Biomedical subjects
Publications and source records attributed to Sanford J Fenton.
In summary, the goals of infant oral health care are to: Break the cycle of early childhood caries; Disrupt the acquisition of harmful microflora; Manage the risk/benefit of habits; Establish a dental home for health or harm; Impart optimal fluoride protection; and Use anticipatory guidance to arm parents in the therapeutic alliance.
In 2004, the Commission on Dental Accreditation (CODA) adopted a new standard that directs dental and dental hygiene programs to prepare dental professionals for the care of persons with special health care needs. This article reviews the demographics of individuals with special needs, documents that most dental schools provide their students with very limited educational opportunities related to the care of this population, describes the path that was followed to bring about change in the accrediting standard, and discusses the difficulties involved in developing the needed educational programs. Educational programs at two dental schools are presented as examples of how schools can provide students with learning experiences pertinent to the new CODA standard that states: "Graduates must be competent in assessing the treatment needs of patients with special needs."
Since 1990, Tennessee has been ranked among the states with a series of health and social difficulties. In addition, there are more than 56,000 children with disabilities in the state. In an effort to personalize these findings, the numbers of children with disabilities are presented by city, metropolitan area, county, and congressional districts. There are numerous difficulties associated with the delivery of dental care to these children with special needs. If all dentists were willing to help, however, each practitioner would need to care for twenty of these youngsters.
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Recent reports by Special Olympics International and the U.S. Surgeon General have revealed significant disparities and unmet health needs encountered by persons with mental retardation and other developmental disabilities (MR/DD). Factors contributing to these disparities include deinstitutionalization, increased survival of individuals with MR/DD, lack of appropriately trained providers, and inadequate financing of dental services. To address these problems, a group of academically oriented dentists and physicians formed the American Academy of Developmental Medicine and Dentistry (AADMD). The mission of the AADMD is to improve the quality of health services provided to persons with MR/DD by improving dental and medical school-based training of dentists and enhancing clinically relevant research. A central theme of the AADMD is full collaboration between physicians and dentists in meeting its goals. The National Action Strategy developed by the AADMD focuses on creating a series of university-based Developmental Medicine and Dentistry Programs (UDMDPs) in medical and dental schools, which collaborate in service, teaching, and research with community-based primary care clinics, community hospitals, intermediate care facilities, and other private service delivery systems such as the Special Olympics Healthy Athletes Program that serve these patients. Oral-systemic interactions will receive special emphasis by the training and research programs.
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The proportion of the population age 65+ years will increase to 20% of U.S. residents in the next decades. It has been shown that the portion of the population with disabilities increases with age. Providing care for individuals with disabilities is expensive and consuming an increasing component of health service benefits. Health providers increasingly will be called upon to provide services for millions of persons with a wide range of ages and disabilities. How well prepared will the health professions, the individual practitioners, including dentists, and society in general be to meet these increasing needs?