SUMMARYA framework for developing and implementing preventive programs for handicapped persons in clinical settings has been described. The first portion of this framework requires a working knowledge of dental epidemiology in terms of reviewing the literature on disease prevalence in persons with handicapping conditions and collecting clinicai data on individual patients. The second aspect requires integration of clinical and historical assessment procedures into the office routine. After all data are analyzed, an individualized preventive program that is feasible, efficient, and cost‐effective for the patient and the practice can be developed. A knowledge of preventive approaches for individuais with handicapping conditions reported in the dental literature is essential. The final aspect of the framework is program implementation and follow‐up. By using this framework, I believe dental professionals can begin to build a knowledge base about dental disease and appropriate preventive measures for persons with handicapping conditions seeking outpatient dental care. Without this knowledge base, a rational approach to treatment planning will not be forthcoming.
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