Dr. Jude Fabiano Discusses Dental Care for Special Needs Patients

In my career as a dentist, patient care was my favorite part of the job. When providing dental care to patients with special needs, it may require that you modify your traditional treatment plan.

Regardless of the patient’s needs, a dentist and their staff should be prepared to accommodate in a way that puts the patient at ease while still providing a high quality of care.

Prior to the Appointment
The initial call between a dental practice and a patient or caregiver is crucial. It allows both parties the opportunity to address any accommodations and expectations for the visit. If the patient has a physical handicap, the dental office can provide information on wheelchair entrances and other considerations for accessibility. Furthermore, if the patient is bothered by loud, busy atmospheres, the office can work with them to find a quieter time of day that’s best for their visit.

Patient Communication
As with any patient, appropriate communication is key for a successful visit. In some cases, a family member or caretaker will be in the room to facilitate communication and provide additional medical information. This is especially true for non-verbal patients. Be especially conscious of your tone of voice and facial movements to ensure that your message is properly received.

Additionally, if your patient is deaf or hard of hearing, you should speak face-to-face so the patient can read your lips. If you know basic sign language, that could significantly improve communication with these patients.

Protective Stabilization
Going to the dentist is fun for some patients with special needs, but for others it can be a stressful experience. With proper communication and traditional techniques for behavioral guidance, many patients have a safe and effective dental treatment. When these techniques are ineffective, protective stabilization is one way to control the patient. It is sometimes necessary for the safety of both the patient and staff.

Educating Patients and Caregivers
Individuals with special needs are sometimes at an increased risk for oral diseases. During your visit, take some extra time to discuss appropriate daily oral hygiene and formulate an individualized plan that works best for the patient’s situation. For some, it may mean modifying a toothbrush for easier use. For others it may be discussing how to modify a routine for sensory issues.

Accommodating patients with special needs might take additional time and patience, but it is worth the extra attention. Every situation is unique, but sensitivity to a patient’s needs will make the process as smooth as can be.

Dr. Jude Fabiano, DDS is a dental professional from Buffalo, New York, with over 35 years of experience. He currently serves as the Director of Corporate Education for Ivoclar Vivadent, Inc., a dental material company.