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iADH Congress, Acapulco, Mexico 2020

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Behaviour support techniques for our diverse patients (Sedation and general anaesthesia).

Speaker Photograph
Chair & Discussant
1. Non-pharmacological behaviour support techniques.
Dr. Caoimhin MacGiolla Phadraig
United Kingdom
2. Clinical Dental Hypnosis
Dr. Jessica Francis
United Kingdom
3. Service barriers to conscious sedation
Dr. Siti Zaleha
United Kingdom
4. Oral Sedation and nitrous oxide for patients with disabilities
Dr. Rafael Celestino Colombo
United Kingdom
5. Conscious Sedation (IV) for Special Care patients
Dr. David Craig, MBE
United Kingdom
(United Kingdom)
United Kingdom
6. Peri-operative considerations under general anaesthesia
Dr. Avanti Karve
United Kingdom
7. Clinical holding for adults with disabilities
Dr. Jacobo Limeres
United Kingdom
Behaviour support techniques for our diverse patients.

Overall Objective

To understand the choice of non-pharmacological and pharmacological techniques useful for adults with disabilities.


This symposium explores a broad range of techniques to support behaviour in adults with a variety of disabilities. Attendees will explore international issues around behaviour support with experienced clinicians and researchers from around the world. Attendees will follow the story of how behaviour support can be tailored to patients with autism, with dental phobia and with dementia. Attendees will learn about non-pharmacological techniques like hypnosis and reinforcement. Pharmacological techniques like oral, inhalation and IV sedation will also be covered. Attendees will also explore General anaesthesia and clinical holding for people with disabilities. Attendees will leave being able to select from the broad range of options available to help adult patients receive care that is safe, effective and acceptable.

Target audience

This symposium targets practitioners who treat people with disabilities from across the globe.

Symposium High lights

Lecture 1. How to choose non-pharmacological behaviour supports for people with disabilities.

This lecture introduces the fascinating field of behaviour support. We will start by taking an aerial view of behaviour support: pharmacological, non-pharmacological and physical. In this lecture we will explore how you select the right technique for the right patient. Decisión-making processes within non-pharmacological behaviour support will be explored and cases discussed.

Lecture 2. Clinical Dental Hypnosis

Dr Francis will help us understand the role of Clinical Dental Hypnosis for adult patients in the dental setting, particularly those with anxiety. This lecture will help clarify misconceptions of hypnosis and offer ‘Tips and Tricks’ that come from this technique that can be applied formally and more informally.

Lecture 3. Service barriers in delivering behavioural support techniques

There are many myths and misunderstandings about conscious sedation. When combined with a lack of political and professional will, manpower, training and funding issues, it can be challenging to set up and deliver sedation services for patients with disabilities. In this lecture we will explore the challenges in providing behavioural support techniques for adults with special needs. We will also discuss the suitability of sedation for patients based on need and local legal requirements. Lecture 4. Oral Sedation and nitrous oxide for patients with disabilities Oral sedation and nitrous oxide sedation are frequently used to help people with disabilities to receive dental care. This lecture will provide specific information about oral and nitrous oxide sedation in people with disabilities. The scientific evidence on moderate sedation in this population will be discussed to arouse an interest in safe and effective pharmacological behavior management.

Lecture 5. Conscious Sedation (IV) for Special Care patients

Conscious sedation is an important element in the spectrum of techniques used to manage special care patients, including those suffering disproportionate dental anxiety or phobia. Intravenous sedation using midazolam is effective for a wide range of patients and has an excellent safety record. This presentation will introduce the principles of safe and effective IV sedation from patient assessment through to recovery. Issues relating to specific patient groups will be discussed.

Lecture 6. Peri-operative considerations in dental management of patients with intellectual disability under general anaesthesia.

General anaesthesia is an essential aspect of Special Care Dentistry. In this lecture, we will explore the pre-planning considerations when planning for a general anaesthetic for a patient with special needs. We will also learn practical tips to predict and optimise post-operative outcomes.

Lecture 7. Clinical Holding for adults with disabilities.

Clinical Holding is an often controversial technique that can be delivered safely, effectively and acceptably to deliver essential oral care for people with disabilities. In this lecture, we will discuss the legal and ethical issues around this technique and discuss its clinical application for this patient group.