Factors affecting provision of oral health care for people with special health care needs: A systematic review

Khan, Afsary Jahan; Sabri, Budi Aslinie Md; Ahmad, Mas Suryalis Binti

doi:10.1016/j.sdentj.2022.08.008

Cited by 14 publications

(14 citation statements)

References 51 publications

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“…In most cases, the behaviors of rural people can often delay access to health services because they believe that their oral health is good or simply because they do not have dental pain. The results obtained correspond with those of other studies in the literature [ 46 , 47 , 48 ]. The same observation was made by Al-Ansari, who found that the costs, the unavailability of doctors, and the lack of insurance were the main reasons for the reduced access to preventive oral health care [ 49 , 50 , 51 ].…”

Section: Discussionsupporting

confidence: 91%

Trends in Access to Oral Health Care among Adults from the N-E Region of Romania

et al. 2022

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Aims and Objectives: To investigate the trends in access to dental services among adults from the N-E region of Romania and to evaluate the factors that influence access to dental care. Material and Methods: A self-administered questionnaire was used to evaluate the access and utilization of dental care among a sample of adults. We collected data on their demographic characteristics, their type of medical insurance, their monthly income, the type of dental office they visited, their reasons for choosing a certain type of dentist office, and their oral hygiene habits. It was found that their financial status determined by the occupation of the individual, as well as their monthly income, influenced their access to medical services. Data were analyzed using SPSS 20.0. Results: Of a total of 696 participants, 55.6% were female, 83.3% were from urban areas, 42.1% were retired, 62.3% of the subjects utilized dental emergency services, and 67.9% of the subjects self-funded their treatment. The reasons for women not attending dental offices included costs (24.3%) and dental fear (9.8%), while men’s reasons were high costs (26.4%) and lack of time (5.9%). Significant differences were recorded between gender and reasons for visiting the dentist (p = 0.018), payment for dental services (p = 0.009), and preferred clinic (p = 0.010). In relation to occupation, there were significant differences for most of the variables evaluated (reasons to visit a dentist, payment for dental services, preferred dental clinic, self-rated oral health, etc.). Conclusions: Gender, occupation, and monthly income levels were found to influence access to dental medicine services of Romanians in the N-E region. Dental services were frequently accessed for emergency reasons. Dental services were found to be paid for by state insurance for those with low monthly incomes and self-funded for those with higher monthly incomes.

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Section: Discussionsupporting

confidence: 91%

Trends in Access to Oral Health Care among Adults from the N-E Region of Romania

et al. 2022

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“…This indicates a lack of proper oral hygiene practices among children with special healthcare needs, which may contribute to the high prevalence of dental caries observed. Factors such as physical limitations, cognitive impairments, sensory issues, and behavioral challenges can pose barriers to maintaining adequate oral hygiene [ 10 ]. Moreover, the special healthcare needs of these children may require additional assistance or adaptations to oral hygiene practices, which may not always be readily available or accessible [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

An Assessment of the Prevalence of Dental Caries, Oral Hygiene Status, Deft Index, and Oral Hygiene Habits Among Children With Special Healthcare Needs

Shalini¹,

Sharma²,

Anand³

et al. 2023

Cureus

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Background and objective Children with special healthcare needs are at an increased risk of oral health problems, including dental caries. Understanding the prevalence of dental caries, oral hygiene status, deft (decayed, extracted, filled teeth) index, and oral hygiene habits in this population is crucial for effective oral healthcare planning and interventions. The aim of this study was to assess the prevalence of dental caries, oral hygiene status, deft index, and oral hygiene habits among children aged 4-15 years with special healthcare needs in Jodhpur District, Rajasthan, India. Methods A cross-sectional study was conducted among 124 children from various, government and non-governmental organizations (NGO)-run special schools. Data on dental caries, oral hygiene status, deft index, and oral hygiene habits were collected using standardized tools and techniques. Descriptive statistics, including frequencies and percentages, were used to analyze the data. Results The prevalence of dental caries among children with special healthcare needs was 65%. The severity of dental caries varied, with 40% classified as mild, 20% as moderate, and 5% as severe. Additionally, 75% of the children exhibited poor oral hygiene, as indicated by the oral hygiene status assessment. The mean deft index score was 2.8, indicating an average dental caries experience among the participants. Regarding oral hygiene habits, 60% reported brushing their teeth once a day, while 40% reported brushing twice a day. However, a significant proportion (70%) reported non-fluoride use, and 55% stated they did not perform regular flossing. Conclusion This study highlights a high prevalence of dental caries, poor oral hygiene status, and suboptimal oral hygiene habits among children with special healthcare needs in Jodhpur District. The findings emphasize the need for targeted interventions focusing on preventive measures, oral health education, and improving access to oral healthcare for this vulnerable population. Further research with larger sample sizes and longitudinal study designs is warranted to validate these findings and develop effective strategies for enhancing oral health outcomes in children with special healthcare needs.

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“…The higher incidence of oral diseases in this population can also be associated with certain social factors, including the difficulties encountered in accessing dental care, such as the inadequate structure and organization of these oral health services as well as the lack of trained professionals and limited treatment options. In addition to having reduced access to oral health services, individuals with disabilities often experience lower resolution of their dental treatments and health care demands 8–11 …”

Section: Introductionmentioning

confidence: 99%

“…In addition to having reduced access to oral health services, individuals with disabilities often experience lower resolution of their dental treatments and health care demands. [8][9][10][11] According to Albrecht et al, 12 the crisis in health accessibility for PwDs can promote a gradual decrease in the quality of oral health care in this population. Therefore, public health and educational policies regarding the provision of adequate services and oral health care for PwDs are important because it has been observed that possible sequelae associated with oral diseases and low levels of hygiene need greater attention among professionals and caregivers of PwDs.…”

Section: Introductionmentioning

confidence: 99%

“…These situations require dentists to be able to prevent or manage them when they occur. 8,9,11 Despite the growing need for students, dental schools offer limited educational opportunities in terms of providing services required by PwDs. 13 There is a need for dentists who are better trained to provide oral health care, from routine maintenance to assistance, such that these professionals are ready to treat PwDs and offer humanized care, as well as feel safe to provide care to this group in need of assistance.…”

Section: Introductionmentioning

confidence: 99%

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Educational strategies for oral assistance for the disabled and their effects on dentistry students’ formation: A systematic review

Silva

Tavares

Silveira

et al. 2023

Special Care in Dentistry

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AimsThis systematic review aimed to analyze the influence of educational strategies for oral health care for Persons with disabilities (PwDs) on the technical, ethical, and social training of undergraduate dental students.Methods and resultsAn extensive search was performed in the following databases: Cochrane, Embase, PubMed, Scopus, Web of Science, LILACS/BBO and OpenGrey database. Observational, nonrandomized, and quantitative comparisons before and after some type of educational strategy in undergraduate dentistry was included. The risk of bias was assessed using the risk of bias in nonrandomized intervention studies (ROBINS‐I) tool. The certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Nine were included and suggested that a significant improvement was observed in the technical training of undergraduate dental students although there was no consensus on the acquisition of ethical/social competences after the application of educational strategies. The included studies presented a moderate to serious risk of bias, and the certainty of evidence for both, technical and ethical/social evaluative constructs, as very low.ConclusionAlthough studies show that awareness regarding PwD significantly increases technical skills in dental students, the evidence is poor due to the high risk of bias and inconsistency observed in both the technical and ethical/social constructs; further studies on this topic are therefore essential. Prospero: (CRD42021288463).

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Factors affecting provision of oral health care for people with special health care needs: A systematic review

Cited by 14 publications

References 51 publications

Trends in Access to Oral Health Care among Adults from the N-E Region of Romania

Trends in Access to Oral Health Care among Adults from the N-E Region of Romania

An Assessment of the Prevalence of Dental Caries, Oral Hygiene Status, Deft Index, and Oral Hygiene Habits Among Children With Special Healthcare Needs

Educational strategies for oral assistance for the disabled and their effects on dentistry students’ formation: A systematic review

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