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Published on: May 20, 2019
From Restraint to Medical Immobilization/Protective Stabilization
Steven P Perlman1, Allen Wong2, H Barry Waldman3
1Special Olympics Special Smiles, Boston University Goldman School of Dental Medicine, Penn Dental Medicine.
Dental care for individuals with special needs is complex. Despite most patients benefiting from general dental practices, there
Area of Science:
- Dentistry
- Special Needs Care
Background:
- Clinical dental treatment is a demanding procedure for individuals with special needs.
- It involves precise instrumentation near sensitive oral tissues, airway, and face.
- Despite 90% of patients being manageable in general practices, a trend towards sedation is observed.
Purpose of the Study:
- To analyze the shift in managing patients with special needs in dental settings.
- To discuss the implications of increased pharmacologic management.
Main Methods:
- Review of current clinical practices for patients with special needs.
- Analysis of trends in sedation and general anesthesia use.
Main Results:
- A significant shift towards pharmacologic management (sedation, general anesthesia) for patients with special needs.
Conclusions:
- The trend towards pharmacologic management in dentistry for special needs patients warrants further investigation.
- Exploring alternatives to sedation and anesthesia for routine dental care is crucial.
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