs. Compendium, March 2017. Volume 38, Issue 3. https://www.aegisdentalnetwork.com/cced/2017/03/removing- obstacles-to-oral-care- for-pa... Taylor, Danielle M. Americans With Disabilities 2014. Household Economic Studies. Current Population Reports. November, 2018. https://www.census.gov>dam>census>library>publications>demo Tirth, A., Karishma, Chaudhary, S. (2017). Challenges and Barriers to Access Oral Health Care Needs Among Elderly Population in India. Journal of Aging and Neuropsychology. JANP-107. https://www.gavinpublishers. com/articles/Review- Article/Journal-of-Aging-andNeurops... U.S. Department of Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB). Children with Special Health Care Needs. National Survey of Children’s Health (NSCH) Data Brief July 2020. Available at: “https://mchb.hrsa.gov/sites/default/files/mchb/Data/NSCH/nsch-cshen-data-brief.pdf” University of Washington School of Dentistry. (n.d.). Dental education in the care of persons with disabilities. Retrieved from https://dental.washington.edu/oral- medicine/patient-care/decod-clinic/ [KEEPING THIS REFERENCE].
Vujicic Marko, Nasseh Kamyar and Fosse Chelsea. Dentists Participation in Medicaid: How should it be Measured? Does it Matter? October 2021.The American Dental Association Health Policy Institute. https:// www.ada.org>files>hpi>hpibriefs_1021_1 PROVIDING ORAL HEALTHCARE SERVICES FOR PEOPLE WITH SPECIAL NEEDS Final Examination Questions Select the best answer for each question complete your test online at EliteLearning.com/Book 187. A description of patients with special needs includes those who are limited in their ability to receive dental services due to: a. A developmental condition. 189. The types of functional and activity limitations described by the U.S. Census Bureau based on the 2014 U.S. Census data were grouped into which domains of disability?
a. Developmental, mental, and physical. b. Communicative, mental, and physical. c. Sensory, developmental, and physical. d. Mental, physical, and self-care.
b. Economic conditions. c. Racial and ethnic status. d. Immigration status.
188. Data from the Centers for Disease Control and Prevention (CDC) show the number of people in the United States with a disability to be approximately:
190. According to the Social Security Administration adults with a disability, the number of those who had a disability in two or more domains of disability was:
a. 19.2 million. b. 43.5 million. c. 61 million. d. 75 million.
a. 6.8 million. b. 15.8 million. c. 33.7 million. d. 51 million.
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