1. Management of Children with Disabled Conditions Part II Maha AL-SARHEED

2. Classification of Disability 1.Intellectually impairment 2.Physical impaired 3.Sensory impaired 4.Medically compromised Dental Management of different Disabilities Requesting for Medical Report

3. 3.Physical Impaired The commonest physical impairments that can be seen in a dental office are: Cerebral palsy Cleidocranial Dysostosis Osteogenesis imperfecta Spina bifida Juvenile arthritis

4. A.Cerebral palsy (CP) It’s the most common form of physical disability Affecting about 1-2/1000 school age children Caused by brain damage that can be pre-, peri- or post-natal as well as abnormal CNS development

5. B.Cleidocranial Dysostosis Its rare inherited involve the skull and clavicle Clavicles are either absent or defective Bossing frontal, delayed closure of frontalelle

6. C.Osteogenesis imperfecta CT disorder due to abnormalities of Type I collagen Bone fragility, bone deformity, blue sclera, hearing loss translucent teeth, perapical radiolucent, root fracture

7. 4.Sensory Impairment A.Visual impairment (VI) The National Eye Survey (1984), 1.5% of Saudi Arabia population was blind and 7.8% visually impaired Varies from total blindness to sight limitation of size, color, distance and shape

8. B.Hearing Impaired HI includes children with either partial or total loss of hearing Survey of 6421 Saudi infants and children <12 years age carried in Riyadh from 1988-1990, showed 7.7% of hearing impairment (Bafaqeeh et al., 1994). Genetically determined in 30-70% of the cases

9. Requesting for Medical Report Child name, age and chart number Final diagnosis of dental conditions Future treatment plane Treatment may provided under LA, sedation or GA Advice for suggestion, recommendation and if there are any contraindication or precaution for any steps mention above The report requesting should always end with greeting and appreciating for physician help