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A.H. Brook anesthesia behavior behaviour management Centre cerebral palsy chewing Children's Hospital Chloral Hydrate cleft lip comatosed Copenhagen County curriculum D.E. Jolly D.J. Stiefel deciduous teeth dental attendance dental caries Dental Clinic Dental Education dental health education dental hygienist dental team dental treatment dentists Department for Multihandicapped developed diagnosis Diazepam disabled persons disorders Down's Syndrome Dystrophica Polydysplastica Epidermolysis Bullosa Dystrophica examined facial flow rate function Gentofte gingivitis handicapped child handicapped patients institution institutionalized patients instructors investigated J.L. Henson Japan Kaneko Long-Term-Care malocclusion masticational ability mentally handicapped children mentally retarded children mentally retarded patients method mouth needs Nihon University nursing homes oral condition oral dysfunctions oral hygiene oral manifestations Oral Nursing oral status orthodontic paedodontist periodontal disease permanent teeth philtrum physical handicap present salivary Sanfilippo Sanfilippo syndrome School of Dentistry severely mentally retarded significant difference Sognevej staff Sweden therapy treat University