2. -Deafness = 1.8 million, 14 million in USA -1-600 neonate congenital hearing loss -Almost inevitably speech affected Continued Dental Healthcare problems in hearing loss children

3. How speech and psychological problem in deaf?

4. -Viral Infection (rubella, … ) -Ototoxic Drugs (ASA, streptomycin … ) -Congenital syphilis -Hereditary disorder (Treacher collins, … ) Prenatal factors Attributed to hearing less

5. -Late toxemia in pregnancy -Prematurely -Birth injuries -Anoxia -Erythroblastosis fetalis Prenatal factors attributed to hearing less

6. -Viral infection (Mumps, … ) -Ototoxic Drugs (kanamycine, … ) -Injuries Postnatal factors Attributed to hearing less

7. -Prepared patient & caregiver before FDV -Let determined communication route -Assess speech, Language ability, degree Hearing less -Identify Ag of onset / type / cause of Hearing less -Enhance visibility for communication Dental Healthcare protocol in Deafness

8. -Reassure the patient with physical contact -Employ the tell-show-feel do Approach -Display confidence & reduce Anxiety -Avoid blocking patient visual Field -Make sure understand patient & parents explains Dental Health car protocol in Deafness

9. The end Dr. Jabbarifar 2007