Estado de saúde oral duma população institucionalizada com deficiência profunda

Esteves, Mário; Mendes, Sónia; Bernardo, Mário

doi:10.24873/j.rpemd.2017.11.030

Cited by 4 publications

(6 citation statements)

References 14 publications

(18 reference statements)

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“…erefore, a lot remains to be achieved by the society with (1) Difficult to take time off from work to bring child to the dentist (2) Difficult to find dentist willing to treat child because of their medical condition (3) Dental care is very expensive (4) Difficult to find a child dentist nearby (5) Difficult to travel to the dental office (6) e dental team is anxious or nervous treating children (7) Child is afraid of the dentist (8) Child does not like to do anything to his mouth (9) e child is too young to see a dentist (10) Dad is afraid to go to the dentis (11) International Journal of Dentistry regard to the facilitation of access to health care. Overcoming the barriers encountered by people with disabilities can thereby enable their much deserved and dignified access to oral health services.…”

Section: Resultsmentioning

confidence: 99%

“…In South Korea, researchers evaluated comparable samples of people (a) with physical disabilities (DMFT � 7.3), (b) with mental disabilities (DMFT � 8.3), and (c) with multiple disabilities (DMFT � 8.2) and people without disabilities (DMFT � 4.9) [6]. In another study carried out in Portugal, with institutionalized people with disabilities, a mean DMFT of 11.2 was found which was much higher than the general population of the same age group [7]. In Brazil, in a study carried out with people with Down syndrome, cerebral palsy, and intellectual deficit, the average DMFT was 11.0, also quite high when compared to the general population of the same age group [8].…”

Section: Introductionmentioning

confidence: 94%

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

Rosa

Moysés

Theis

et al. 2020

International Journal of Dentistry

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Background. People with disabilities tend to have greater oral health problems compared to those without disabilities. This may be due to barriers they come across in accessing dental services. Objectives. The objective of this systematic review was to provide a critical digest of the scientific literature concerning barriers and facilitators of access to oral health services for people with disabilities. Methods. The electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), and Brazilian Library of Dentistry (BBO) were searched using keywords relevant to the subject. The search was not restricted to specific languages or years of publication; all relevant studies were translated and reviewed. Results. Sixteen studies including 14 articles, a doctoral thesis, and a monograph were selected, and their quality was analysed using the Downs and Black assessment tool. Barriers to dental services were divided into physical or nonphysical based on the dentist’s perspective, as per the perception of parents/guardians or by the persons with disabilities. The barriers that emerged included the dentist’s lack of preparation to assist people with disabilities, structural problems of access to dental offices, communication difficulties, and lack of awareness regarding the need for dental treatment for the disabled person. Conclusion. It is concluded that people with disabilities continue to run into complex physical, behavioural, or multidimensional barriers in accessing dental services. Improved training of dentists for the care of this population is hereby emphasized. The legal framework enabling access to dental care for people with disabilities must also be respected in each country.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

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

Rosa

Moysés

Theis

et al. 2020

International Journal of Dentistry

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“…The most used index to assess caries risk is the DMF/T index (D, decayed; M, missing; F, filled; T, teeth). Epidemiological studies show significantly higher DMF/T values in PIMD [8][9][10], and PIMD still has more missing teeth than the general population [11].…”

Section: Introductionmentioning

confidence: 92%

Chairside oral prophylaxis for people with profound intellectual or multiple disabilities—a retrospective feasibility study

Auerbacher,

Gebetsberger,

Hickel

et al. 2023

Clin Oral Invest

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Objectives People with severe intellectual or multiple disabilities (PIMD) have been receiving dental care in a specialized unit offering special care dentistry. For most of these adult patients, the initial consultation is complaint driven. In addition, the limited ability to cooperate due to their disabilities often means that dental treatment for these patients is usually carried out under general anesthesia (GA). Chairside treatment attempts are the exception rather than the rule. This retrospective study evaluated whether consistent practice of behavioral management principles and techniques embedded in a specific dental environment enables successful dental treatment of PIMD. Materials and methods The feasibility of chairside dental prophylaxis in PIMD (n=36) was analyzed: specific behavioral management techniques were applied, and professional tooth cleaning (PTC) was performed in the dental chair. Clinical data obtained from medical records and a questionnaire were analyzed. Results All patients had severe intellectual or multiple disabilities and had previously undergone at least one dental treatment under GA. Of these patients, 55.6% never had their teeth professionally cleaned before. Applying different behavioral techniques, all patients were compliant with receiving PTC in the dental chair. Conclusions An individualized and disability-specific treatment strategy using various noninvasive and nonpharmacological behavioral guidance techniques resulted in a higher compliance rate in PIMD, which allowed chairside PTC and reduced the need for treatment under GA. Clinical relevance Consistent implementation of various behavioral guidance techniques and communication strategies in a supportive environment enabled all patients to receive chairside PTC and be involved in a lifelong recall program.

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“…Regarding the degree of independence in performing dental hygiene, the study by Esteves et al (2017) found that people with special needs that are more dependent had better oral health status. This result, according to the authors, can be justified by the fact that third parties perform the oral hygiene of the person with special needs more effectively.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Characterization of the Oral Health of Individuals With Special Needs at Cerci Portalegre

Balseiro,

Barata,

Lopes

et al. 2022

EGITANIA SCENCIA

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Introduction: At the present time, progress has been made between the relation in oral health and general health. Therefore, deepen knowledge of the oral health status of a population is essential for the establishment of health promotion measures. Since populations with special needs require a multidisciplinary approach, it is even more important to define these measures. The first step will be to establish the baseline values of a population, and thus to better understand their oral health needs. Objectives: This work aims to characterize the oral health status of a population with special needs at Cerci Portalegre. Methods: After obtaining the informed consent of the heads of the institution and the individuals’ legal guardians, as well as the consent of the individuals, the observation of the oral cavity was carried out to collect the present and past history of dental caries using the DMFT index (index of decayed, missing and filled teeth) and the evaluation of bacterial plaque accumulation on the dental surface by the DI’S index (bacterial plaque index). Results: Forty individuals were observed, 29 men and 11 women, with a mean age of 35 years. It was observed that these individuals had a mean value of DMFT of 4.7 decayed, missing and filled teeth, with no statistically significant difference between men and women (p=0.952). The mean value of DI’S was 2.02 which represents a high value of bacterial plaque accumulation which, being an etiological factor of oral diseases, indicates a risk of developing oral health problems. Conclusions: Patients with disabilities in most cases require more care at the level of oral health, due to their physical and mental inability to perform correct oral hygiene habits. Therefore, promoting oral health and educational measures may play a relevant role in the study population for the prevention of oral health problems and consequently other health problems.

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Estado de saúde oral duma população institucionalizada com deficiência profunda

Cited by 4 publications

References 14 publications

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

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

Chairside oral prophylaxis for people with profound intellectual or multiple disabilities—a retrospective feasibility study

Characterization of the Oral Health of Individuals With Special Needs at Cerci Portalegre

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