Estrella Maria Regina P, Boynton James R
Department of Orthodontics and Pediatric Dentistry, University of Michigan School of Dentistry in Ann Arbor, USA.
Gen Dent. 2010 May-Jun;58(3):222-9.
Children with special health care needs include those with behavioral issues, developmental disorders, cognitive disorders, congenital or genetic disorders, or systemic disease. These conditions may place them at increased risk for oral diseases, making it important to establish preventive oral health strategies at an early age. These children should have an established dental home, through which preventive care can be initiated and maintained, by 12 months of age. Dentists can establish prevention-based care from a young age by understanding the child's condition and how that condition influences the delivery of oral health care. This article outlines common conditions among children with special needs, focuses on their influence on dental health, and describes how these conditions influence preventive, operative, surgical, and behavior management strategies. The goal is to provide an overview that will help guide practicing dentists to understand their role in the care of children with special health care needs.
有特殊医疗需求的儿童包括那些有行为问题、发育障碍、认知障碍、先天性或遗传性疾病或全身性疾病的儿童。这些情况可能会增加他们患口腔疾病的风险，因此在幼年时制定预防性口腔健康策略非常重要。这些儿童应在12个月大时建立一个固定的牙科之家，通过它可以开始并维持预防性护理。牙医可以通过了解儿童的病情以及该病情如何影响口腔保健服务，从幼年开始建立基于预防的护理。本文概述了有特殊需求儿童中的常见病症，重点关注它们对牙齿健康的影响，并描述了这些病症如何影响预防、手术、外科和行为管理策略。目标是提供一个概述，以帮助指导执业牙医了解他们在照顾有特殊医疗需求儿童方面的作用。
