Dentistry and Psychiatric and Neurological Disability

People with intellectual, psychiatric and neurological disabilities are all unique. However there are some common themes when accessing dental care


You can choose what treatment you want. I provide treatment on the assumption that all people have capacity unless reasonably presumed to lack this. For most people this is not an issue but for many where capacity is of concern, I provide a service that is designed to maximise inclusion in decisions. I understand the the importance of deciding for yourself and believe that the process of assessing capacity must be transparent. I follow guidance based on the Heads in the Draft Mental Capacity Bill currently before the Seanad.

Click here to view our Assent Form: Caoimhin Mac Giolla Phadraig.


Person centred communication is essential for successful treatment. I understand the importance of positive and honest communication both from the dental team and from the patient and those who support them. We welcome the use of augmentative technologies and are happy to use alternative communication such as PECS, email or text if you wish. We are happy to meet other communication requests: no matter how unusual, we have probably done it before.

Involving others

All information you provide is secure as I am bound by confidentiality. I may share your information, with your agreement, with your consultant or GP or in consultation with other specialists to ensure safe and effective care. When people are found to lack capacity, family and care staff may be included to reach a decision in the person’s best interest.

Tips for carers

Facilitating daily home care can be difficult. This link gives my top tips for maintaining oral health for dependent adults and is based on years of my own and the leading international research.

Tips for carers