Стоматолошко лечење за пацијенте са инвалидитетом
Treatment
Fully accessible, individualised dental care designed around the unique needs of patients with physical, intellectual, sensory, and developmental disabilities.
About the treatment
Dental treatment for patients with disabilities, sometimes called special care dentistry, is a dedicated branch of dental practice focused on providing oral healthcare to individuals whose physical, intellectual, sensory, or developmental conditions make standard dental treatment difficult or impossible without adaptation. This includes people with cerebral palsy, Down syndrome, autism spectrum disorder, acquired brain injuries, severe learning disabilities, physical conditions that limit mobility or head control, and sensory impairments such as blindness or deafness. People with disabilities face a significantly higher burden of oral disease than the general population. Research consistently shows higher rates of tooth decay, gum disease, and tooth loss in this group, driven by factors such as difficulty with daily brushing and flossing, medications that reduce saliva flow, dietary restrictions, and barriers to accessing routine dental care. Unfortunately, many general dental practices lack the training, equipment, or time allocation to provide effective treatment, leaving a large number of patients with unmet dental needs. At BestDent, we believe that every patient deserves dignified, high-quality dental care regardless of their abilities. Our special care dentistry service has been built from the ground up to remove barriers. The clinic features step-free access throughout, adjustable dental chairs that accommodate wheelchair transfers, hoisting equipment for patients with limited mobility, and sensory-friendly treatment rooms with adjustable lighting and low-noise instruments. Our dental team has received additional training in communication techniques, behaviour management, and the medical complexities that often accompany disability. We offer a full spectrum of sedation options, from nitrous oxide and oral conscious sedation for patients who need mild relaxation to intravenous sedation and, when necessary, treatment under general anaesthesia in a hospital setting for patients who cannot cooperate with dental procedures. Every treatment plan is developed collaboratively with the patient, their family or carers, and any relevant medical professionals. Our guiding principle is simple: adapt the dentistry to the patient, never the other way around.
We can make your smile look great
Fully accessible, individualised dental care designed around the unique needs of patients with physical, intellectual, sensory, and developmental disabilities.
Keep your teeth healthy
Before the first appointment, we gather detailed information about the patient's medical history, disability, communication preferences, sensory triggers, mobility requirements, and any previous dental experiences. This is done through a phone call or video consultation with the patient and their family or carers. The information allows us to prepare the environment, allocate the right appointment length, and brief the clinical team so that nothing comes as a surprise on the day.
The benefits of our dental treatments
- Fully accessible clinic with step-free entry, wide doorways, adjustable chairs, and patient hoist for comfortable transfers
- Dental team with specialist training in disability awareness, communication techniques, and behaviour support
- Extended appointment times that eliminate the pressure of a rushed consultation and allow for acclimatisation
- Comprehensive sedation options ranging from nitrous oxide to IV sedation and general anaesthesia for every level of need
- Sensory-friendly treatment rooms with adjustable lighting, reduced noise, and visual supports for patients with sensory processing difficulties
- Individualised treatment plans developed collaboratively with the patient, family, and multidisciplinary care team
- Continuity of care with the same dental team at every visit, building familiarity and trust over time
- Preventive care programmes tailored to each patient's ability, including adapted brushing and flossing techniques for carers
- Respect for patient dignity, autonomy, and informed consent at every stage of care
- Coordination with the patient's GP, specialist physicians, and allied health professionals to ensure safe, holistic treatment
За кога је погодно?
- Individuals with physical disabilities including wheelchair users and those with limited head or body control
- Patients with intellectual or learning disabilities who find dental settings confusing or overwhelming
- Children and adults on the autism spectrum who experience sensory sensitivities in clinical environments
- Patients with Down syndrome, who often have unique dental anatomy and higher susceptibility to gum disease
- Individuals with cerebral palsy or other conditions affecting muscle control and coordination
- Patients with acquired brain injuries or neurological conditions such as stroke, Parkinson's, or multiple sclerosis
- Individuals with visual or hearing impairments who require adapted communication approaches
- Patients with severe dental phobia or anxiety compounded by their disability
- Patients whose medical conditions or medications create additional oral health challenges
- Carers and family members seeking specialist dental support for a person in their care
Процес третмана
Pre-Visit Consultation and Needs Assessment
Before the first appointment, we gather detailed information about the patient's medical history, disability, communication preferences, sensory triggers, mobility requirements, and any previous dental experiences. This is done through a phone call or video consultation with the patient and their family or carers. The information allows us to prepare the environment, allocate the right appointment length, and brief the clinical team so that nothing comes as a surprise on the day.
Familiarisation Visit
For many patients, an introductory visit before any clinical work begins makes a significant difference. The patient comes to the clinic simply to meet the team, see the treatment room, sit in the dental chair if comfortable, and experience the sounds and sensations in a completely pressure-free way. For patients with autism or learning disabilities, we may provide a visual social story in advance so they know exactly what to expect.
Comprehensive Oral Assessment
The clinical examination is performed at the patient's own pace, with clear explanations at every step. We assess teeth, gums, bite, and soft tissues. For patients who cannot tolerate intraoral X-rays, we use panoramic imaging or, in some cases, defer imaging until sedation can be arranged. The assessment identifies immediate treatment needs, preventive priorities, and any oral manifestations of the patient's underlying condition or medications.
Collaborative Treatment Planning
We discuss findings and options with the patient and their family in straightforward, jargon-free language. The treatment plan is tailored not only to clinical needs but also to the patient's tolerance, cooperation level, and support network. We decide together whether treatment can be completed in the chair with behavioural support, whether sedation is appropriate, or whether a hospital setting is the safest option. Written treatment plans are provided so everyone involved in the patient's care is informed.
Adapted Clinical Treatment
Treatment is delivered using the approach agreed in the plan. This may include adapted positioning for patients who cannot lie flat, physical supports and stabilisation aids, frequent rest breaks, and real-time communication adjustments. For routine procedures, nitrous oxide or oral sedation may be sufficient. For more extensive work, IV sedation allows multiple treatments to be completed in a single comfortable session, reducing the total number of visits required.
Sedation or General Anaesthesia (When Required)
For patients who cannot cooperate with dental treatment even with behavioural support, sedation is a safe and effective option. Nitrous oxide provides mild relaxation and is suitable for many patients. IV sedation, administered by a specialist anaesthetist with continuous monitoring, enables pain-free treatment while the patient remains in a twilight state. For complex cases, treatment under general anaesthesia is arranged at a partner hospital with full critical care support.
Carer Education and Home Care Planning
Effective home care is essential for maintaining oral health between visits, and for many patients, this depends on carers. We provide hands-on demonstrations of adapted brushing and flossing techniques, recommend specialised oral care products such as three-sided toothbrushes or suction toothbrushes, and create a written home care guide tailored to the patient's specific abilities and needs.
Ongoing Preventive Care and Recall
We establish a recall schedule based on the patient's risk level, typically every three to six months. Each visit includes professional cleaning, fluoride application, and reassessment. Consistency is key: seeing the same team in the same environment builds trust and makes each visit easier than the last. We also liaise with the patient's wider care team to ensure that oral health remains a priority alongside their other medical and support needs.
Често постављана питања
Is your clinic wheelchair accessible?
Yes, BestDent provides full step-free access from the car park to the treatment room, including ramps, wide corridors and doorways, an accessible lift, and a wheelchair-accessible restroom. Our dental chairs are height-adjustable and can accommodate direct wheelchair transfers, and we have a patient hoist available for those who need additional support.
How do you support patients with autism during dental visits?
We take a highly individualised approach. Before the visit, we can provide a visual social story showing exactly what will happen. In the clinic, we offer a sensory-friendly room with dimmed lighting, reduced noise, and minimal visual clutter. Appointments are scheduled at quieter times of the day, and we use clear, predictable communication. If sensory sensitivities are significant, sedation is available to ensure a stress-free experience.
What sedation options are available for patients who cannot cooperate with treatment?
We offer a tiered approach. Nitrous oxide (laughing gas) provides mild relaxation and is suitable for patients with moderate anxiety or limited cooperation. Oral sedation can be given before the appointment for a calming effect. IV sedation, administered by a specialist anaesthetist, provides a deeper level of sedation for patients who need it. For the most complex cases, treatment under general anaesthesia is arranged at a partner hospital.
Can a family member or carer stay with the patient during treatment?
Absolutely. We actively encourage a familiar person to be present throughout the appointment. Having a trusted carer in the room provides emotional reassurance, helps with communication, and gives the dental team valuable insight into the patient's responses. The carer can stand or sit beside the dental chair and remain involved at every stage.
How long are appointments for patients with special needs?
We allocate extended appointment times, typically 45 to 90 minutes depending on the patient's needs, compared to the standard 20-30 minute slot. This allows time for acclimatisation, rest breaks, and unhurried treatment. For patients requiring extensive dental work, we may schedule multiple shorter sessions or consolidate treatment under sedation to minimise the total number of visits.
My child has Down syndrome. Are there specific dental concerns I should know about?
Yes. Patients with Down syndrome often have delayed tooth eruption, smaller or unusually shaped teeth, a higher incidence of gum disease, and a tendency toward mouth breathing that can cause dry mouth and increase decay risk. Our team is experienced in managing these specific challenges and will create a preventive care plan tailored to your child's needs.
What if my family member cannot brush their own teeth?
Many of our patients rely on carers for oral hygiene. We provide hands-on training for carers on adapted brushing techniques and recommend specialised products such as three-sided toothbrushes, electric toothbrushes with large handles, and mouth props for patients who have difficulty keeping their mouth open. A consistent daily routine, even if imperfect, makes a significant difference to oral health.
Do you coordinate with the patient's other doctors and specialists?
Yes. Many of our patients have complex medical histories involving multiple specialists. With the patient's or family's consent, we liaise with GPs, neurologists, cardiologists, and other relevant professionals to ensure that dental treatment is safe and compatible with existing medications and conditions. This integrated approach is especially important when sedation or general anaesthesia is being considered.
Is dental treatment under general anaesthesia safe for patients with disabilities?
General anaesthesia carries a small risk for any patient, but for individuals who cannot receive dental care any other way, the benefits of treating infection, pain, and disease far outweigh the risks. Treatment is carried out in a fully equipped hospital theatre by an experienced anaesthetic team who are briefed on the patient's specific medical profile. Pre-operative assessments ensure the patient is fit for the procedure.
How often should a patient with a disability visit the dentist?
We typically recommend visits every three to six months, depending on the patient's oral health status and risk factors. Patients on medications that cause dry mouth, those with limited ability to perform oral hygiene, and those with conditions that predispose them to gum disease may benefit from more frequent visits. Regular professional care is the most effective way to prevent problems that would require more complex treatment later.
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