Contemporary Management of Dental

NeglectDental Disease; Impact and Treatment.

Richard Balmer

Impact of Dental Disease Management of Disease Examples of Dental Neglect

Contemporary Management of Dental Neglect

What is normal?

Tooth Ache Infection Damage to permanent successor Early Loss – Crowding

Dental Decay can lead to…..

Tooth Ache Infection Damage to permanent successor Early Loss – Crowding

Dental Decay can lead to…..

Shepherd et al 1999 589 Eight-year-old children interviewed RESULTS

◦ 47.5% had previously had toothache◦ 17.7 % had had dental pain which caused

crying◦ 7.6% (45) had had pain in the previous 4

weeks

Effects of Dental Disease

Shepherd et al 1999

Of those with recent pain: 41.9% had visited the dentist as a result 26.7% had stopped playing 73.3% had been unable to eat 31.4% had been unable to sleep 11.1% had missed time at school

Effects of Dental Disease

Tooth Ache Infection Damage to permanent successor Early Loss – Crowding

Dental Decay can lead to…..

Tooth Ache Infection Damage to permanent successor Early Loss – Crowding

Dental Decay can lead to…..

Tooth Ache Infection Damage to permanent successor Early Loss – Crowding

Dental Decay can lead to…..

Treatment may require GA

Interventions

Prevent Disease. Treat Disease. Do it in a way that is acceptable to the

child.

Interventions

Prevent Disease

Managing Behaviour 1 Acclimatisation Desensitization Behaviour Shaping

Positive Reinforcement Distraction Modelling

Managing Behaviour 2

GA and Sedation

Normal Spectrum vs Neglect vs Maltreatment

Dental Disease both in primary and permanent dentition can have significant impact on immediate and long term health.

Dental disease is preventable and treatable

Summary