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Guidelines for Medical Immobilization/Protective Stabilization for Your Practice
Allen Wong1, Steven P Perlman2, H Barry Waldman3
1Professor and Director, Advanced Education in General Dentistry (AEGD)/Hospital Dentistry Program, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, California.
Abstract:
Many patients with special healthcare needs present to medical, dental, and other health visits with behavioral, emotional, postural, and psychological issues. According to the American Academy of Developmental Medicine and Dentistry (AADMD) guidelines from 2017: "Clinical dental treatment is the most exacting and demanding medical procedure that persons with special needs undergo on a regular basis throughout their lifetime." Moreover, dental treatment is basically surgical in nature, usually requiring controlled placement of sharpened instruments in intimate proximity to the face, airway, and highly vascularized and innervated oral tissues. When medically necessary healthcare must be provided and the patient's inability to accept or cooperate will compromise the quality of care the clinician will be able to deliver, interventions may be indicated and implemented.
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