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As a continuation of the Dental Health in Patients with Disabilities discussion, this post is meant to discuss how the most common diseases can and should be treated or prevented.

Dental care protocol in special patients

Dental care for patients with disabilities requires special techniques, equipment, and trained personnel. In some cases, it is necessary to sedate them to perform a treatment. However, general anesthesia is used only when it is not possible to control the person in another way.

The protocol to care for a person with disabilities begins by discussing the patient’s conditions before the visit. The dentist must understand the patient’s condition and the type of treatment required to determine what he will need at the time of care. Communication with the person in charge and the attending physician is essential to know if the patient needs to take any medication before the consultation. On the other hand, the dentist will need to work with an assistant to help reassure him. When treating patients with special abilities, treatments may take longer than usual. All this should be discussed prior to the consultation. In cases in which the patient does not collaborate with the dentist’s attention, the dentist has to use special methods, such as:

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Behavior Rectification

In the dental management of patients with disabilities, positive reinforcement is used to shape behavior. That is, they are rewarded if they follow the instructions given by the dentist.

Physical restraint

It consists in restricting the total or partial mobility of the patient. In this way, the dentist can work without problems and prevents the person from an injury. Usually limb movement is limited, but sometimes the head and the body are also restricted. To use this method, the consent of the patients responsible is necessary.

Prescribe medication before treatment

When the patient suffers from anxiety or stress at the dentist’s office, some medication can be prescribed to calm him.

Home care

Oral health care starts from home, so you have to follow a hygiene routine. A responsible guardian should take care of brushing their teeth regularly. If it is not possible, then whoever is in charge should do so. Babies have to clean the gums with a wet gauze and start brushing them with a soft brush when the first teeth appear. To prevent the appearance of caries, avoid eating foods with sugars.

Moreover, you have to choose a toothbrush that is adapted and easy to hold, either by the patient or the person in charge. Toothpaste, on the other hand, must have fluoride and be antibacterial. The use of mouthwash is also recommended. It is important to follow the dentist’s instructions and ask any questions you have regarding the patient’s oral hygiene. Following these recommendations, you can take care of dental health in patients with disabilities. In their condition, they need a lot of help and communication so they can show off their best smile and as responsible members of the society, we should all take care of our disable brothers and sisters to the best of our efforts.

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You can choose cosmetic dental treatments to enhance your facial aesthetics. For severe jaw bone, neck, and facial damage, you need to visit an oral and maxillofacial surgeon! Are you dealing with a dental imperfection? Well, you are not alone! If you are dealing with broken, chipped, or stained teeth, you can opt for various forms of cosmetic dental surgeries. You have a right to smile wide and impress the world with your confidence, but what if you fall victim to severe dental irregularities or skeletal damage in your face, neck, or jaw after a dreadful accident?

Well, this is where oral and maxillofacial surgeons come in! These are dental experts that go through extensive training after their four years of dental college. A dentist becomes an oral and maxillofacial surgeon after completion of eight-year-long education and training!

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If you are one of those unfortunate individuals who have lost their confidence after a severe injury to your mouth after a terrible incident? A lot of dentists might have recommended you to see an OMS, but is it worth it?

Understanding Oral and Maxillofacial Surgery

The individuals that have training in both medicine and dentistry are oral and maxillofacial surgeons. They possess expertise in diagnosis as well as treatment of diseases and injuries in the facial complex and skeleton. Whether you have oral cancer, congenital facial or jaw disproportion, cysts and tumors in your jaw, impacted teeth, or facial trauma, an OMS is who can help you regain the confidence in your life!

Restoring the Lost Smile with Oral & Maxillofacial Surgery

Life is unpredictable, and you never know when you come face-to-face, challenging situations. Falling victim to dental injury or disease is one of those challenging situations people have to deal with! Pondering over the fact whether to opt for maxillofacial surgery to restore your lost smile? Maxillofacial surgery can help you regain your lost self-esteem by bestowing you with a beautiful smile. Not only does this surgery helps in relieving you from jaw pain, realigning your jaws to improve chewing capability, correcting the quality of speech, but also improving the overall facial experience. It is a surgery that can fix your bite, and even a millimeter of correction can considerably improve your facial appearance. By moving the jaw bone backward or forward surgically, according to the situation, can help you enjoy the perks of a gorgeous smile. You can easily get rid of underbite and overbite, which will bestow you with a radiant smile, a smile that can light up anyone’s day!

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Advances in dentistry now allow us to place dental implants without pain thanks to conscious sedation in dentistry. At present we have innovative techniques and resources, which are very useful, so that the patient does not suffer discomfort and also the fear of the dentist, which is a frequent condition in the day to day of a dental clinic.

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Dental implants with conscious sedation

To place dental implants with conscious sedation, we need to intervene the gum and maxillary bone. General anesthesia may be an alternative, but the patient loses consciousness and connection with the environment, we do not consider it appropriate. On the other hand, with local anesthesia, we can eliminate the pain, but not the apprehension and stress that causes the patient to perceive the intervention at all times.

What is conscious sedation?

It is a set of procedures, carried out, always with a collegial anesthetist, with whom we control pain and produce a feeling of well-being and serenity while we perform dental implants.

Inhalation sedation

With this type of procedure we provide the patient with a mixture of gases that generate relaxation and loss of sensation. It is especially indicated in people who fear needles, when there is anxiety and in children.

Intravenous sedation

In this case, drugs are administered through a venous puncture. The procedure is done in the same dental clinic and the effect can be adjusted, according to need, dental treatment and medications administered.

Advantage

  • Conscious sedation allows us to achieve an environment of calmer, less stress and collaboration on the part of the patient.
  • The patient does not feel pain, or anxiety in the consultation, or during treatment.
  • There is no risk of developing dentist phobia, as there is no traumatic situation.
  • In dental implants with general anesthesia, unconsciousness does not allow the patient to follow indications, but this sedation does.
  • Multi-session procedures are greatly reduced.

Requirements for conscious sedation

We will have an anesthesia specialist who has all the necessary means to carry out sedation. It is important that the patient, know the anesthetist beforehand and if requested, teach the facilities before undergoing the intervention. The necessary equipment will be a pulse oximeter, to measure oxygen saturation, a sphygmomanometer, for blood pressure, an oxygen delivery device, a defibrillation device and medication for the induction of anesthesia and subsequent recovery.

Before procedure

The patient should refrain from drinking liquids and food 6 hours before the procedure and be accompanied by an adult. In order for us to perform sedation, we must have the results of coagulation tests and a previous electrocardiogram.

After the procedure

We will continue monitoring after the procedure until the patient has fully recovered from sedation. You can then return home on your own foot, but we recommend that you be accompanied by another person. You should avoid driving the car and dangerous machinery, and you will not drink alcoholic beverages for 24 hours. It is normal to feel certain discomfort in the intervened area for a few days, which will be perfectly controlled with the medication prescribed by the specialist in oral implantology. On the other hand, if there is intense or sacred pain, the dentist should be consulted.

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Do you know dental floss? The care of your teeth starts with a good brushing of the teeth twice a day. But the toothbrush does not reach the 5 faces of the tooth, and the plate can be installed without forgetting the food stuck between the teeth. There are solutions for impeccable dental hygiene. Indeed, dental floss is one of them. 

The subject is debated in France because the health authorities have never praised its merits. Let’s take a look at the famous dental floss.

 

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The advantages and disadvantages 

Plaque builds up in the inter-dental spaces and causes problems that affect the teeth. 

The thread is needed for many people who do not support the presence of pie teeth, but is this really the right solution? 

Benefits

-It is a good complement to toothbrushing

-The appearance of dental plaque is reduced 

-The cost is low

-It is a good alternative to interdental crossettes 

Disadvantages

-Do not use if your gums are bleeding 

-Not advised for people who have undergone teeth interventions 

-The use can be complicated at the beginning 

If you do not have a dental spray or interdental brushes, the wire for the teeth can be a plus.

How to use it? 

Indeed, dental floss is not easy to use, and we must acquire the technique if we do not want to hurt our gums. 

Start by wrapping the two ends around each middle finger, and stretch the thread with your thumbs and indexes, then unroll the thread as you go. Finally, rinse the log with water.

It remains important to make relatively gentle movements so as not to hurt your gums. 

H2 Choosing your floss 

There are several types, the nylon one and the PTFE one,   the nylon thread is waxed and not waxed. The wax facilitates the passage between the teeth finally. 

PTFE wire is more expensive, but it slides more easily between the teeth. 

Each wire can be anti-bacterial, whiteness, or ultra-soft. 

Can we use it on children? 

It is not recommended for children. Beyond eight years, the child has a good manual grip to use without injury. 

  • The thread for the teeth is not the most important accessory to have healthy teeth, but it participates. It reduces plaque and dislodges food debris. It reduces plaque and dislodges food debris. 
  • If your budget is larger, prefer the dental spray. 
  • The most important thing is to use the thread properly, so you do not get hurt. 

Finally, used correctly once a day, it can reduce plaque.