Dentistry
Although many adults and children with rare diseases and conditions attend a regular dentist, there can be additional challenges. Unless your rare disease is one of the more common ones, they may never have treated another patient with the same condition. Not all high street dental practices are fully accessible to those with mobility disabilities and some dental practices will have experience with learning disabled patients and others will not. Additionally, some rare conditions are associated with particular issues in dental and oral health and development and may require specialist care.
Types of dental care
General Dental Practice (GDP):
This is your high street dentist. They should generally be able to provide all routine dental care, check-ups and prevention advice. They may not be able to provide specialist services or equipment / facilities and may have less experience with people with disabilities.
If you are not already registered with a local NHS dentist you can find one local to you through NHS 111 / NHS online.
Community Dental Services:
These provide specialist level care; personalised oral health care plans and treatment; equipment such as hoists; sedation and sometimes general anaesthetic (GA) services. N.B. General anaesthetic service availability is dependent on area and local hospital service provision). They can also provide oral health training for care teams and families.
Requires referral from health and social care professional e.g. regular dentist, GP, Social Worker
Shared care:
This is an arrangement where dental care is shared between GDP, community and hospital or specialist services.
Special Care Dentistry:
This is for adults (generally over 16 years old). Referral required.
Paediatric Dentistry:
This is for children (generally aged 16 year and under). Referral required.
How to prepare for your appointment
Providing information to your dental practice or specialist dentist ahead of the appointment could help. This might include:
List of medical / health and social care professionals involved in the care of the person e.g. GP; Consultant paediatrician; epilepsy clinical nurse specialist; learning disability nurse; community mental health support worker
List of current medications
Any sensory loss e.g. visual / hearing impairment
Any sensory needs or triggers e.g. lighting, noise
Physical and mobility requirements e.g. uses a power wheelchair; requires sling/hoist for transfer
Communication needs / aids used
Level of understanding
Useful resources
Oral health and physical disabilities
https://www.dentalhealth.org/oral-health-and-physical-disabilities
Learning disabilities and oral health
A parent’s guide to oral health and dental care for children with a learning disability, autism or both
https://contact.org.uk/wp-content/uploads/2021/03/a_parents_guide_to_dental_care__web_single.pdf
Better oral health toolkit
Useful websites
British Society for Disability and Oral Health (BSDH)
All Wales Special Interest Group: Oral health care
Are you looking for more direct support, or want to belong to a wider rare disease community?
Our RAREhub and RAREnavigator services can help - in a way that suits you and your family.