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Hospital Dentistry: Willingness to Treat IndividualsLiving with Intellectual and Developmental Disabilities(IDD) Under General Anaesthesia

In addition to financial and physical barriers in accessing care, people living with intellectual and developmental disabilities (IDD) are on a spectrum for their ability to tolerate dental procedures (Fig. 1).3 Oral Health Care Provider’s ability and willingness to treat are factors determining the delivery of oral health care.


Many oral health care providers feel they lack training and are not willing to spend the additional time to manage and treat IDD patients. For example, patient behaviour may be uncontrollable, and they may not tolerate treatment and withdraw from delivery of restorative procedures. However, they may be able to tolerate some form of hygiene services. They may have pre-existing medical co-morbidities rendering in-office appointments unsafe. Some IDD patients fit into the “complex care” (red) area of Figure 1. Here, hospital dentists are labelled as specialists.



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