CDHBC QAP Competency – D1, D4
Schizophrenia represents one of the most serious and debilitating forms of psychiatric illness affecting mood, thought and behaviour. The individual with acute psychosis will have a bizarre sense of reality accompanied by emotional and cognitive impairments leading to a loss of normal function within one’s environment.
This presentation will endeavour to assist the dental professional in being more aware of factors such as the reduced rates of compliance with dental treatment, the effects of various psychotropic medications on oral health including xerostomia, dental caries and periodontal disease as well as potential interactions with drugs used in dental practice. Delusional behaviours focusing on the oral cavity may impact on any compliance to practice better oral health care.
Patients suffering from schizophrenia often bring unique needs and differing priorities to a dental practice and the dental health practitioner must in turn demonstrate patience, flexibility, empathy and a non-stigmatizing attitude in caring for these individuals. Enhancing self-esteem and feelings of self-worth for those coping with this serious mental illness can be a very fulfilling experience that can only serve to continue to break down the stigma surrounding this common disease.
Those attending this presentation will realize that preventive dental education remains a critical aspect in the dental treatment plan for a patient suffering from chronic schizophrenia, taking into consideration the episodic and often recurrent nature of the different phases of this disease. Failure to acknowledge one’s oral care needs may often mirror the pattern of non-compliance to medical intervention and will prove to be the most challenging aspect of providing dental care. This lack of perception to both general and oral health concerns will impact further on the patient’s already compromised quality of life.
David B. Clark Bsc., DDS, MSc(Oral Pathology), FAAOP, FRCDC
Dr. David Clark is a former Director of Dental Services at Ontario Shores Centre for Mental Health Sciences in Whitby, Ontario, Canada and is also an Associate in Clinical Dentistry, Department of Oral Medicine, Faculty of Dentistry, University of Toronto, Toronto, Canada.
He obtained his MSc. in Oral Pathology at the University of Western Ontario in 1986 and is a Fellow of the Royal College of Dentists of Canada, the Pierre Fauchard Academy and Academy of Dentistry International.
His hospital-based practice has been devoted primarily to the general dental care of individuals undergoing primary care for various forms of psychiatric illness often co-existing with other medically compromising conditions.
He also participates in the teaching of the undergraduate dental curriculum relating to the topics of Oral Medicine and Oral Diagnosis at the Faculty of Dentistry, University of Toronto. He is a part-time clinical instructor (Dental Hygiene Program) at Durham College, Oshawa, Ontario and at George Brown College, Toronto, Ontario.
He has lectured nationally and internationally since 2005 on the subjects of:
Psychiatric Illness and its impact on the individual and dental management considerations;
Oral Care and the Geriatric Patient: An Emerging Reality
Review of Clinical Oral Pathology.