Arguing that most persons with disabilities cannot adapt to the use of prostheses or other assistive devices, Dt. Tugce Serdaroglu; He stated that there was an increase in speech problems with tooth loss and there was a loss of efficiency in the education of children. Serdaroğlu stated that the consumption of foods containing sugar and carbohydrates should be kept to a minimum and made statements about treatment methods.
“Also the tongue should be brushed to prevent bad breath”
Expressing that the teeth should be cleaned with a damp cheesecloth between feedings, Dt. Tuğçe Serdaroğlu said that dental care from 2 years old should be done with a small, soft-bristled toothbrush. Underlining that the tongue should also be brushed to prevent bad breath, Serdaroğlu said: “Special three-sided brushes and electric toothbrushes are recommended for ease of use. Fluoride applications should be made to prevent tooth decay. Tablet forms or gel forms that the dentist can apply are preferred for the disabled. After the permanent teeth erupt, the dentist should apply fissure sealing polishes to the chewing surfaces of the teeth. In terms of trust, patient follow-up should be done by the same dentist if possible.
“Remove night feedings”
Emphasizing that the milk, instant formula and fruit juices consumed by formula-fed disabled people contain sugar, they will cause cavities in the baby’s bottle. Serdaroğlu stated that it is necessary to drink water after feeding or to clean the mouth with cheesecloth. Dt. Serdaroğlu said: “As a precaution, night feedings should be removed if possible. The main cause of tooth decay is sugary, acidic foods that easily stick to teeth and gums. If a special diet for the disabled is not recommended, foods high in sugar and carbohydrates should not be given between meals, these foods should be consumed with the main meals. If brushing teeth is not possible for disabled people who need to be fed puree, soft food, the mouth should be rinsed after meals or food residues should be wiped clean. Since most medicines in syrup form contain sugar, those who use these medicines constantly should pay more attention to their oral and dental care.
Dt. Tuğçe Serdaroğlu provided the following information on oral and dental health treatment methods for disabled persons:
“Local anesthesia (needling): In general, it can be applied to persons with disabilities who can communicate verbally, who are afraid and who can solve their fear with a psychological approach. Lip and cheek biting is one of the most common problems after needle anesthesia. After treatment of disabled people, it is recommended to give painkillers in accordance with the status of treatment.
Sedation (sleeping): It is the name of the technique used in cases where the psychological approach and behavior shaping do not work. It is popularly known as sleep. To ensure that the patient gets into a deep sleeping position, sleeping medications that are suitable for the disability are used. Dental treatment is possible by regularly putting the mentally disabled, hyperactive children, people with attention deficits, disability groups and children who cannot communicate verbally to sleep. Sleep involves many differences from general anesthesia. The most important thing is that the disabled child comes to the clinic on foot and goes home on foot. It is extremely safe because reflexes such as coughing, squeezing, breathing and circulation are not eliminated in the child.
Anesthesia: General anesthesia is another alternative method of putting the disabled to sleep in cases where sleep doesn’t work in more severely disabled groups and requires major surgery. The main difference between general anesthesia and sleeping is that natural reflexes such as breathing, coughing and squeezing are lost in this method. Breathing is done with the help of a device. Therefore, this procedure should be performed in a fully equipped hospital. It is an expensive method because the treatment has to be done with an anesthesiologist and a team in operating room conditions. Laboratory tests and chest x-rays are required prior to surgery.
Claiming that these methods differ depending on the patient’s disability and history of the disease, Dt. Tuğçe Serdaroğlu said: “All methods have been presented in the service of human health to serve the oral and dental health of disabled people, and their effectiveness and safety have been proven. The fact that a major obstacle to solving the oral and dental health problems of disabled people in our country is beginning to be overcome also gives us joy and happiness.”