Skip to main content
Log in

Decreasing Dental Resistance Among Individuals with Severe and Profound Mental Retardation

  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

A significant number of individuals with mental retardation/developmental disabilities (MR/DD) are fearful of dental care resulting in a lack of cooperation or avoidance of dental treatment. Sedation and physical restraint are often used to help illicit cooperation among individuals with MR/DD. The following study examined the effect of a systematic desensitization procedure adapted to address the needs of individuals with severe and profound mental retardation. Participation levels of 35 individuals receiving dental desensitization were compared to a group of 28 individuals that had not received any intervention. Results indicated those receiving desensitization showed greater improvement in toleration of dental procedures than did those in the comparison group. Implications for future treatment avenues and investigations are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Berggren, U., and Carlsson, S. G. (1986). Qualitative and quantitative effects of treatment for dental fear and avoidance. Anesth. Prog. 33: 9–13.

    Google Scholar 

  • Clevenger, W. E., Wigal, T., Salvati, N., Burchill, R., and Crinella, F. M. (1993). Dental needs of persons with developmental disabilities in orange county. J. Dev. Phys. Disabil. 5: 253–264.

    Google Scholar 

  • Cumella, S., Ransford, N., Lyons, J., and Burnham, H. (2000). Needs for oral care among people with intellectual disability not in contact with community dental services. J. Intellect. Disabil. Res. 44: 45–52.

    Google Scholar 

  • Luscre, D. M., and Center, D. B. (1996). Procedures for reducing dental fear in children with autism. J. Autism Dev. Disord. 26: 547–556.

    Google Scholar 

  • Maguire, K. B., Lange, B., Scherling, M., and Grow, R. (1996). The use of rehearsal and positive reinforcement in the dental treatment of uncooperative patients with mental retardation. J. Dev. Phys. Disabil. 8: 167–177.

    Google Scholar 

  • Neumann, J. K., Altabet, S., and Fleming, R., II (2000). Behavioral medicine interventions for individuals with severe/profound mental retardation. Ment. Health Aspects Dev. Disabil. 3: 98–104.

    Google Scholar 

  • Silver, T., Wilson, C., and Webb, M. (1994). Evaluation of two dosages of oral midazolam as a conscious sedation for physically and neurologically compromised pediatric dental patients. Pediatr. Dent. 16: 350–359.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Steven C. Altabet.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Altabet, S.C. Decreasing Dental Resistance Among Individuals with Severe and Profound Mental Retardation. Journal of Developmental and Physical Disabilities 14, 297–305 (2002). https://doi.org/10.1023/A:1016032623478

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1016032623478

Navigation