Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management
Background. Managing dental care in children with special health care needs poses distinct challenges. This case report explores these challenges within the context of a 9-year-old boy with Down syndrome (DS) facing dental treatment refusal. Case Report. Over ten months and 13 visits, a tailored app...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2024/2966972 |
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| _version_ | 1849412218463977472 |
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| author | Lila Sari Risti Saptarini Primarti Arlette Suzy Setiawan |
| author_facet | Lila Sari Risti Saptarini Primarti Arlette Suzy Setiawan |
| author_sort | Lila Sari |
| collection | DOAJ |
| description | Background. Managing dental care in children with special health care needs poses distinct challenges. This case report explores these challenges within the context of a 9-year-old boy with Down syndrome (DS) facing dental treatment refusal. Case Report. Over ten months and 13 visits, a tailored approach was devised for the patient who presented with multiple cavities and retained primary teeth. Key strategies included gradually introducing dental procedures, including tooth brushing, intraoral examination, tooth preparation, extraction, and myofunctional therapy. Behaviour guidance techniques include tell-show-do, desensitization, positive reinforcement, and close collaboration between dental professionals and the patient’s mother. Discussion. This methodical approach helped overcome the child’s initial refusal without sedation or general anaesthesia, facilitating successful dental care. Conclusion. This case emphasizes the effectiveness of patient-centred strategies and detailed communication in pediatric dentistry for children with DS, providing valuable insights for managing similar challenges in dental care. |
| format | Article |
| id | doaj-art-637dcdd24b514761b1e3c8ea3edff918 |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-637dcdd24b514761b1e3c8ea3edff9182025-08-20T03:34:30ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/2024/2966972Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health ManagementLila Sari0Risti Saptarini Primarti1Arlette Suzy Setiawan2Pediatric Dentistry Residency ProgramDepartment of Pediatric DentistryDepartment of Pediatric DentistryBackground. Managing dental care in children with special health care needs poses distinct challenges. This case report explores these challenges within the context of a 9-year-old boy with Down syndrome (DS) facing dental treatment refusal. Case Report. Over ten months and 13 visits, a tailored approach was devised for the patient who presented with multiple cavities and retained primary teeth. Key strategies included gradually introducing dental procedures, including tooth brushing, intraoral examination, tooth preparation, extraction, and myofunctional therapy. Behaviour guidance techniques include tell-show-do, desensitization, positive reinforcement, and close collaboration between dental professionals and the patient’s mother. Discussion. This methodical approach helped overcome the child’s initial refusal without sedation or general anaesthesia, facilitating successful dental care. Conclusion. This case emphasizes the effectiveness of patient-centred strategies and detailed communication in pediatric dentistry for children with DS, providing valuable insights for managing similar challenges in dental care.http://dx.doi.org/10.1155/2024/2966972 |
| spellingShingle | Lila Sari Risti Saptarini Primarti Arlette Suzy Setiawan Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management Case Reports in Dentistry |
| title | Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management |
| title_full | Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management |
| title_fullStr | Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management |
| title_full_unstemmed | Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management |
| title_short | Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management |
| title_sort | navigating treatment refusal behaviour guidance for down syndrome oral health management |
| url | http://dx.doi.org/10.1155/2024/2966972 |
| work_keys_str_mv | AT lilasari navigatingtreatmentrefusalbehaviourguidancefordownsyndromeoralhealthmanagement AT ristisaptariniprimarti navigatingtreatmentrefusalbehaviourguidancefordownsyndromeoralhealthmanagement AT arlettesuzysetiawan navigatingtreatmentrefusalbehaviourguidancefordownsyndromeoralhealthmanagement |