Finding Dental Care for My Sister with Intellectual Disabilities

My sister has an intellectual disability and gets very anxious about dental visits?

Hello, my sister has been experiencing tooth pain for one to two months.
Due to her cognitive issues and mental health conditions, she becomes very frightened and trembles all over when we try to take her to the dentist.
The small clinic has advised us to go to a larger hospital, but we live in Keelung and are unsure where to go.
There is a dental clinic near Keelung that has already listed her as a patient they refuse to treat, and we feel helpless.
Since her tooth pain is affecting her mental health, where should we go for help? Are there any options nearby in Keelung? Thank you from a helpless family member.

Feichang fannao de jiaren, 30~39 year old female. Ask Date: 2007/06/16

Dr. Zhuang Suhui reply Dentistry

Hello, for patients who are generally less cooperative, it is best to seek treatment at a large hospital where assistance from the anesthesiology department can be provided for dental procedures.
Therefore, you should look for hospitals that have an anesthesiology department, as this will likely be more beneficial.
General clinics typically do not have specialized anesthesiologists.
Hospitals such as Keelung Hospital and Chang Gung Memorial Hospital in Keelung should offer these services.

Reply Date: 2007/06/16

More Info

Finding appropriate dental care for a family member with intellectual disabilities can be a challenging experience, especially when they are also dealing with anxiety or fear related to dental visits. It is crucial to ensure that your sister receives the necessary dental treatment while also considering her mental and emotional well-being. Here are some steps and recommendations that may help you navigate this situation:
1. Seek Specialized Dental Clinics: Look for dental clinics that specialize in treating patients with intellectual disabilities or those who have special needs. Many hospitals and dental schools have programs or departments dedicated to providing care for individuals with such conditions. These facilities often have trained staff who understand how to manage anxiety and can provide a more accommodating environment.

2. Consult with a Medical Center: Since you mentioned that local clinics have refused to treat your sister, consider reaching out to larger medical centers or hospitals in the area. For instance, hospitals like National Taiwan University Hospital or Chang Gung Memorial Hospital often have dental departments that can handle complex cases, including those involving patients with intellectual disabilities. They may offer sedation dentistry options, which can help alleviate anxiety during treatment.

3. Sedation Dentistry: Given your sister's fear and inability to cooperate during dental visits, sedation dentistry might be a viable option. This approach allows patients to undergo dental procedures while being relaxed and calm. It is essential to discuss this option with the dental team, as they can assess her medical history and determine the safest sedation method for her.

4. Behavioral Techniques: Some dental practices use behavioral techniques to help patients with anxiety. This might include desensitization strategies, where the patient is gradually exposed to the dental environment in a non-threatening way. You can inquire if the dental clinic employs such techniques to help ease your sister's fears.

5. Pre-Visit Preparation: Preparing your sister for the dental visit can also help. Explain what will happen in simple terms, and consider visiting the clinic beforehand to familiarize her with the environment. Bringing along a comforting item, such as a favorite toy or blanket, may also help her feel more secure.

6. Support Groups and Resources: Look for local support groups or organizations that focus on individuals with intellectual disabilities. They may have resources or recommendations for dental care providers who are experienced in treating patients with similar needs.

7. Advocate for Your Sister: As a family member, it is essential to advocate for her needs. If a dental office is unwilling to treat her, do not hesitate to seek out other options. Document any refusals and consider reaching out to local health authorities or advocacy groups for assistance.

8. Emergency Care: If your sister is in significant pain and you cannot find a suitable dental provider, consider visiting an emergency room. They may be able to provide temporary relief or refer you to a dental specialist who can handle her case.

In summary, finding the right dental care for your sister requires persistence and advocacy. Look for specialized clinics, consider sedation options, and prepare her for the visit to reduce anxiety. Remember that her mental and emotional well-being is just as important as her dental health, and there are resources available to help you navigate this challenging situation.

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