Special Care in Dentistry

Crispian Scully is a Director of the World Health Organization Collaborating Centre for Oral Health-General Health; and is emeritus Professor at UCL. He is Co-Editor of Oral Diseases, Medicina Oral, and Associate Editor of the Journal of Investigative and Clinical Dentistry.

Crispian Scully is Past-President of the International Academy of Oral Oncology, European Association of Oral Medicine, British Society for Oral Medicine and British Society of Disability and Oral Health, he has served as Dean in Bristol and UCL; on the General Dental Council; on the Councils of the Royals colleges in Glasgow and Edinburgh; and on committees of NICE and CRUK, He has written and edited over 45 books, written over 150 book chapters and has over 1000 papers cited on MEDLINE. He has received the CBE, University of Helsinki Medal of Honour, University of Santiago de Compostela Medal, University of Granada Medal, Fellowship of UCL, and honorary degrees from the Universities of Athens, Granada, Helsinki and Pretoria. He has received the UK Dental Award for the Most Outstanding Achievements in Dentistry, the Awards of the Spanish Society for Oral Medicine and the Hellenic Society for Oral Medicine, and the International Award of the Spanish Society for Oral Surgery.

1. INTRODUCTION
Definitions
Causes of disability
Access and legal background (Disability Discrimination Act)
Implications of disability legislation

2. APPROPRIATE ORAL HEALTH CARE
Barriers to oral healthcare
Goals
The people involved in providing care
Treatment planning
Consent
Oral health in people with disabilities
Treatment modification

3. SPECIFIC PROBLEM AREAS; ALPHABETICALLY ARRANGED

A
Acromegaly
Addison's disease
AIDS (see HIV/AIDS)
Alcoholism
Alzheimer's disease
Amphetamine, LSD and Ecstasy abuse
Anaemias; deficiency (and see specific conditions)
Ankylosing spondylitis
Angina (see Ischaemic Heart Disease)
Anorexia (see Eating disorders)
Anticoagulants (see Warfarinisation and Heparinisation)
Anxiety states
Aortic valve diseases
Arthritis (see Gout, Osteoarthritis and Rheumatoid Arthritis)
Asplenia
Asthma
Attention Deficit Hyperactivity Disorder
Autism

B
Bedbound patients
Bleeding disorders (see specific diseases)
Blind patients (see Visually impaired)
Bone marrow transplantation
Bulimia (see Eating disorders)

C
Cancer (of head and neck)
Cardiac arrhythmias
Cardiac failure
Cerebral palsy
Chairbound patients (see Spina bifida)
Chemotherapy
Christmas disease
Chronic obstructive pulmonary disease
Cocaine abuse
Congenital heart disease
Creutzfeldt Jakob disease
Crohn disease
Cushing's syndrome
Cystic fibrosis

D
Deafness (see Hearing impaired)
Depression
Diabetes insipidus
Diabetes mellitus
Down syndrome
Drug abuse (see individual drugs)
Drug allergies

E
Eating disorders
Elderly
End of life care
Endocarditis
Endocrinopathies (see specific diseases)
Epilepsy

F
Fallots tetralogy (see Congenital heart disease)

G
Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency
Gout
Graft versus host disease (GVHD)

H
Haemophilia A
Hearing impaired
Heart transplantation
Heparinisation
Hepatitis (B,C,and D viruses and autoimmune)
Heroin and opioid abuse
HIV / AIDS
Huntingtons chorea
Hydrocephalus
Hyperaldosteronism
Hyperparathyroidism
Hypertension
Hyperthyroidism
Hypochondriasis
Hypoparathyroidism
Hypopituitarism
Hypothyroidism

I
Immunodeficiencies (primary)
Immunosuppressive treatment
Infectious diseases
Inhalant abuse
Ischaemic heart disease

L
Learning impairment
Leukaemias
Liver cirrhosis
Liver failure
Liver transplantation
Lung transplantation
Lupus erythematosus
Lymphomas

M
Malignant hyperthermia (Malignant hyperpyrexia; MH; MHS; King-Denborough syndrome)

Mania
Marijuana abuse
Mitral valve disease
Motor neurone disease
Multiple sclerosis (disseminated sclerosis)
Muscular dystrophies
Myasthenia gravis

N
Neutropenia and neutrophil defects
Nico...