Clinical Guidelines and Integrated Care Pathways For The Oral Health Care Of People With Learning Disabilities
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Article published by the Faculty of Dental Surgery, Royal College of Surgeons of England.
Clinical Guidelines & Integrated Care Pathways For The Oral Health Care Of People With Learning Disabilities
Article published by the Faculty of Dental Surgery, Royal College of Surgeons of England https://www.rcseng.ac.uk
Extract taken from www.rcseng.ac.uk 3.1. Oral health Care of the Pre-school and School Age Child | |||||||||||||||||||||||
B> | Prevention and Promotion of Oral Health | ||||||||||||||||||||||
A> | Use of Fluoride | ||||||||||||||||||||||
C> | Oral Health Education | ||||||||||||||||||||||
C> | Education and Training of Parents, Carers and Professionals | ||||||||||||||||||||||
C> | Integrated Care for the Pre School and School Age Child * Information on access to available services should be circulated to parents, carers and health.-care professionals. * Early referral to the dentist should be encouraged from child development teams and BB consultant paediatricians (107). * Healthcare professionals and carers should be advised of the alternative ways in which oral healthcare can be delivered e.g. home visits, mobile dental units, in special schools in addition to a dental practice. * Professionals should collaborate to identify children with learning disabilities in mainstream and special education centres and refer to the appropriate oral healthcare services (107). | ||||||||||||||||||||||
C> | Initial Visit | ||||||||||||||||||||||
C> | Regular Attendance | ||||||||||||||||||||||
C> | Oral Health Screening | ||||||||||||||||||||||
C> | Fissure Sealants | ||||||||||||||||||||||
C> | Working with Schools | ||||||||||||||||||||||
C> | Oral Care and Treatment Strategies for the School–Age Child: | ||||||||||||||||||||||
C> | Orthodontics | ||||||||||||||||||||||
3.2 The Transition Stage | |||||||||||||||||||||||
C> | Oral Health Education and Promotion | ||||||||||||||||||||||
C> | Professional Oral Health Care | ||||||||||||||||||||||
3.3 Adults and Older People | |||||||||||||||||||||||
C> | Dietary Advice | ||||||||||||||||||||||
C> | Oral Health Education | ||||||||||||||||||||||
C> | Oral Assessment and Care Planning | ||||||||||||||||||||||
C> | Individual Oral Care Plans | ||||||||||||||||||||||
C> | Treatment and Care | ||||||||||||||||||||||
C> | Referral and Discharge | ||||||||||||||||||||||
C> | Older People: | ||||||||||||||||||||||
C> | People with Medium and High Support Needs | ||||||||||||||||||||||
3.4 Communicating with People who have Learning Disabilities | |||||||||||||||||||||||
C> | * The oral healthcare team should know and record details of the patient’s preferred method of communicating. | ||||||||||||||||||||||
3.5. Management of Specific Complications | |||||||||||||||||||||||
C> | Drooling | ||||||||||||||||||||||
C> | Bruxism | ||||||||||||||||||||||
B> | Erosion | ||||||||||||||||||||||
C> | Dry Mouth | ||||||||||||||||||||||
C> | Self Injurious Behaviour | ||||||||||||||||||||||
C> | Feeding Problems | ||||||||||||||||||||||
3.6 Use of Sedation for People with Learning Disabilities | |||||||||||||||||||||||
C> | * Each person should be assessed individually | ||||||||||||||||||||||
3.7. Use of General Anaesthesia for People with Learning Disabilities | |||||||||||||||||||||||
C> | * The appropriate resources and facilities for general anaesthetics should be available locally to treat people with learning disabilities (115). | ||||||||||||||||||||||
Levels of Evidence
Grading of Recommendations
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Article published in 2012 by the Faculty of Dental Surgery, Royal College of Surgeons of England.