The special needs child places special demands on those around them....for patience, attention, love and work. Dental health is one more important need. And yet, too often, dental care is put aside because of the pressures of more immediate health problems. A healthy mouth is an integral part of total health. It can improve not only eating and speaking, but the child's looks and how they feel about themselves. A diseased mouth can be both physically and psychologically painful.
American Dental Association
Missing teeth and crooked teeth are often part of Down's Syndrome and cleft palate. Additionally, children with Down's Syndrome are prone to periodontal (gum) disease. Underdeveloped, pitted or irregular enamel is common in children with cerebral palsy and those born prematurely. Children who have muscle spasms my damage their teeth and gums in falls or by grinding their teeth. Diabetic children tend to get advanced periodontal disease at a younger age. It is possible that different drug therapies can also affect your child's oral health
Plaque removal is a major weapon for control of both decay and periodontal (gum) disease. The point is to remove the bacteria laden plaque every day. This means thorough brushing and least twice a day and flossing at least once a day. However, these normally "simple" procedures can be quite hard for the disabled person. Here are some ways to adapt:
1) Attach the brush to the hand of your child with wide elastic or Velcro band. This will help with brushing.
2) Enlarge the handle of the brush with a sponge, or rubber ball, or a bike handle bar grip.
3) Lengthen the handle with a piece of wood or plastic to aid those with limited shoulder movement
4) Bend the brush handle after warming it with hot water. This will give your child a better angle to brush their teeth.
5) Try the use of an electric toothbrush. You can even clamp the electric toothbrush to a low table or back of a chair. The child may then be able to help brush their own teeth by leaning over the brush.
6) Use "one-handed" "C" shaped floss holders to aid in the flossing process.
American Dental Association
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