Appointment Management Considerations

Accessing oral health care can be challenging for someone diagnosed with PD. Patients encounter multiple barriers; obtaining a provider knowledgeable about PD, cost, and anxiety about treatment that is exacerbated by the motor and non-motor PD impairments.7 It is important for dental providers to recognize this and be prepared to modify the dental appointment to accommodate the patients’ individual needs. Dental providers should take vital signs and complete a thorough medical history. The medical history should include detailed discussions about the patient’s medical condition, cognitive status, disease prognosis, and medications. Dental providers should consult with the patient’s physician to confirm findings.7,59 Providers should also complete a comprehensive oral examination.59 After completing these items, scheduling, communication, environment, patient positioning, and oral health modifications should be incorporated into the patient’s care plan. Best practices to make these accommodations are discussed in the following sections.