Abstract:People in residential or continuing care have an equal right to good oral health as people residing in the community. Entry to residential or continuing care provides an opportunity to assess need, identify problems, improve oral and dental health thereby contributing to improved general health and quality of life. This document provides guidance to establish standards for oral health care which are appropriate to the needs, demands and choices of individuals whether they live in continuing or residential care… Show more
“…Gallagher and Fiske (30) suggested that the need for Special Care Dentistry (SCD) is the much-needed necessity of today's time. SCD can address the oral health care needs of people with profound and severe disabilities, who require personalized one on one care (37,39). Therefore, the Authors emphasized on the need for the commissioning of Dentists With Special Interests (DwSI), who may hold competencies between general and special dentists and may be able to, form a skilled workforce in order to address the unmet needs of people with learning disabilities (4,30).…”
SummaryBackground. The prevalence of oral diseases including dental caries and periodontal conditions is remarkably higher in people with disabilities. The provision of accessible oral health services for people with learning disabilities may be challenging.Objectives. The objectives of the review were to identify barriers in accessing oral health care that persists within society, enabling or disabling people with learning disabilities. Methods. Using the Arksey O'Malley framework, a scoping review was conducted on PubMed/Medline, OVIDSP, and EMBASE. Studies were evaluated and short-listed based on the inclusion criteria, which consisted of: (1) study participants or population with learning disabilities, (2) aged 16 years or over, (3) reporting on access to oral health services, (4) published in the English language. Those that justified the inclusion criteria were carefully chosen after a blind peer-reviewed process when relevance and quality were debated. Results. Nine studies were eventually included from searches. Tabulation of data was done under the heading of study type, outcomes, the year of publication and patient selection. The majority of studies provided a biomedical overview of access for adults with learning disabilities. Conclusions. The concept of access for people with disability is still ill-defined and obscure. Access to oral health care and needs of people with learning disabilities are complex and multi-facet.
“…Gallagher and Fiske (30) suggested that the need for Special Care Dentistry (SCD) is the much-needed necessity of today's time. SCD can address the oral health care needs of people with profound and severe disabilities, who require personalized one on one care (37,39). Therefore, the Authors emphasized on the need for the commissioning of Dentists With Special Interests (DwSI), who may hold competencies between general and special dentists and may be able to, form a skilled workforce in order to address the unmet needs of people with learning disabilities (4,30).…”
SummaryBackground. The prevalence of oral diseases including dental caries and periodontal conditions is remarkably higher in people with disabilities. The provision of accessible oral health services for people with learning disabilities may be challenging.Objectives. The objectives of the review were to identify barriers in accessing oral health care that persists within society, enabling or disabling people with learning disabilities. Methods. Using the Arksey O'Malley framework, a scoping review was conducted on PubMed/Medline, OVIDSP, and EMBASE. Studies were evaluated and short-listed based on the inclusion criteria, which consisted of: (1) study participants or population with learning disabilities, (2) aged 16 years or over, (3) reporting on access to oral health services, (4) published in the English language. Those that justified the inclusion criteria were carefully chosen after a blind peer-reviewed process when relevance and quality were debated. Results. Nine studies were eventually included from searches. Tabulation of data was done under the heading of study type, outcomes, the year of publication and patient selection. The majority of studies provided a biomedical overview of access for adults with learning disabilities. Conclusions. The concept of access for people with disability is still ill-defined and obscure. Access to oral health care and needs of people with learning disabilities are complex and multi-facet.
“…Standards for daily oral hygiene should be agreed and care givers trained in the provision of daily oral care (Fiske et al, 2000, BSDH et al, 2001). This will involve cleaning teeth and/or dentures effectively.…”
“…However, there are several obstacles that stand between the institutionalized elderly and access to oral health care, namely, the high cost of the treatments, the lack of perception of their needs, the lack of education for oral health and the lack of preparation of health professionals (Dolan et al, 2005;Fiske et al, 2000).…”
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confidence: 99%
“…These programs should not only target the elderly but also the health professionals and caregivers responsible for these seniors, in order to make them aware of the importance of oral health in general health (Fiske et al, 2000).…”
The aging and the elderly are highly associated with limitation or dependency, with some loss of capacities and the gain of conditions or age-associated pathologies. Despite advances in preventive dentistry, edentulism and oral diseases are major public health issues in Portugal, mainly among the elderly. This study investigated the oral status and level of oral rehabilitation among Portuguese institutionalized elderly. The purpose of the study was to determine the prevalence of edentulism and assess the oral rehabilitation and oral/prosthetic hygiene habits in a sample of institutionalized elderly using a cross-sectional study in a sample of 118 institutionalized elderly. Data collection was performed by applying a questionnaire about oral health behaviors and through an intraoral observation in order to determine the oral status and verify the condition of the oral rehabilitation of each participant. The findings revealed that 78.6% have a number of decayed, missing and filled teeth more than 20, 58.8% presented total edentulism (with no natural teeth in the oral * Corresponding author. Tel.: +0-000-000-0000 ; fax: +0-000-000-0000 . cavity) and 66.7% had a removable prosthesis. Only 44.1% practiced daily oral/prosthetic hygiene at least twice a day while 29.0% and 67.7% complained of toothache and difficulty in chewing respectively. The educational level of the elderly was associated with dental pain (p=0.012) and oral/prosthetic hygiene (p=0.034). A high prevalence of tooth loss was found in the sample studied and also the need to improve the removable prosthesis is fundamental. Improvement in oral health care and oral hygiene habits is essential to promote better oral health and quality of life among the institutionalized elderly.
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