Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

Rosa, Saulo Vinicius da; Moysés, Samuel Jorge; Theis, Laí­s Carolini; Soares, Renata Cristina; Moysés, Simone Tetü; Werneck, Renata Iani; Rocha, Juliana Schaia

doi:10.1155/2020/9074618

Cited by 59 publications

(93 citation statements)

References 60 publications

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“…Only 23.1% of children sought dental treatment, possibly due to lack of awareness among caregivers and the challenging health status of the child, which requires trained oral health care professionals willing to treat these children. 36 Limitations of our study included an inability to establish causal relationships since it was a cross-sectional study. The observed association could have been influenced by factors like non-radiographic diagnostic criteria chosen for the study, school environment and learning activities, dental caries, and enamel hypoplasia.…”

Section: Discussionmentioning

confidence: 99%

Traumatic dental injuries in special health care needs children and association with obesity

et al. 2021

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BACKGROUND: Special needs children are at a higher risk of dental trauma because of neurological, physical, mental, and behavioral impairments. They are also at higher risk of developing obesity due to the side effects of medication. OBJECTIVE: Assess the association between traumatic dental injuries (TDIs) and obesity in children with special health care needs. DESIGN: Analytical cross-sectional study. SETTING: Schools for special needs children. STUDY POPULATION AND METHODS: Special needs children with a diagnosis of TDI according to the Andreasen criteria were included in the study. Data on the disability status were obtained from a national demographic survey in 2016. Demographic and dental variables were measured for analysis. Multivariable logistic regression was used to analyse any relationship between TDI prevalence and obesity. MAIN OUTCOME MEASURE: Relationship of body mass index (BMI) to TDI prevalence. SAMPLE SIZE: 350 (131 boys and 219 girls) special needs children with a median (interquartile range) age of 12.0 (2.0) years. RESULTS: Eighty-one (23.1%) children presented with TDIs. The mean (standard deviation) BMI for the entire study population was 24.7 (7.8). Children with obesity had a 30.3% TDI prevalence compared normal-weight children (20.6%) ( P =.035), but BMI category was not statistically significant in the regression analysis ( P =.541), which showed that children with an overjet of >3 mm were 4.82 times (CI: 2.55–9.09, P =.001) more likely to have TDI than children with an overjet of ≤3 mm. Those with inadequate lip coverage were 2.85 times (CI: 1.49–5.44, P =.002) more likely to have TDI. Children with cerebral palsy were 3.18 times (CI: 1.89–11.32, P =.024) more likely to have TDI than children with other disabilities. CONCLUSION: The study showed a significant association between TDI prevalence and increased overjet, inadequate lip coverage, and cerebral palsy. The prevalence of TDI among obese special needs children was statistically significant according to bivariate analysis, but not in a multivariate analysis that adjusted for other variables. LIMITATIONS: Causal relationship cannot be established with cross-sectional study. CONFLICT OF INTEREST: None.

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Section: Discussionmentioning

confidence: 99%

Traumatic dental injuries in special health care needs children and association with obesity

et al. 2021

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“…Owing to poor access to dental service, people with disabilities are likely to postpone or abandon treatment [ 7 , 11 , 12 ]. They tend to prefer easily accessible dental clinics over general hospitals or dental hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…Among the welfare needs of individuals with disabilities, oral healthcare, in particular, is essential—but difficult to access. It was suggested in the study by Rosa et al [ 7 ] that addressing these issues requires training dentists on how to care for people with disabilities, and ensuring that if there are no legal standards governing facilities for people with disabilities, they should be established. Therefore, a revision of laws is required not only for newly established facilities but also for existing ones with inappropriately installed—or missing—convenience facilities; this requires social and economic support from the central and local governments.…”

Section: Discussionmentioning

confidence: 99%

“…Although convenience facilities for individuals with disabilities have been progressively improving over the years, they lack quality and are plagued by the persistent problem of limited accessibility [ 3 , 4 , 5 ]. This makes it inaccessible for people with disabilities when they visit medical institutions, especially preventing access to treatment in a conventional dental clinic setting [ 6 , 7 , 8 , 9 ]. People with disabilities are, therefore, reported to have a lower rate of oral examinations and dental treatments and a higher rate of dental caries, periodontal disease, and tooth loss compared with the general population [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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A Study on the Installation of Facilities for People with Disabilities in Dental Institutions of Chungbuk, South Korea

Kim

Park²

2021

IJERPH

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To maintain the oral health and ability to smoothly receive dental treatment of people with disabilities, their accessibility to dental institutions must be enforced. Hence, this study aimed to assess the status of installation of convenience facilities for people with disabilities in dental institutions in Chungbuk Province, South Korea. According to the checklist based on installation items for convenience facilities for people with disabilities, 245 dental institutions in Chungbuk Province were visited and investigated to examine whether they had installed internal, intermediary, sanitary, and information-related facilities for people with disabilities. Inputs were analyzed using SPSS 25.0 (IBM, Armonk, NY, USA). Frequency analysis by item was conducted to determine the rate of installation, and Fisher’s exact test was performed to analyze the actual state of installation according to the type of institution. The results revealed a relatively higher rate of appropriate installation and access routes to the main entrance and parking spaces for people with disabilities in terms of intermediary and internal facilities, but at times they were installed at inappropriate locations or lacked proper signboards. The state of installation of convenience facilities by institution type was 0–1.3% per item at the clinic level but 75–87.5% per item in general and dental hospitals (p < 0.001). Insufficient government management and supervision at clinic-level dental institutions lead to limited scope for regulating the installation of convenience facilities. Better laws, with continued support and supervision of central and local governments, are needed to resolve this issue.

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“…In this case, it is imperative to include caregivers when providing instructions, guidance, and/or advice so they can also be aware of how to provide support. 38…”

Section: Implications For Practicementioning

confidence: 99%

Diabetes Self-Management Among Individuals With Diabetes and Physical Disabilities

Comer-HaGans

Austin²,

Ramamonjiarivelo

et al. 2021

The Science of Diabetes Self-Management and Care

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Purpose The purpose of this study was to examine diabetes self-management behavior among individuals who have diabetes living with and without physical limitations. Methods Pooled cross-sectional data (2011-2016) from the Household Component of the Medical Expenditure Panel Survey was used. Dependent variables were utilization of dilated eye exams, foot checks, at least 1 dental checkup annually, treating diabetes with oral medication, treating diabetes with insulin injections, and engagement in moderate or vigorous physical exercise 5 times per week. The independent variable was diabetes with physical limitations compared with diabetes without physical limitations. The study controlled for predisposing, enabling, and need factors. Results Findings indicate that individuals with diabetes and physical limitations were less likely to engage in moderate or vigorous physical exercise 5 times per week, have at least 1 annual dental checkup, and treat their diabetes orally with medication. Conclusions Self-management behavior was poor among individuals with diabetes and physical limitations. Environmental barriers may partially contribute to reasons why individuals with diabetes and physical limitations do not engage in diabetes self-management behaviors that would assist them in mitigating diabetes complications. Other reasons could be the lack of equipment accessibility or adaptability and cultural competence among providers treating/caring for individuals with physical limitations.

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Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

Cited by 59 publications

References 60 publications

Traumatic dental injuries in special health care needs children and association with obesity

Traumatic dental injuries in special health care needs children and association with obesity

A Study on the Installation of Facilities for People with Disabilities in Dental Institutions of Chungbuk, South Korea

Diabetes Self-Management Among Individuals With Diabetes and Physical Disabilities

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