Special Care Dentistry

General Anaesthesia in Special Care Dentistry. Part 1: Justifying and Planning the Use of General Anaesthesia

A challenge when assessing patients with special care needs who are very resistant to oral examination, including radiographic assessment, is the justification for general anaesthesia or sedation for...

Considerations in dental local anaesthesia for the patient with cleft lip and palate

To minimize discomfort and pain, we recommend anaesthetizing distal to the site of the scar tissue, for example in a unilateral cleft lip and palate, the local anaesthetic should be given initially in...

Treatment of Dento-alveolar Traumatic Injuries in a Child with Autism Spectrum Disorder (ASD)

A 9-year-old boy presented to A&E, after falling onto a pavement while playing at school. After ensuring that the child had no head injuries or loss of consciousness, the dental injuries were...

A GDP's Guide to Cleft Lip and Palate

The Clinical Standard Advisory Group (CSAG) (1998)7 for cleft was a national study that reviewed the pathways and outcomes in the UK. It made a series of recommendations and led to centralization of...

Cardiac transplantation and dentistry

A comprehensive dental assessment is a fundamental part of the work-up towards cardiac transplant surgery. As patients are placed on high-dose immunosuppressive regimens in the post-transplant...

Bariatric dentistry: a review and clinical recommendations

Obesity is a multifactorial disease that results from the interaction of genetic, endocrine, environmental, behavioural, and social factors. Genetic causes of obesity include polygenic, monogenic,...

British Sign Language and its Role in Dentistry

Deafness can naturally have a devastating effect on an individuals' ability to communicate. An increased degree of hearing loss is associated with greater psychological, emotional, and social...

Patient-support techniques for treating patients with learning disabilities

Historically these techniques have been referred to as non-pharmacological behaviour management techniques, although they have recently been appropriately termed ‘non-pharmacological patient-support...

Changing faces: A case-based review of acromegaly

Acromegaly is primarily caused by pituitary adenomas, and presents as multiple distinctive clinical changes.1,2,3,8,9,10 These adenomas most commonly arise from somatotroph cells in the anterior...

Dentistry for adults with autism: a review for dental professionals

Autism prevalence is approximately between 1% and 2% of the population nationally, as well as globally7 and has increased in the past 10 years.8 In the UK, this means that up to 2/100 children have...

Scleroderma and its oral implications

Scleroderma can be divided in to two main forms: localized and systemic. These can then be further subdivided according to severity and which parts of the body are affected (Figure 1). In localized...

Huntington's disease: the role of dentistry in the multidisciplinary team

Improving quality of life (QoL) is a fundamental part of the multidisciplinary management of HD, and the role of the dental team in this is essential. Good relationships between specialist dentist,...

An update for general dental practitioners on a new medication for the management of patients with haemophilia A

Emicizumab (Hemlibra) is a relatively new medication that can be prescribed for routine prophylaxis to prevent or reduce the frequency of bleeding episodes for patients with haemophilia A.5 It was...

Cannulation: an update for dentists

In order to obtain valid consent for the procedure, clinicians should be able to describe the associated risks. Recognized risks include the following..

Dental care for the bariatric patient

Body mass index is the commonest used tool to describe patient weight. It is a simple height to weight index (mass in kg/height in metres2) used to classify whether an adult's weight is underweight,...