Improving oral health for individuals with special health care needs.
The purpose of this paper was to highlight information and issues raised in a keynote address for the American Academy of Pediatric Dentistry's Symposium on Lifetime Oral Health Care for Patients with Special Needs held in November, 2006. Topics include: (1) relevant statistics and definitions; (2) the prevalence and impact of common oral diseases in individuals with special health care needs (ISHCN); (3) an overview of oral health care delivery for ISHCN; (4) key delivery system and policy issues; and (5) a synopsis of major contextual initiatives related to ISHCN. In light of the Academy's primary interest in infants, children, and adolescents--including children with special health care needs--the major focus is on children. Significant oral health and oral health care issues for adults with special needs, however, generally parallel those for children and are of interest to the Academy, particularly as they relate to the transition from pediatric care to adult care, a critical period for extending the level of oral health and health trajectory established during childhood.
Crall
James J
JJ
Section of Pediatric Dentistry, University of California, Los Angeles, USA. jcrall@dent.ucla.edu
D000293:Adolescent; D000328:Adult; D002648:Child; D003695:Delivery of Health Care; D019140:Dental Care for Children / Q000191:economics; D017742:Dental Care for Chronically Ill / Q000191:economics; D003730:Dental Care for Persons with Disabilities / Q000191:economics; D017048:Health Care Costs; D006291:Health Policy; D006293:Health Promotion; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D019458:Insurance Coverage; D008484:Medicaid / Q000191:economics; D009059:Mouth Diseases / Q000517:prevention & control; D009909:Oral Health; D014076:Tooth Diseases / Q000517:prevention & control; D014481:United States