Influence of Different Intellectual Disability Levels on Caries and Periodontal Disease

Costa, Antônio Augusto Iponema; Bona, Álvaro Della; Trentin, Micheline Sandini

doi:10.1590/0103-6440201600420

Cited by 19 publications

(17 citation statements)

References 4 publications

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“…In our study, the prevalence of oral diseases, the need of oral treatments and oral health prevention in institutionalized individuals with mild intellectual disability are lower than in individuals living on their own, or living with relatives and integrated in the society. The quality of life on the OHIP-14-MID-PT global scale, is also perceived as higher by the institutionalized ones, which confirms that caregivers play an important role in the oral health status of disabled people [ 10 , 17 ]. Other studies also show correlation between deinstitutionalization and poor oral health and access to health care [ 32 ].…”

Section: Discussionmentioning

confidence: 88%

Oral health-related quality of life of Portuguese adults with mild intellectual disabilities

et al. 2018

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Individuals with disabilities are regarded as a highly vulnerable population group, particularly as far as oral health is concern. However, few studies have assessed the impact of the oral condition on the quality of life of these individuals. Therefore, the aim of this study is to expand knowledge on the oral health status of the Portuguese adults with mild intellectual disability, and to assess how the patient’s oral health is related to their quality of life. A sample of 240 adults with mild intellectual disabilities linked to the Portuguese Federation for Intellectual Disability, were interviewed using a previously validated version of the Oral Health Impact Profile. An oral health examination was also conducted using three oral health indexes: Clinical Oral Health Index (COHI); Clinical Oral Care Needs Index (COCNI) and the Clinical Oral Prevention Index (COPI). Sociodemographic characteristics and dental health factors were also collected, following statistical analysis. More than half of the individuals (54,9%) presented one or more problems of major to severe impact on health (COHI level 2); only 4,6% of the individuals do not need treatment or examination (COCNI level 0) and 85% of the study sample needs measures of educational or preventive action (COPI level 1). In 76,9% of the participants, oral health had impact on the quality of life. The most affected dimensions of life were physical pain with 61,9%, followed by psychological discomfort and psychological disability with 45,1% and 45%, respectively. With relation to oral health factors and sociodemographic variables it was verified that fewer teeth and higher self-perception of need for dental treatment had a negative impact on the quality of life. On the other hand, institutionalization and an increase in at least one category in the self-perception of the oral health status had a positive impact on the quality of life. Given the high burden of oral disease and the considerable impact on quality of life found in this study, the establishment of guidelines to improve the oral health and quality of life of these individuals should be regarded as imperative.

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Section: Discussionmentioning

confidence: 88%

Oral health-related quality of life of Portuguese adults with mild intellectual disabilities

et al. 2018

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“…Besides, oral hygiene maintenance provided or supervised by caregivers or parents can contribute to better oral health status of individuals with severe disabilities (Costa et al . ).…”

Section: Discussionmentioning

confidence: 97%

Efficacy of caries and gingivitis prevention strategies among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Zhou

Wong

Wen

et al. 2018

J intellect Disabil Res

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Background Dental caries and periodontal diseases are the most common oral diseases among human beings. Individuals with intellectual disabilities (IDs) have poor oral health and limited access to dental care. The aim of this study was to investigate the efficacy of strategies in caries and gingivitis prevention among children and adolescents with ID. Methods Four electronic databases (PubMed, Cochrane Library, Web of Science and Scopus) were searched from their commencement date to 17 April 2017. Randomised or non-randomised controlled trials evaluating the efficacy of interventions in caries and gingivitis prevention were included if the participants were children and adolescents with ID. Gingival index and caries experiences were reported in the format of mean difference and standard error. Metaanalysis was conducted if data could be pooled from two or more studies using similar outcome measurements and intervention. Results A total of 1455 articles published in English were identified. Fourteen studies formed the basis of qualitative analysis; six studies were feasible to perform quantitative analysis. Meta-analysis favoured fluoride to placebo in caries prevention [Z = 2.02, P < 0.05, 95% CI: À0.71 (À1.40, À0.02)], while the effectiveness of chlorhexidine remained elusive. Conclusions Both mechanical and chemical approaches had been applied to caries and gingivitis prevention among children and adolescents with ID. Insufficient evidence supported the efficacy of chlorhexidine nor powered toothbrush, while fluoride was suggested to be an effective caries preventive strategy in fluoride-deficient areas. More welldesigned randomised controlled trials using integration strategies are encouraged in further studies.(1) = (2) CHX (spray, 0.12%) = placebo CHX, chlorhexidine; CT, controlled trial; RCT, randomised controlled trial.

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“…Forty-three articles were reviewed in full, and thirteen were excluded for several reasons: Three studies were excluded as no parent-related variables were recorded [16][17][18] . In seven studies, parent-related characteristics were recorded, and periodontal diseases were the outcomes, but their association was not explored [19][20][21][22][23][24][25] . Two were excluded as the data from the same study population was presented in separate articles 26,27 .…”

Section: Resultsmentioning

confidence: 99%

Effect of family characteristics on periodontal diseases in children and adolescents—A systematic review

Tadakamadla

Kroon

et al. 2019

Int J Dental Hygiene

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Aim: To synthesise the literature on the influence of family/parents characteristics on periodontal diseases in children and adolescents. Methods: An electronic search for relevant literature published between 2007 and 2017 was undertaken in PubMed, Embase, Cinahl and Cochrane databases; the search was updated in April 2018. Two reviewers independently reviewed the abstracts of these, of which 43 articles were reviewed in full. Results: Of the 746 retrieved titles, 649 remained after removing duplicates. Thirty articles met the inclusion criteria, and 13 were excluded. Also, two were included from the updated search. Data from the reviewed articles indicate that all three indicators of parent's socioeconomic status (income, education, and occupation) are significantly associated with periodontal diseases in children. Better periodontal status was observed in children of parents with higher SES than those whose parents were of lower SES. Although the association between parent's smoking practices, level of periodontal diseases, and children's periodontal status was explored only in few studies, findings indicate that children exposed to passive smoking and having parents with periodontal diseases are more likely to present with periodontal diseases as well. Conclusions: Most of the studies considered socioeconomic factors and had not attempted to explore the impact of parental psychosocial variables on periodontal diseases in children. The literature indicates that these variables significantly influence health practices, including oral hygiene practices, which could ultimately affect periodontal health. More studies are required to explore the association of these variables with periodontal outcomes in children. but related data not seen in tables) CPI analysis

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Influence of Different Intellectual Disability Levels on Caries and Periodontal Disease

Cited by 19 publications

References 4 publications

Oral health-related quality of life of Portuguese adults with mild intellectual disabilities

Oral health-related quality of life of Portuguese adults with mild intellectual disabilities

Efficacy of caries and gingivitis prevention strategies among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Effect of family characteristics on periodontal diseases in children and adolescents—A systematic review

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