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Patients with developmental or acquired orofacial conditions The oral health care needs of patients with developmental oracquired orofacial conditions necessitate special considerations. While these individuals usually do not require longer appointments or advanced behavior guidance techniques commonly associated with children having SHCN, management of their oral conditions presents other unique challenges.46 Developmental defects such as hereditary ectodermal dysplasia, where most teeth are missing or malformed, cause lifetime problems that can be devastating to children and adults.4 From the first contact with the child and family, every effort must be made to assist the family in adjusting to and understanding the complexity of the anomaly and the related oral needs.47 The dental practitioner must be sensitive to the psychosocial well-being of the patient, as well as the effects of the condition on growth, function, and appearance. Congenital oral conditions may entail therapeutic intervention of a protracted nature, timed to coincide with developmental milestones. Patients with conditions such as ectodermal dysplasia, epidermolysis bullosa, cleft lip/palate, and oral cancer frequently require an interdisciplinary team approach to their care. Coordinating delivery of services by the various health care providers can be crucial to successful treatment outcomes.Patients with oral involvement of conditions such as osteogenesis imperfecta, ectodermal dysplasia, and epidermolysis bullosa often present with unique financial barriers.
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