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Special Care

Dental care that adapts to your patient, not the other way around.

Sensory-adapted home dental visits for patients with cerebral palsy, autism, ADHD, Down syndrome, post-stroke conditions, mobility limitations and other conditions that make a clinic visit difficult or impossible.

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For families and carers

For some patients, the clinic itself is the entire barrier

Sensory overload, unfamiliar instruments, the requirement to sit still and open wide on demand. For many patients with autism, cerebral palsy, ADHD, Down syndrome, post-stroke conditions, dementia, or sensory processing differences, a dental clinic visit is genuinely impossible, and that is not the patient's failing.

Prudentoe brings the dentistry to your patient instead. The same clinic-grade equipment, the same sterile standards, in your patient's most familiar environment, with their most trusted carer beside them, at their pace. We are honest about what is possible at home and what genuinely needs hospital-grade conditions, and we never force a patient through anything they have refused.

Who we treat

Conditions we have experience with

If your patient's condition is not listed, please ask anyway. Most of dental care can be adapted.

Cerebral palsy

Including dystonia, spasticity, involuntary movements and wheelchair-bound patients. Treatment performed in the most stable position for the patient.

Autism spectrum

Sensory-adapted setup. Low-stimulation environment, familiar carer present, treatment paced over multiple shorter visits if needed.

ADHD & attention differences

Short treatment blocks with movement breaks. Fidget items welcome. We work with how attention actually functions, not against it.

Down syndrome

Patient, clear communication. We allow the time it takes for genuine understanding and consent at every step.

Post-stroke / hemiplegia

Treatment positioned around your patient's functional capacity, with full awareness of swallowing, speech and mobility considerations.

Dementia & Alzheimer's

Familiar environment dramatically reduces distress. Same doctor returns every visit, no rotating faces or re-introductions.

Sensory processing differences

No overhead lights, low instrument count, soft voices, advance warning of every sound and sensation.

Medically complex / on ventilator or PEG

Coordination with home-nursing team. Cases needing hospital-grade monitoring referred honestly.

How a visit adapts

What changes when the patient is different

Six concrete adaptations that make the difference between a possible visit and an impossible one.

01

Detailed pre-visit briefing

Before the doctor arrives, we have a long conversation with the family or primary carer, medical history, medications, sensory triggers, communication preferences, past dental experiences (especially anything traumatic), and what works in other care settings.

02

Sensory-friendly setup on arrival

Minimal instruments visible. No overhead surgical light. Soft, even voices. The doctor often sits at the patient's level rather than standing over them. The carer chooses where they want to be in the room.

03

Carer present throughout

The family member or carer the patient trusts most stays beside them the entire visit. We never ask carers to step away, and we welcome their input on how the patient is responding.

04

Patient sets the pace

Treatment proceeds only with the patient's agreement, communicated however works for them. If the patient signals stop, we stop. Multi-visit plans replace single-visit completion as the default.

05

Adapted communication

Visual cues, written boards, picture cards, signing, simple language, AAC devices, whatever the patient already uses to communicate, we incorporate. We brief on every tool and sensation before it happens.

06

Honest escalation when needed

For the small percentage of cases that genuinely need general anaesthesia or hospital-grade conditions, we tell the family immediately and help refer to the appropriate special-needs dental hospital.

No surcharge for accessibility

Special-needs care is priced the same as any other treatment. Accessibility should not carry a premium.

Never forced, never rushed

If the patient signals stop, we stop. The patient's trust in dentistry matters more than completing the visit.

Coordination with your care team

We are happy to coordinate with your OT, SLP, behavioural therapist or primary physician, with your consent.

FAQs

Common questions from families and carers

Yes. This is one of the patient profiles we are best positioned for. Sensory overload, unpredictability and the loss of routine that a clinic represents are often the entire barrier, not the dental work itself. We brief in detail with the family beforehand, arrive with a minimal-stimulation setup (no bright overhead lights, low instrument count, soft voices), let the patient watch from a distance first, and proceed only when they signal readiness. First visits are often purely social, just to build trust.

Tell us about your patient

A detailed conversation comes first. Share medical history, sensory preferences and past dental experiences over WhatsApp or call. We will match a doctor with the right experience and propose an approach that respects how your patient experiences the world.

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