Table 15.3. Access for children with a... | Emerald Publishing

Table 15.3.

Access for children with a disability or with a specific clinical risk.

	Provision for Children with a Disability or Specific Clinical Risks
Cyprus	Children with disabilities or with a specific clinical risk who are unable to receive oral health care on a dental chair are treated under general anaesthesia
Czech Republic	Children with a disability which makes access to normal dental services difficult and children with a specific clinical risk are advised about a dentist able to provide such care by their registering PLDD (General Practitioner for children and Adolescents)
Estonia	All children (including disabled children) are free to visit any dentist that has signed a contract for financing medical treatment
France	These children have the same theoretical access to screening and care as other children. There is a module devoted to children in the course of university training for dentists, but there is nothing specifically dedicated to disability. In hospitals, there are slots (often restricted) for certain pathologies, including mental disabilities
Germany	Children with disabilities have the same access to dentistry as those without disability. Many practices are accessible, but sometimes dental care is challenging for the children involved
Italy	There is a decree from the Ministry of Health to provide appropriate care for all, but the extent to which this is adhered to in the different regions is unknown
Malta	Children with special needs are seen at the Dental Clinic, Mater Dei Hospital. There is a special clinic within Mater Dei Hospital which is dedicated to children with special needs
Netherlands	Specialised clinics provide care to these groups as far as these cannot be served in routine dental care. Conditions regarding costs are similar to those for general dental care and in addition covering the special arrangement
Poland	All children are treated equally, but disabled young people can have composite light-curing materials for fillings and general anaesthetics before dental procedures if necessary. There is access to highly trained dentists and nurses if necessary
Slovakia	Children with a disability and specific clinical risk diseases are treated in university hospitals. In many cases, the problem is in access to hospital due to a long distance. Treatment is done by specialists in cooperation – specialists for paediatric dentistry, anaesthesiologists, dento-alveolar surgeons, haematologists and other medical specialists depend on general diseases
Sweden	Disabled children with special dental concerns because of behaviour problems as well as an underlying condition or medication which increases the risk of caries are often cared for in special programmes by specialist dentists, but this varies between counties. Secondary preventive programmes exist in several cities like Stockholm and Malmö
UK	England: The Community Dental Service exists primarily to serve this purpose but provision is variable and access is not ensured. There are insufficient Specialists in Paediatric Dentistry in England. Scotland: Variable across the 14 health board areas of Scotland, and it is up to each health board how it achieves this, but there are facilities available for all children to access dental care, albeit without sufficient specialists. NI: Routine screening by the Community Dental Service (CDS) is now only applied to children with special care needs. Wales: This is generally provided by the CDS.

	Provision for Children with a Disability or Specific Clinical Risks
Cyprus	Children with disabilities or with a specific clinical risk who are unable to receive oral health care on a dental chair are treated under general anaesthesia
Czech Republic	Children with a disability which makes access to normal dental services difficult and children with a specific clinical risk are advised about a dentist able to provide such care by their registering PLDD (General Practitioner for children and Adolescents)
Estonia	All children (including disabled children) are free to visit any dentist that has signed a contract for financing medical treatment
France	These children have the same theoretical access to screening and care as other children. There is a module devoted to children in the course of university training for dentists, but there is nothing specifically dedicated to disability. In hospitals, there are slots (often restricted) for certain pathologies, including mental disabilities
Germany	Children with disabilities have the same access to dentistry as those without disability. Many practices are accessible, but sometimes dental care is challenging for the children involved
Italy	There is a decree from the Ministry of Health to provide appropriate care for all, but the extent to which this is adhered to in the different regions is unknown
Malta	Children with special needs are seen at the Dental Clinic, Mater Dei Hospital. There is a special clinic within Mater Dei Hospital which is dedicated to children with special needs
Netherlands	Specialised clinics provide care to these groups as far as these cannot be served in routine dental care. Conditions regarding costs are similar to those for general dental care and in addition covering the special arrangement
Poland	All children are treated equally, but disabled young people can have composite light-curing materials for fillings and general anaesthetics before dental procedures if necessary. There is access to highly trained dentists and nurses if necessary
Slovakia	Children with a disability and specific clinical risk diseases are treated in university hospitals. In many cases, the problem is in access to hospital due to a long distance. Treatment is done by specialists in cooperation – specialists for paediatric dentistry, anaesthesiologists, dento-alveolar surgeons, haematologists and other medical specialists depend on general diseases
Sweden	Disabled children with special dental concerns because of behaviour problems as well as an underlying condition or medication which increases the risk of caries are often cared for in special programmes by specialist dentists, but this varies between counties. Secondary preventive programmes exist in several cities like Stockholm and Malmö
UK	England: The Community Dental Service exists primarily to serve this purpose but provision is variable and access is not ensured. There are insufficient Specialists in Paediatric Dentistry in England. Scotland: Variable across the 14 health board areas of Scotland, and it is up to each health board how it achieves this, but there are facilities available for all children to access dental care, albeit without sufficient specialists. NI: Routine screening by the Community Dental Service (CDS) is now only applied to children with special care needs. Wales: This is generally provided by the CDS.