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Restorative considerations for special needs patients

J A Jones1, L K Mash, L C Niessen

  • 1Veterans Affairs Medical Center, Bedford, Massachusetts.

Dental Clinics of North America
|July 1, 1993
PubMed
Summary
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As adults live longer with chronic conditions and retain more natural teeth, dentists will increasingly care for patients with special needs. This requires enhanced knowledge of oral health conditions and clinical skills for unique restorative challenges.

Area of Science:

  • Geriatric Dentistry
  • Special Needs Dentistry
  • Oral Medicine

Background:

  • Increasing longevity and prevalence of chronic conditions in adults.
  • Higher rates of natural tooth retention in aging populations.
  • Growing need for specialized dental care for diverse patient groups.

Purpose of the Study:

  • To highlight the evolving challenges in dental practice due to an aging population.
  • To emphasize the necessity for dentists to possess comprehensive knowledge of medical conditions and oral health.
  • To underscore the importance of patient-centered care and shared decision-making in restorative dentistry for patients with special needs.

Main Methods:

  • Review of current trends in adult longevity and chronic disease prevalence.

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  • Analysis of the impact of these trends on dental practice requirements.
  • Discussion of the essential knowledge base and clinical skills for dentists.
  • Main Results:

    • Dentists will commonly encounter patients with special needs, including those with chronic and disabling conditions.
    • A thorough understanding of oral manifestations of systemic diseases and vice versa is crucial.
    • Specialized clinical skills are required to address the unique restorative needs of these patients.

    Conclusions:

    • Dental practitioners must prepare for a future with a higher prevalence of patients requiring specialized care.
    • Comprehensive knowledge of medical conditions and advanced clinical techniques are essential for effective dental treatment.
    • Patient autonomy and financial considerations must be respected, ensuring access to modern dental services for all adults.