Children with special health care needs are at increased risk for developing caries for the following reasons:
- Difficulties performing oral hygiene
- Gastroesophageal Reflux Disease and vomiting
- Gingival hyperplasia and crowding of the teeth
- Medications containing sugar
Abnormal dryness of the mouth due to insufficient saliva production.
In children with special health care needs, uncoordinated chewing may leave more food in the mouth.
A weak, uncoordinated tongue may not be able to adequately clean all oral surfaces.
Gagging on the toothbrush, paste, or saliva may inhibit complete brushing of all surfaces.
An inability to spit may result in the swallowing of toothpaste.
An abnormal or unusual increase in the elements composing a part (as cells composing a tissue).