Access to dental services for children with intellectual and developmental disabilities – A scoping review

Ummer-Christian, Rahila; Iacono, Teresa; Grills, Nathan; Pradhan, Archana; Hughes, Nicole; Gussy, Mark

doi:10.1016/j.ridd.2017.12.022

Cited by 23 publications

(21 citation statements)

References 20 publications

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“…These include low ADL capacity 9 , which makes them unable to brush the teeth adequately 6 , favoring cariogenic foods 10 , and lack of special health education training. 11 The inadequate quality of care given by caregivers 12 and lack of special needs dentistry training of dental professionals also contribute to this issue 13 . In addition, the oral health perception of specialized institutions affects the oral health status of people who live there 14 .…”

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confidence: 99%

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

Ningrum

Wang

Liao

et al. 2020

Sci Rep

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people with intellectual disability have a higher risk of oral health problems. this study assessed the clinical oral health status and behaviors and treatment needs of people living in an institution in Padang, West Sumatra, Indonesia. We quantified oral health status of 65 individuals with intellectual disability using Oral Hygiene Index Simplified (OHIs), Angle's classification of malocclusion, Community Periodontal Index and Treatment Need (CPITN), and decay index and also recorded their brushing behavior. We found that males had significantly lower OHIs (p < 0.001), more malocclusion (p < 0.001), greater caries number (p < 0.001), greater CPITN (p = 0.001) and higher need of dental treatment (p < 0.01) than females. Additionally, we found that high caries number was associated with poor OHIS, malocclusion, periodontal disease, and dependent brushing behavior (p < 0.001). The findings of this study imply that there is a gap in appropriate oral health care in individuals with intellectual disability. there should be a greater focus on providing appropriate oral health education to people with intellectual disability, improving the health literacy and quality of care of caregivers, and providing more dentists with specialized training in special needs dentistry.

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confidence: 99%

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

Ningrum

Wang

Liao

et al. 2020

Sci Rep

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“…In our study, 58.2% of the sample had not visited the dentist for more than a year, and 7.2% had not attended any consultations, possibly due to barriers in access to adequate oral health care for this vulnerable population. In fact, these individuals experience constraints of many orders: from reasons inherent to the patient (fear, anxiety, lack of perception of need), barriers related to the adequacy of services and the availability of health professionals (limitation of doctors with specific training), restrictions related to access (physical means), financial barriers, and still others related to society in general and policymakers in particular, for whom this population is not always a priority . This 58.2% mentioned above surpassed by more than 10% the results obtained in the study on the general Portuguese population, where 47.4% of the sample were found not to have visited the dentist in more than a year.…”

Section: Discussionmentioning

confidence: 81%

“…Thus, although people with disabilities often have a poor oral condition, they continue to face considerable challenges and barriers in terms of access to medical‐dental services …”

Section: Introductionmentioning

confidence: 99%

“…13,14 Thus, although people with disabilities often have a poor oral condition, they continue to face considerable challenges and barriers in terms of access to medical-dental services. 16,17 This study seeks to characterize the hygiene habits and the self-perception of the need for treatment as well as the state of the oral health of a Portuguese population with mild intellectual disability. In this sense, we expect that this investigation will be an added value in the construction of knowledge in a field of research still so underdeveloped but, paradoxically, so urgently required, not only in Portugal but throughout the world.…”

Section: Introductionmentioning

confidence: 99%

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Characterization of oral health in a Portuguese population with mild intellectual disability

Couto

Pereira

Nunes

et al. 2019

Special Care in Dentistry

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Aims This study aims to characterize the hygiene habits, the self‐perception of the need for treatment and the oral condition of a population with a disability. Methods and Results This research is part of an observational, cross‐sectional epidemiological study on oral health and quality of life of people with mild intellectual disabilities living in (or attending) institutions of the Central Region of Portugal that were affiliated with HUMANITAS (Portuguese Federation for Mental Disability) in 2016. A sociodemographic and oral health questionnaire, applied on the form of an interview to 240 individuals aged between 18 and 64 years, was used. Statistical analyses were performed using SPSS version 22.0. It was verified that 32.9% of the individuals had less than 20 teeth. Only 15% of all individuals used removable prosthesis. About 21% didn't do oral hygiene daily. Only 28.4% of the sample visited the dentist in the last 6 months. Note that 75.2% of the sample stated their need for dental treatment and less than half (37.4%) described their oral condition as good or superior. Conclusion Dental care among adults with intellectual disability is one of the most unattended health needs. Evidence suggests that inadequate oral health habits are more prevalent in the studied population than in the Portuguese population.

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“…Insufficient education in this area leads to access barriers for this diverse population. This is especially a concern for dental care, where PDD experience high rates of unmet dental need and access to care barriers . Robust clinical experiences combined with peer teaching of complex clinical case scenarios can enhance education in this area and improve access to care for PDD.…”

Section: What Problem Was Addressed?mentioning

confidence: 99%

Peer teaching of clinically complex developmental disability cases

Espinoza¹,

Doomes²

2019

Medical Education

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Access to dental services for children with intellectual and developmental disabilities – A scoping review

Cited by 23 publications

References 20 publications

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

Characterization of oral health in a Portuguese population with mild intellectual disability

Peer teaching of clinically complex developmental disability cases

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