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AUTISM IS NOT A DEFICIENCY, IT IS A DIFFERENCE IN DENTAL TREATMENT IN AUTISM PATIENTS
Turkey Medicals – it is necessary to treat patients and relatives of patients with a patient-filled approach. It is important not to keep the patient waiting, calm him down and tell him about each step in the treatment one by one.
An appropriate medical treatment protocol combined with the patient’s individuality and the doctor’s professional experience results in ideal treatment and face-to-face results. When developing a protocol for the dental treatment of children and adults suffering from an autistic disorder, it is important that the dentist establishes a set of parameters that will be applied to the behavioral method and clinical treatment of these particular patients.
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However, the treatment protocols to be applied in the dental treatment of autistic individuals should have a flexible framework in which we can provide the best service for our patients.
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A PATIENT APPROACH IS A MUST
It is necessary not to wait for an autistic child or adult to just walk into our clinics, sit in a dental treatment chair and say I’m ready. The dentist, the parent and the autistic individual; he must begin his treatment and planning with an approach that is filled with patience, every nuance of which is plentiful. One of the basic principles of us dentists is that the care of people with special health care needs is an integral part of our profession, we value the unique qualities of each person and the need to maximize health benefits for everyone. Communication with autistic individuals and their parents during treatment is very important for treatment.
When children are exposed to sedative or sedative drugs, the ability of the dentist and the child to communicate actively is significantly reduced. Verbal and physical compatibility The closeness of ‘showing, telling and doing’ is compromised. This method, which is ‘tell, show, do’ in English, means that the individual should be informed and shown about the treatment to be done without knowledge of the subject and eventually applied.
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HOSPITALITY IS IMPORTANT
It is not very ideal to think about treatment for a long time and always calm down and sedate with medications. It is necessary to use the method of showing, telling and doing it very well, taking a long time and telling about the fears that will occur in the future. In the treatment of autistic individuals with other health problems, the choice of a hospital environment is important in terms of the speed of intervention when any complications occur. All the amenities and courtesies that would normally be applied in an appointment interview are very important. In order to promote warmth and hospitality, the autistic individual should always be addressed by name from this point on. When parents are interviewed before treatment, their parent can provide information about the child’s specific behavior.
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THE TURKISH DOCTOR AND THE PATIENT SHOULD BE ALONE
Parents who call for an appointment are asked the following questions: ‘Do you treat autistic children?’ or ‘I have a child with a toothache, but we couldn’t get him to sit on the couch at the dentist, he’s so scared, he’s screaming and crying.’ Parents like this should definitely tell their dentist or secretary about the patient if they have a special condition that the doctor should know about. It is very important for autistic individuals to be alone with their dentists without their families (in the examination room) in terms of the priority of supporting the patient-doctor relationship. A more useful course of treatment will be if the focus is on strategies to engage the child without using drugs that cause loss of consciousness.
Sometimes parents are very worried about being able to talk about their children. Parents of autistic individuals should be open to their physicians. First aid for treatment is taken from parents. The first thing that we doctors should do is to make the family feel safe, overcome their worries, and make approaches such as ‘We are looking forward to meeting John (whether it is the name of our autistic child)’ after a phone or face-to-face interview to relax.
For example, when John comes for treatment, it is always a good idea to address the child first, that is, John. Being optimistic and friendly will comfort the patient and the individual. The patient’s medical history should be taken in full; if necessary, the dentist should be consulted with the physician in Turkey who undertakes treatment of the autistic individual.
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WAITING ROOM INCREASES ANXIETY
A visit to the dentist can be extremely stressful for an autistic person. Here are some tips on adjustments that doctors and parents can make before and after treatment:
Tell your doctor that you should not wait too long in the waiting room. Excessive time spent in the waiting room can cause anxiety.
Ask your dentist for explanations about everything that is happening. For example, your doctor may contact you to say: ‘I will check your teeth, I will put a small mirror in your mouth to check your teeth. The mirror may touch the edges of your mouth.’ Some people on the autism spectrum often need extra time to process information, in which case you may want visual presentation.
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DISTRACTED BY A STRESS BALL
For autistic individuals who do not like to be touched, if your doctor needs to touch them during treatment, warn both the doctor and the patient about it. Ask your doctor to explain clearly what to do.
Some autistic individuals have a high sensitivity to light and noise. You can ask your doctor to adjust the treatment environment according to this sensitivity. Stress balls and visual distractions can be effective, since you can not change the sound of dental equipment.
Physicians should be warned about mouthwash and material to be used in autistic individuals with excessive texture and taste desire.
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ADDRESSING THE PATIENT BY NAME MAKES THE PATIENT HAPPY
It will be useful if the parents are informed by the dentist or his assistant in the following directions. For example:
John likes that song.
John sings this song.
He doesn’t like bright lights.
He hates toothpaste.
He likes to bite.
He may often ask to go to the bathroom.
Spiderman is his favorite.
Johnny we call him.
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TELL THE DOCTOR IN TURKEY WHAT YOU LIKE
Parents should prepare answers to the following questions before going to the dentist:
What are the medications John uses?
Is John in pain? (If he has pain, a longer-term appointment should be requested.)
How does John express his concern?
What is John doing physically to show his restlessness?
Has John been violent in his doctor treatments before?
Will John talk?
Can John brush his teeth?
What does John like to do for fun? It’s like watching music, computers, cooking, TV.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.