Development of a new tool for predicting the behavior of individuals with intellectual disability in the dental office: A pilot study

Varela-Aneiros, Iván; Feijoo, Javier Fernández; García, E. Vázquez; Diniz‐Freitas, Márcio; Martínez, Isabel García; Roca‐Pardiñas, Javier; Diz, Pedro; Limeres, Jacobo

doi:10.1016/j.dhjo.2021.101229

Cited by 3 publications

(8 citation statements)

References 30 publications

(43 reference statements)

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“…The ten tools identified a variety of topics relating to the complexity of dental care (Table 1). The different tools were designed for different target populations: the general population, 15 individuals with special needs, 20–24 with Alzheimer's disease, 16 with learning disability, 17 or the dependent elderly 18,19 . Three tools were designed to predict patient cooperation or behavior, and/or predict the need for sedation or general anesthesia (GA) 15–17 .…”

Section: Resultsmentioning

confidence: 99%

“…The different tools were designed for different target populations: the general population, 15 individuals with special needs, 20–24 with Alzheimer's disease, 16 with learning disability, 17 or the dependent elderly 18,19 . Three tools were designed to predict patient cooperation or behavior, and/or predict the need for sedation or general anesthesia (GA) 15–17 . Two tools aimed to provide guidance on care pathways and treatment planning in relation to dependency in older adults 18,19 .…”

Section: Resultsmentioning

confidence: 99%

“…Varela et al. published the results of a pilot study describing the use and the implication of the PREdictors of BEhavior in Dentistry (PREBED) tool 17 . It consists in behavior prediction models that anticipate the behavior of patients with intellectual disability in the dental setting.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 2102 records were identified through the systematic searches, three through networking and one by citation searching (Figure 1). Ten tools [15][16][17][18][19][20][21][22][23][24] were retained for analysis. Nine tools had been developed in seven countries: Australia, 22 France, 24 Malaysia, 23 the United Kingdom, 15,20,21 the United States of America, 18 Spain, 17 and Sweden 16 and one tool was the result of international concertation.…”

Section: Search Resultsmentioning

confidence: 99%

“…Ten tools [15][16][17][18][19][20][21][22][23][24] were retained for analysis. Nine tools had been developed in seven countries: Australia, 22 France, 24 Malaysia, 23 the United Kingdom, 15,20,21 the United States of America, 18 Spain, 17 and Sweden 16 and one tool was the result of international concertation. 19 Three of the above tools were identified on networking at the International Association of Disability and Oral Health conference (iADH), [22][23][24] of which one was subsequently published in February 2023.…”

Section: Search Resultsmentioning

confidence: 99%

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Identifying people requiring special care dentistry: A scoping review

Bogner

Eschevins

Faulks

2023

Special Care in Dentistry

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AimsThis scoping review aimed to document tools designed to identify persons requiring special care dentistry (SCD) and to provide a better understanding of the factors that justify adaptation in the provision of care.MethodsA scoping review methodology was applied. An electronic search was performed in April 2021 using Pubmed and Embase. Additional tools were sought using hand searches and informal professional networking.ResultsTen tools were identified that either predict the complexity of dental management or that retrospectively judge the complexity of care, of which two are as yet unpublished. Some had been developed for a specific population (e.g., patients with Alzheimer's disease, with learning disability, elderly persons) whilst others were applicable for any population (case mix tools). Factors considered included the patient's medical history, ability to cooperate, physical and cognitive autonomy, communication skills, anxiety, need for sedation, oral risk factors, ability to consent and the administrative burden for the dentist.ConclusionIdentifying persons requiring SCD is possible by looking at various factors that influence the provision of dental care. There may be need for adaptation of tools to local circumstances and to the intended usage of the tool at a health services, systems or policy level.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

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Identifying people requiring special care dentistry: A scoping review

Bogner

Eschevins

Faulks

2023

Special Care in Dentistry

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Behavioral guidance for improving dental care in autistic spectrum disorders

Pastore,

Bedin,

Marzari

et al. 2023

Front. Psychiatry

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IntroductionAutism spectrum disorders (ASDs) impair many aspects of everyday life and may prevent access to dental care, often limiting it to emergencies. Impaired oral health has long-lasting negative consequences on health status and on the acquisition of oral habits (e.g., oral respiration and grinding) or competencies (e.g., proper speech production). Children with ASD may be scared in the dental setting, which is rich in sensory stimuli and requires physical contact. Due to their behavioral manifestations, they represent a challenge for dentists and hygienists. We created a dedicated pathway with behavioral support for children with ASD to allow dental care and possibly limit the use of general anesthesia.MethodsWe evaluated the effects of behavioral support in a quasi-experimental design by comparing two groups of children with ASD. The first group (n = 84) was visited every 2 months for 3 years and received additional support (visual aids, caregiver training, and longer visit duration). A control group, matched for age and sex, was visited at least twice a year or more, if needed, according to standard healthcare guidelines.ResultsCompliance with the schedule was high throughout the 3 years. The degree of collaboration significantly improved after 1 year in the supported group, while the control group did not change. At the end of the study, collaboration remained significantly higher than at the beginning in the supported group. Half of dental treatments were possible without general anesthesia in supported children. No adverse effect was apparent on collaboration due to COVID-19 restrictions.DiscussionBehavioral techniques improved the compliance of ASD children to regular dentistry visits and treatment. Furthermore, oral hygiene at home was similarly improved, addressing oral health from a lifelong perspective.

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Conscious Sedation for Dental Treatments in Subjects with Intellectual Disability: A Systematic Review and Meta-Analysis

Salerno

Cirio

Zambon

et al. 2023

IJERPH

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This systematic review and meta-analysis was aimed to investigate the conscious sedation efficiency in patients with intellectual disability undergoing dental treatment (PROSPERO CRD42022344292). Four scientific databases were searched by ad-hoc prepared strings. The literature search yielded 731 papers: 426 were selected, 42 were obtained in full-text format, and 4 more were added after hand searching. Fourteen studies were finally included, 11 of which were included in the meta-analysis (random effect model). A high heterogeneity in the drugs used and route of administration was retrieved. Success rate, occurrence of side effects, and deep sedation occurrence were combined to give an overall efficiency of each drug. N2O/O2 reported the highest efficiency (effect size = 0.90; p < 0.01) and proved to be more efficient when used alone. Nine papers reported a success rate of sedation of 80% or more. The prevalence of side effects (6 studies) ranged from 3% to 40%. Enteral and parenteral benzodiazepines showed the same overall efficiency (effect size = 0.86). No meta-analysis has yet been conducted to define the most effective and safest way to achieve conscious sedation in patients with intellectual disability; nitrous oxide appears to be the best choice to perform conscious sedation in patients with intellectual disability undergoing dental treatment.

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Development of a new tool for predicting the behavior of individuals with intellectual disability in the dental office: A pilot study

Cited by 3 publications

References 30 publications

Identifying people requiring special care dentistry: A scoping review

Identifying people requiring special care dentistry: A scoping review

Behavioral guidance for improving dental care in autistic spectrum disorders

Conscious Sedation for Dental Treatments in Subjects with Intellectual Disability: A Systematic Review and Meta-Analysis

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