Treating patients who have spent years—sometimes decades—avoiding dental care because of fear, disability, trauma or painful past experiences can be challenging. “They are afraid and don’t want to be treated,” said Adela Planerova, DDS, MS, chair Special Needs Dentistry at University of Rochester Medicine Eastman Institute for Oral Health. “Some are even afraid to enter the room. When they eventually sit in the chair, they often try to push the provider away. Many of our patients move constantly, while others have persistent involuntary movements because of their condition, such as cerebral palsy.”



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