Broers D L, Meuwissen P R
Stichting voor Bijzondere Tandheelkunde (SBT), Amsterdam.
Ned Tijdschr Tandheelkd. 2001 Nov;108(11):470-3.
To let the dental treatment of mentally handicapped people run as smoothly as possible a good cooperation between dentist and parents, or attendants, is of great importance. After the psychosocial, the medical and the dental anamneses a provisional treatment plan can be made in consultation with the patient and/or his attendants. The treatment plan and the treatment itself are regularly evaluated and, if necessary, adjusted. The cooperation, the nature of the handicap, the oral care and motivation play an important role in determining the aim of the treatment. In most cases an approach directed towards a change in behaviour will suffice. Sometimes, however, pharmacological support is required. For this the patient will usually be referred to a centre for special care dentistry.
为了让智障人士的牙科治疗尽可能顺利地进行，牙医与家长或护理人员之间的良好合作至关重要。在进行社会心理、医学和牙科问诊后，可以与患者和/或其护理人员协商制定临时治疗计划。治疗计划和治疗本身会定期评估，必要时进行调整。合作、残疾的性质、口腔护理和积极性在确定治疗目标方面起着重要作用。在大多数情况下，针对行为改变的方法就足够了。然而，有时需要药物支持。为此，患者通常会被转介到特殊护理牙科中心。
