Purpose: The study aimed to assess the barriers faced by children with disability, both qualitatively and quantitatively, from the perspectives of caregivers and dental practitioners.Methods: A concurrent mixed method design was used. A sample of 195 dentists and 100 caregivers was selected through convenience sampling. A pre-validated questionnaire was used to assess the barriers faced by the children with disability in their care. Focus group discussions and in-depth interviews were conducted with caregivers. Descriptive statistics were computed using SPSS version 20 and thematic analysis of qualitative data was done using NVivo software.Results: 195 dentists and 100 caregivers responded to the survey. Majority of practising dentists (83.7%) reported inadequate training in handling children with special needs, while caregivers (38%) reported fear of dentist among the children as major barriers experienced in utilising dental services.Conclusion and Implications: This study helps to identify the barriers faced by children with special healthcare needs. The findings highlight the need for hands-on training to be incorporated into the dental curriculum. It also suggests that improvements be made in dental clinics to accommodate these children in comfort. Due to limitations of the study, it is suggested that there is a need for further longitudinal studies that involve other family members of children with disability.
Background Attempts to refine toothbrushing (TB) technique, an ingrained habit in adults, can meet with some challenges. Recently, the role of proactive interference as a barrier to improving the learning of proper brushing has been proposed. This pilot feasibility study was designed to investigate TB behavior and to see how it changes after training. Smartphone video “selfies” (SPVSs) are increasingly being used in the medical field to assess, monitor, and determine the progression of diseases. Materials and Methods We used SPVS to study TB skills in a small sample of volunteers. Over a period of 14 days, after a one-time group training session, we observed TB behavior of volunteers using self-captured SPVS. Results Following the brief intervention, we observed an 8% of improvement in TB skills. Discussion To the best of our knowledge, this is the first report using SPVS to study TB behavior. We demonstrated initial feasibility of using SPVS in the dental setting. We observed modest improvements in toothbrushing accuracy and quality, and we generated important experiences about the use of Selfies for TB monitoring and intervention, and some interesting insights about where in the toothbrushing is more or less effective. Conclusion Further investigation using a larger sample size is needed to thoroughly assess the effectiveness of this approach to improve TB skills and better understand the role of proactive interference.
Objective: This systematic review was done with the aim of assessing the barriers faced in utilizing dental care services by general population in age group between 20 and 60 years in India as these findings would provide evidence for making appropriate decisions in our National Oral Health Policy which could further improve access to dental care services for people across India. This was a systematic review. Materials and Methods: For this review, PubMed, TRIP database, Cochrane, and Google Scholar were the electronic databases searched based on the PICO. Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines were followed for the final inclusion of articles. Results: The search generated a total of 91 articles from four different electronic bases: PubMed, TRIP database, Cochrane, and Google Scholar. Based on the inclusion criteria, 14 articles made it to the final analysis. All 14 studies reported a lack of time and nonavailability of dentists as major barriers in accessing dental care services. Conclusion: The cross-sectional studies of this review were assessed for quality using a modified Newcastle- Ottawa Scale, proposed by Egger et al. in 2003. Even though the available literature forms a lower standard of evidence, further evaluation of barriers using a standardized questionnaire is recommended using better-designed studies to substantiate the unequal access to health-care facilities to Indian Population.
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